<s>[INST] my father has both diabetes and high B.P. and his b.p. is 230/130he is taking regular medicine for b.p. and taking precaution for diabetes should not rise(following diet chart). but bp is not goinbg down and proteins is also coming in urine. his reports are also normal..suggest something what should he do now [/INST] Thanks for your question on Healthcare Magic. I canI can understand your concern. Your father is having accelerated hypertension (blood pressure more than 200/120 mmhg). And this much high blood pressure can damage kidneys and cause protein lose in urine. So we have to control his blood pressure to prevent further kidney damage. Follow these steps for better control of blood pressure. 1. Strict control of salt intake is needed. 2. Avoid fatty and oily food. 3. Do regular aerobic exercise like running, cycling, swimming etc. 4. Start angiotensin receptor blocker (ARB) like telmisartan, losartan. Other antihypertensive drugs like amlodipine, metoprolol. If still not controlled then centrally acting drugs like clonidine, minoxidil etc can be tried. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. </s>