Hi,
Welcome to HCM
You are 46years and Hypertensive for last 15 years and now you have Diabetes as diagnostic criteria for diabetes is >124 mg% also your HBA1c is 8.7 it is in diabetic range.
Hypertension,Diabetes,Obesity and Heart Diseases these are all Genetic as well as life style diseases that means sedentary(lack of exercises) stress,High fats and calores packed food (Fast Foods)
At this this level it would be just right too start medicine like Metformin which would increase senstivity of insulin and increase utilization by muscles,as you must walk daily 4-5 km which will help to reduce BP also.
I hope your Blood sugar will be controlled in 2-3 week time .Pay attention to diet as advised to you.
Stress management Yoga and
Meditation, Avoid Hurry,worry&curry.
But There are few more things like Are you over weight?
Lipid profile is it derannged ? and Smoking or tobaccoor Alcohol. if there quit completely.Family histiry of any such disease ?
What medicine you are taking for BP as in diabetic
ACE inhibitor would be drug of choice so kindly discuss with your treating Physician/Cardiologist.
Best of luck to You