Suboptimal hypertension and diabetic control increases risks of cardiovascular complications

Patient

Q: I am a 46yers old female.i have hypertension from past 15 years but i start to take medicine regularly from last 1 year.Before that i took only symptomatic treatment for headaches etc. caused by high blood pressure.first i took ramipril along with many tranquliserz but couldnot control my BP. that time my BP was 190/115 average.after that i am taking Olmesartan 20mg+amlodipine10mg but my BP still remain 160/105 average.when i checked blood suger 3 months ago it was 324 on 4 or 5 occasions and for that im taking glucophage+glucobay. that also does not seem to be helpful. i did my test for Lipid profile,liver profile,blodd urea+creatinine ,and urine R/E..

abnormal values in these tests are

(Lipid profile}
Triglycerides 243mg/dl
V.L.D.L 49 mg/dl
cholesterol/HDL
cholestrl ratio 5.1

(Liver function test)
Gamma G.t 83 U/L
globulins 3.6 G/dl
A/G ratio 1.0


now i want to ask what should i do further?

Doctor

A:   Target blood pressure in diabetic patients is

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