Your blood sugar levels (fasting 194, postprandial 284) are significantly elevated, indicating your diabetes is not well controlled. You should consult your doctor promptly to adjust your treatment plan. Depending on your current dose, your doctor may increase Janumet to its maximum strength. Alternatively, they may add another class of medication, such as an SGLT2 inhibitor (e.g., Jardiance), a GLP-1 receptor agonist (e.g., Ozempic), or consider initiating insulin therapy to bring your fasting levels down safely. Please do not change your dosage without medical supervision, and continue to focus on a low-carb diet and regular exercise.