If you're already using a macro lens, I'd think extension tubes are overkill.
Otherwise, I've been using extension tubes for a couple of years and here's what I've found out.
Sounds like you're using the cheap after market tubes without the aperture stop down arm, that causes trouble. You have to open up the aperture to focus, then close it again to shoot, and unless you're shooting stationary subjects with a tripod, this is iffy. My M42 rig works this way, but fortunately it has a secondary aperture ring. One ring sets the desired aperture stop, the other actually changes the aperture size. I can focus wide open, try to stay still and quickly close down the secondary ring and shoot, it works but it's iffy.
For K mount lenses, extension tubes are available, and you can also get teleconverters and remove the glass. I have 2 right now, for 45mm total, and another I'm thinking about removing the glass, still need to try it a few more times and be sure I just can't get acceptable shots with it as a TC. But those have the aperture arm so the camera can stop down properly. I use them mostly with a 50mm lens, which means my working distance is about 3 inches at most, so I don't get many insects with it. With a 135mm it works, but I'm not crazy about my K mount 135mm so I don't use it often. The 135mm gives me a little over a foot working distance, better for insects.
For the M42 rig I have almost a foot of extension tubes, it can get crazy, but I normally use a 135mm l3ens and around 60mm of extension tubes. Good magnification and about a foot or so working distance, many insects will let me get that close, lizards sometimes, and not too hard to hold steady and get hand held shots.
I use a hot shoe flash, and with the 50mm I sometimes use a folded envelope to reflect the flash down onto the subject, since it tends to shoot over and past it. In good daylight I shoot without flash. Extension tubes don't seem to reduce light transmission the same way teleconverters do.
OK so how does all this work?
M 50mm f1.7 with 45mm extension tubes, flash on 1/4 power, fly a little over 1/4 inch long, taken at f11
Lentar 135mm M42 at f11 in natural sunlight with 58mm extension tubes
And my old favorite macro rig, a 50mm lens with the objective lens from a pair of junk binoculars attached to it, natural daylight, enough light to shoot 1/750 shutter speed at f11
All these are hand held, the only bracing I have is by resting my hand on the ground or my elbow on my knee and trying to hold it steady. Sometimes I attach a mini tripod and use it as a handle for help with bracing, most of the time if I'm close to the ground I just rest my hand on the ground and use a thumb or finger to brace the lens, and I move closer or further away to focus rather than fooling with the focusing ring. It only take a tiny fraction of an inch to be in or out of focus...
Oh yeah...remember the 3 P's...
Practice
Practice
Practice