Thanks for posting your query.
with the available described symptoms, there appears to be possibility of raised blood pressure despite Olmezest
, as you have already mentioned.
There is need for higher dosage of antihypertensive or twice daily dosage as suggested by your treating doctor.
Raised blood pressure has also given its effect on heart with concentric LVH
Although ejection fraction
is normal, Blood pressure must be in controlled range.
It may be harmful for kidney
and heart in long run.
Her blood sugar also must be in controlled range.
you can take trial of few coming days and should go for repeat blood sugar at frequent intervals.
If blood sugar is not coming down by dietary changes then she should also take treatment for high blood sugar by internal medicine specialist.
Dr. Mayank Bhargava