Hello Dr. I am 27 year old male . Yesterday evening first time I have checked my blood pressure unknowingly and the result came is shocking 168/100. So I worried and recheck in night and my bp came is 140/98. Today morning I checked my fasting blood sugar its 105 because somebody has suggest me your father has sugar you please check . And after 2 hour I checked my bp its 120/80 then I feel relax but in evening I rechecked my bp its 145/110. Dr. My body head hand pain and I feel lazy and tired all time and think to take sleep or take a nap. Dr. . I regular go for morning walk. Dr. From last 15 days I am upset due to my father high sugar. Dr. please advise me what to do and reason behind this is their any serious problem.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user, some times bp may show variation during the day, but that is not as wide as in your case. So please check the bp after a day or two, at the same time. If it shows higher number (>140/90mmhg), then there may be a need for considering treatment for the same, mainly because you are too young to have high bp. As regards diabetes, with 105 mg blood sugar, you seem to have no such problem. But because your father has diabetes, you need to be very careful. For that you have to adapt a modified lifestyle. That is to maintain normal weight (bmi <23 kgs/m2), your present bmi is 30.46 kgs/m2 which shows grade 1 obesity. This is the major contributor for increased bp and can lead to diabetes. Your ideal body weight has to be 80 kgs. Plus a daily exercise of over 1 hour is needed. Also dietary intake has to be based on 80 kgs and extent of daily physical activity. No smoking and alcohol. This life style can keep you away from high blood pressure and diabetes. Thanks. 

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