<s>[INST] hii dr.shehzad my mom is hypertensive and diabetic with her fbs-110 mg/dl n ppbs - 146 mg/dl  a week ago .. some times she complaints of head n neck pain her bp 3 days back was 140/90 with enalapril 5mg  n shez on metformin 1gm twice before break fast n before dinner.. she some times skips the night antidiabetic tab .. so please suggest on her head ache n neck pain wat is the ideal antihypertensive for her? [/INST] Hi Thanks for writing to HCM.She is doing good on her glycemic controls as it seems apparently. She her HbA1c done. Moreover her BP is 140/90 is acceptable. Headache and neck might be of some other origin. There are chances of having cervical spondylitis. A neck X-ray would clinch the diagnosis. Paracetamol 500 tablet might help her in betwwen. you can also apply diclofenac/felbinac gel locally. Hope this has helped with your query. you can write write back to me if you need any further assistance. </s>