Managing uncontrolled diabetes while already on insulin and metformin/teneligliptin requires a careful review. Please don't worry, as we have several highly effective options to help get your blood sugar back on track. Instead of adding new pills immediately, your doctor might first adjust your current insulin doses. Alternatively, they may consider adding generic medications such as SGLT2 inhibitors (like dapagliflozin) or GLP-1 receptor agonists (like semaglutide), which also protect the heart and kidneys. Please consult your endocrinologist to safely adjust your treatment plan based on your daily blood sugar logs and lifestyle. Do not make any medication changes on your own.