How To Control Fluctuating BP Levels?

Ok with out joking. I manual take my vitals each day and I take 4-5 different reading's of blood pressure. For over 15 months my lowest reading was 153-113 my average reading daily 170 to 199 over 120 on up to 148 heart upon waking up already elevated 108-125 up. Medicine doesn't work. I. Walk, exercise daily eat right and sleep well. What else can I do before I end up dead and I am 38 6' 210lbs 7% body fat.