I am diagnosed with HBP in the year 2007. Now I am using tazloc H 18 (one tab at morning). Now my reading are 130/95. Also I am a diabetes type II patient since the year 2014. Now I am using GEMER 2 mg (two times a day) and LIPICURE 10 mg (One tab daily). My present reading are 252/306 Pl. Advice is there any requirement of medicine change or anything else. I am unable to control my sugar level. Also my both legs (under knee) are swelling since last one year. My age is 48 years and I am non vegetarian and smoker. Waiting for your early reply.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. When blood pressure is well controlled it should be 120 to 130 / 70 to 80 mm Hg. Secondly blood glucose should be Fasting < 100 mg, After food 150 to 160 mg & HbA1c% < 6.8 (not mentioned). It is clear from above information that both BP and blood glucose (diabetes) are not in control. With a BMI of 25.92 (Normal < 23 kgs/Sq met) you are over weight by at least 5 to 6 kgs. There is no mention about your extent of daily exercise and no dietary details (actual consumption through out the day). There is a need for complete up gradation of diabetes treatment, plus we will have to give a closer look at diet and exercise. Therefore, if you are keen on online help, please come in a private conversation (paid consultation) with all above details, then I will be able to give specific guidance. Or else please contact your local physician or diabetologist and improve the treatment. In this communication we are supposed to give only general guidelines, no specific prescriptions can be given. Thanks.  

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