instruction: hello doctor my mother is years old she is suffering from diabetes and high be her be remains 140 90 mhg she is taking the following medicines in the morning telmisat 40 one tablet thyox 25 my one tablet during lunchtime jalra 50 my one tablet before food zoryl my forte one tablet during food during dinner time jalra 50 my one tablet before food zoryl my forte one tablet during food alas 10 one tablet telmisat 40 one tablet metolar50 one tablet the recent lab report shows fasting glucose 137 my do post prandial glucose 189 my do urine report shows albumin 184 my creatinine 2 l albumin to or 836 my go mitral test 184 my urine analysis shows protein albumin present cystatin serum 51 my more details about the presenting complaint she is suffering from high blood pressure and diabetics despite taking medicines diabetics is not lowering also sometimes swelling appears in the legs
output: hello your mother as you said is hypertensive and diabetic she is on glimepiride vildagliptin antidiabetics and atorvastatin metoprolol as station and antihypertensive her be blood pressure is in under control as per her age and blood sugar is raised moderately I would advise to start her on insulin the dose all depending on her weight and blood sugar level if she is not fine with insulin I would advise to increase the dose of antidiabetic drugs after consulting your family physician her kidneys and eyes are fine please take care of her feet by doing a regular examination of feet increase her daily activity by daily walks and avoid lifts diet should be strict avoid non vegetarian rice and fried foods