Had gestational diabetes in my last pregnancy 32 years ago, on my 60th birthday 9 years ago I was diagnosed with diabetes. Over the last 9 years I have been on Metformin 1g twice daily last year dapagliflozin was added as hba1c was 65 2 months ago Sitagliptin was added as hba1c in march was still 64. Weight is 11 stone 4lbs am disabled with tremor underactive thyroid 100mg thyroxine high bp 164/104 10mg Ramipril high cholesterol 7.7 (to be given statins which I have issues with) my diet is one meal a day cooked by carer I take 14 different medications a day for various reasons (including 3 different pain meds)I don’t know what to do any advice pleeeaasse thanks