High Hba1c, with High SGOT/ normal SGPT

Patient : Hello, my mom has diabetes, two years ago she had a thyroid surgery, now she takes levotyrox, her TSH are normal(3.88), but recently she was always tired , sleeping more than 15 hours a day, we checked her HBa1c it was above normal (10.89%), also her SGOT/ASAT were above norma (93,2) but with a normal SGPT/ALAT, what should we do ? thanks for your help. she takes levotyrox, diamicron and glycan. she is 54 years old
Symptoms:  High HBa1c, high SGOT, fatigue,
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