My wife aged 61 years is a diabetic since 1994.She is weighing 83 kgs and ht is 5.5 ft. Now we are using Insulin Tresiba (20-0-20 units), Insulin Fiasp(18-16-18units ) , Jardiance 25mg-1 daily in the morning , Istamet 50/500 - 1 dialy in the morning , Carbophage XR500-1 in the night as diabetic medicines. Her HbA1c was ranging from 7.5- 8.5. Her last Serum creatinine level in January 2023 is 1.2. The Fasting sugar level is ranging between 110 - 145 in this month sofar. Random sugar in the other time of the day is 140- 210. She is also a BP patient taking Telma 40, Telma CT6.25/40 and Praxopress XL 2.5 - each one daily. Bp readings are 140 -145 / 60-68. Thyroid(taking Thyronorm 75mcg daily) and cholestrol( Rosuvas CV10 daily) are under control . Please advise how to decrease HbA1C to a level of 6-7 . Is these medicines are helpful in maintaining her health staedily?. she is south indian and taking rice normally and wheat onec in 2 days in the night time. Is the creatinine level indicates any deterioration in Kidney function? The medicines indicated above are kidney friendly? Your advise to maintain a safe healthy life is required please