<s>[INST] I am currently taking 1000mg of metformin twice daily along with 1200mg of gabapentin twice a day, 20mg of lisinopril once a day and 45 units of novolin 70/30 twice a day. Yet my blood sugar continues to rise. 4 months ago my average daily sugar level was 120, 3 months ago it went up to 140, last month it was around 170 and now I average 200. Whats going on? [/INST] Hello and thank you for asking! There are many factors that increase the blood sugar. One of them is weight gain, physical inactivity, uncontrolled diet, infection sect. You treating physician will evaluate them carefully and try to find a cause.Meanwhile, I would suggest increasing the dose of insulin (the dose of the morning if it is high during the day, or the dose of the evening if it is high fasting) until the blood glucose reaches normal levels. Hope the information will help. Kind regards, Chat Doctor.  </s>