Brief Answer:
Reasonable blood pressure

Detailed Answer:
Greetings and welcome to HCM. I read your query.

Reasonable blood pressure figures for a 57-year old man, diagnosed with high blood pressure (hypertension) is to keep it under 140/90 mmHg. It is estimated that figures higher than these provided, when constant, perpetuate complications in peripheral organs. Those affected first are the systems that have small calibre arteries - the eye and kidneys. Therefore, it is important that the blood pressure should be treated and controlled (kept under 140/90 mmHg). Also, restriction of salt to a minimum, is a good measure to control hypertension. Lisinopril and other "prils" (angiotensinogen converting enzyme inhibitors - ACE-I) are highly effective in "fighting" hypertension, and my opinion is that this is a good choice for the aim.

The thing that happens in most cases, not necesarely always, is that anti-diabetic medication is accompanied with losing weight, not gaining it. Nevertheless, there are cases that present and complain that they have gained weight. Furthermore, being a 57-year old man with diabetes and hypertension, comprise four independent risk factors for cardiovascular disease. Therefore, my recommendation is that a baby aspirin once a day should be added and cholesterol levels should be checked. Also, the medication you are taking is beneficial and necessary to you. In addition to the medication and in favor of controlling the weight, it is recommended that you should have a 60 minutes a day of physical activity - jogging, biking, walking etc.

I hope I was helpful and thorough with my answer. I am happy to help, if you have follow-up questions.

Kindest regards,
Dr. Meriton

---