Hi, it can be frustrating if diabetes targets have not been reached despite your best efforts. But remember that diabetes is a condition that at times needs more than lifestyle adjustment because as we age, it can get harder to control.

Your doctor will usually individualise your treatment for you- factors to be taken into consideration would be if there is any underlying kidney, liver or heart disease, if weight is an issue. 

In most patients, tablets like metformin is usually one of the first medications that doctors may start. But there are many other options as well and it will be good to discuss this with your doctor.