Hello. Please do not worry, your blood sugar levels can be safely managed. Your current medication combines metformin and glimepiride. Since your levels remain high, your doctor may consider optimizing these doses or adding a different class of generic medications. Excellent options for someone with high blood pressure include SGLT2 inhibitors (such as empagliflozin or dapagliflozin), which help lower blood sugar and protect the heart, or DPP-4 inhibitors (such as sitagliptin). In some cases, introducing a GLP-1 receptor agonist or insulin may be necessary. Please consult your physician promptly to safely adjust your prescription, review your diet, and monitor your blood pressure.