### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am diabetic, 48 yrs old, height 4.9 and weight 56 kgs.  since 9 yrs am suffering from diabetic.  I am taking the following med. insulin novomix morning28unit, glimsave M2 1 tab, starpress XL25 1, glimer 1mg 1/2 tab afternoon novomix 28unit night  22 glimsave M2 1 tab, starpress XL25 1/2 tab, glimer 1mg 1/2 tab,but still am suffering from dizzness sometime in the morning or after eating  my BP was 170 /100 and my sugar level was 345.  please advise

### output:

Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that your symptoms are related to uncontrolled high blood pressure. I would recommend consulting with your attending physician and performing some tests to investigate for possible secondary causes of high blood pressure : - a resting ECG- a chest X-ray study-lab blood tests (complete blood count, HbA1C, blood electrolytes, kidney and liver function tests, thyroid hormone levels, blood lipid profile)- Doppler ultrasound of the cervical vessels to examine the blood flow to the brain and exclude possible vessel stenosis- a cervical spine X-ray study to exclude possible cervical backbone chronic degeneration which could lead to dizziness. Furthermore, I recommend discussing with your doctor on the possibility of making some changes to your actual diabetic therapy (increase the dose of insulin) and start antihypertensive therapy (a calcium channel blocker or ACE). Optimizing the antidiabetic therapy would also help manage better your blood pressure. Hope you will find this answer helpful! Kind regards, 