Hi, I am 41 and have been diagnosed with hypertension.  My blood pressure was 198/116 on Friday and today it was 169/98, which is obviously still too high.  When I was first diagnosed about a year ago my blood pressure was 215/110, they conducted all the tests then, due to the fact I am also a type 2 diabetic.  Can you assist me with what may be causing the problem?
Brief Answer:You should see an internist. Detailed Answer:Hello, Thank you for using Chat Doctor. I understand your concern. Your age is too young, and your blood pressure levels are too high, to have an essential (primary) hypertension. You should be screened for all the secondary possible causes of hypertension such as renal stenosis, renal parenchymal disease, Cushing syn Chat Doctor. For excluding each of them, you need to do a series of laboratory and imaging exams. The internist is the adequate doctor which may lead you in detecting the causing factor of your hypertension. I seem a little long way to do, but I encourage you to go under it, cause treating the causing factor once is better than treating hypertension for all of your life. There are even cases in which even though you do all tests for secondary causes, it doesn't get out nothing. At this case we are in front of an idiopathic hypertension, which we have to deal with. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind 