Welcome to HCM,
You are Diabetic and Hypertensive, and taking treatment, I am glad to know your blood sugar is well controlled and even HbA1c
is 6 .
Ideally we should take all medicines which are necessary and cost should be secondary but usually doctors do take care of pocket of patients.
Your dose of Metoprolol
which is Beta blocker
is increased and diltiazem
is stopped so it can be stopped. Suddenly stopping diltiazem can cause fast heart rate
In your case it is unlikely.
Please do not worry as dose of Metoprolol is increased so it will be smooth transition.
Please take care
Dr.Akhilesh Dubey M.D