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

### input:
My mother has been diabetic since 1987. Her age is 70 years and Weight 55 Kgs. As of now she is on insulin shots 26 Unit in night and 45 Units in morning along with Glycomate GP 2 Forte 1 tb in morning. The Blodd is well under control since last 7-8 months after induction of insulin. THe last reading taken was 60 in fasting and 114 in PP. The local Dr has advised to reduce the night dosage to 22 units and keep the morning dosage same.  Recently she started taking Blood Pressure medicine since las 7-8 months. Even the BP is under control. She is taking Telminorm AM once daily in morning. Yesterday I took the reading of BP and found that it was 131/60 with pulse rate as 105. This seems to be a matter of concern to me. After consultation with local Dr, she has been advised to take Telminorm 80 instead of Telminorm AM.My question is that is Telminorm 80 having more power than Telminorm AM ? I am of the opinion that some lower dosage medicine shd be prescribed.

### output:

Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. I think 131/60 BP Is fine, It's not too elevated and the change of medicine with not help. Although her pulse rate is elevated and change will not reduce pulse rate also. Regarding your question, Elinor Am has two BP medicine and Elinor 80 has only one component, so potency strength wise there is not much difference. My advice is just monitor the resting BP and pulse rate and if BP goes above 140/90 then increasing the medicine would be needed. Also pulse rate is persistently high, then get her thyroid and hemoglobin tested and beta blocker medicine will be needed. Hope I have answered your query. Let me know if I can assist you further.