It sounds like you are managing several serious health conditions that require careful medical attention.

Given your history of a heart attack with stent placement, stroke, diabetes, high cholesterol (240 mg/dL), and very high post-meal blood sugar (300 mg/dL), it is crucial to start appropriate treatment without delay. Your erectile problems linked to high blood sugar also indicate the need for better diabetes control.

Here are important steps you should take:

• Consult a Cardiologist and Endocrinologist promptly: They can evaluate your heart condition, stroke history, and diabetes to create a comprehensive treatment plan.
• Medications: You may need antiplatelet therapy (such as a combination of aspirin and prasugrel) to prevent blood clots and reduce the risk of further heart attacks or strokes. This is especially important given your stent and valve blockage.
• Diabetes management: Your blood sugar levels are dangerously high and require medication, lifestyle changes, and regular monitoring to prevent complications.
• Cholesterol control: Statins or other lipid-lowering agents may be necessary to reduce your cholesterol and cardiovascular risk.
• Lifestyle modifications: A heart-healthy diet, regular physical activity as advised by your doctor, quitting smoking if applicable, and weight management are essential.
• Addressing erectile dysfunction: This is often related to poor blood sugar control and vascular health. Improving diabetes and cardiovascular health can help, and a specialist can discuss safe treatment options.

Please do not delay seeking medical care. Starting prescribed medications and following up regularly with your doctors is vital to reduce the risk of further heart or brain events and improve your quality of life.

If you experience any new chest pain, weakness, sudden speech difficulty, or other stroke symptoms, seek emergency care immediately.

Your health is important—please consult your cardiologist and endocrinologist as soon as possible.To narrow down potential causes, we will need some more information.I understand you're dealing with a lot. To help me understand your situation better, could you please tell me your age and gender?