Blood pressure consistently around 150 to 160 over 90 to 100 at rest is high and can increase the risk of heart problems. Focus on a low salt diet regular physical activity weight management and stress reduction. Consult your doctor to review your medications or start treatment to control blood pressure safely.

High fasting blood sugar after a heart attack needs careful management. Follow a heart-healthy, low-sugar diet, monitor blood sugar regularly, stay active as advised, and consult your doctor to adjust diabetes medications safely.

To address your high post-meal blood sugar of 256 mg/dL, your doctor may adjust your premixed insulin doses or suggest injecting it 30 minutes before meals to better target post-meal spikes. Your gastric issues are likely side effects of metformin extended-release or aspirin. Your physician can resolve this by temporarily reducing your metformin dose, ensuring you take it strictly with meals, or adding a stomach-protective medication. Please do not alter your doses of insulin, ramipril, or aspirin/atorvastatin without medical supervision. Your doctor will safely customize these changes to normalize your blood sugar and relieve your stomach discomfort.