** Thanks for contacting with your health concern 1. As the value can t be deduced if it is of fasting or PP [post prandial] and moreover weight is also not mentioned [which can be one factor for high blood glucose level due to insulin resistance] thus it is wise to check with a diabetes specialist, who will look clinically for: . Weight . blood pressure . Examination of peripheral pulses on the legs. . Examination of the feet: especially the interdigital spaces and soles, for infections, ulcer, and sensory loss. 2. check with HbA1c as it is measured primarily to identify the three-month plasma glucose concentration. 3. As he is eating properly and maintaining a healthy lifestyle, even then combined recommendations [diet + lifestyle] for him will be: i. say NO to Sugar, all sweets, cakes, sweetened biscuits-drinks, sweet fruits like mangoes and grapes, jam, honey, canned sweet fruits. ii. Eat in Plenty: all leafy vegetables, tomato, cucumber, brinjal, cauliflower, lady s finger, soup [tomato/vegetable], buttermilk, sugar-free drinks, tea/coffee with sweeteners, all cereals, sprouted pulses. iii. Eat restricted quantities: chapati, bread, corn flour, plain or salted biscuits, rice, meat, eggs, chicken, fish, skimmed milk. iv. Regularize timings and quantity of meals. v. be careful in festivals and marriages, compensate for extra sweets by reducing previous and subsequent meals. vi. do not remain starving for long periods vii. avoid alcoholic drinks. viii. wash the feet daily, dry them, inspect them & then sprinkle a lot of talcum powder. ix. avoid walking barefoot, even at home. x. wear soft cotton socks and canvas shoes, avoid tight fitting shoes and chappals. xi. cut nails carefully and always after the bath, when they are soft. 4. Recommended investigations during follow up: . ask for EKG [electrokardiogram], . Retinoscopy, . Urine for microalbuminuria and Glycosylated Hemoglobin . Lipid profile. . Ultrasonography of abdomen for the pancreas. 5. Although metoprolol does cause an initial increase in blood sugar but is temporary, so check with regular blood sugar and/or HbA1c level and if concerned one may switch to an ACE inhibitor, since apart from treating high blood pressure it seems to protect people with diabetes from diabetic nephropathy. [20% - 60% people with diabetes usually have blood pressure problems]