Hello,
Brief answer: Persistent
high blood pressure needs control and follow-up, blood sugar alone cannot diagnose
diabetes.
Explanation: My opinion is that persistent high blood sugar on multiple occasions in and out of doctors office is a diagnosis of
hypertension that needs to be controlled by lifestyle modification, exercise and if not, medication. Random blood sugar alone is not good enough to diagnose diabetes. Other tests like oral
glucose tolerance test and
hemoglobin A1C are essential to diagnose (one of them is good). Also, if diagnosed needs to be controlled first with lifestyle, some medications like
Metformin or maybe more, and that according to type of diabetes, age, risk factors, etc.
I suggest my people the following measure blood pressure at home with a good technique and that you can check on you tube videos. Do other tests like HBA1C,
lipid profile, etc. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors, smoking, and anxiety issues.
Conclusion: I suggest you home blood pressure monitoring and recheck you medication with your doctor. Do other tests to be sure of diabetes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mahmmad Gamal