<human>: hii dr.shehzad my mom is hypertensive and diabetic with her fbs-110 mg/dl n ppbs - 146 mg/dl  a week ago .. some times she complaints of head n neck pain her bp 3 days back was 140/90 with enalapril 5mg  n shez on metformin 1gm twice before break fast n before dinner.. she some times skips the night antidiabetic tab .. so please suggest on her head ache n neck pain wat is the ideal antihypertensive for her?
<bot>: Hi Thanks for writing to Chat Doctor. She is doing good on her glycemic controls as it seems, apparently. She her HbA1c done. Moreover, her BP is 140/90 is acceptable. Headache and neck might be of some other origin. There are chances of having cervical spondylitis. A neck X-ray would clinch the diagnosis. Paracetamol 500 tablet might help her in between. You can also apply diclofenac/feline gel locally. Hope this has helped with your query. You can write back to me if you need any further assistance.