Your father should be evaluated urgently by a doctor or at the nearest hospital, as a fall with high blood sugar in a heart patient can be serious. Monitor his blood sugar closely, keep him hydrated, and do not adjust his medications without medical advice. Prompt medical review and treatment are essential to prevent complications.

You must seek medical attention immediately, as a blood pressure reading of 210 over 315 is dangerously high and requires urgent hospital treatment. Such extreme levels, along with diabetes, carry a very high risk of stroke or heart failure, and your entire treatment plan must be reassessed by specialists in a clinical setting.

Yes, drinking three pegs of brandy daily while taking insulin glargine and a combination of glimepiride and metformin carries significant risks. First, alcohol prevents your liver from releasing glucose. Combined with insulin and glimepiride, this greatly increases your risk of dangerously low blood sugar (hypoglycemia) and can mask its warning symptoms. Second, combining daily alcohol with metformin increases the risk of a rare metabolic condition called lactic acidosis. For your safety, I highly recommend discussing your alcohol intake with your doctor so they can help you safely manage your blood sugar and adjust your treatment plan.

Your insulin regimen may be appropriate if your blood sugar levels and HbA1c are within the target range and you are not experiencing frequent hypoglycaemia (low blood sugar). Insulin doses should be tailored based on your blood glucose pattern, diet, and physical activity. Please consult your doctor to review your latest results and determine whether any adjustments are needed.

Novorapid (insulin aspart) is a rapid-acting insulin used to control post-meal blood sugar spikes. Lantus (insulin glargine) is a long-acting basal insulin used to maintain stable blood sugar levels throughout the day and night. They serve different purposes, and the choice depends on your blood sugar pattern and your doctor's advice.

You should stop taking Lantus only if your doctor advises you to do so after reviewing your blood sugar readings. Lantus provides the essential insulin your body needs over 24 hours, and stopping it suddenly may cause dangerously high blood sugar and serious complications, even if Novomix is continued.