22nd June 2026

A 65-year-old lady with poorly controlled diabetes, hypertension and peripheral vascular disease has been referred to the hypertension clinic with poor blood pressure control.

A 65-year-old lady with poorly controlled diabetes, hypertension and peripheral vascular disease has been referred to the hypertension clinic with poor blood pressure control. Her regular medication includes:

Metformin 1g BD

Linagliptin 5mg OD

Felodipine 20mg OD

Irbesartan 300mg OD

Indapamide 2.5mg OD

Most recent bloods

Hb 130 WCC 10

Na 145 K 4.1 Creat 90

CRP 5

How would you proceed in further controlling this lady’s blood pressure?

Select the SINGLE most appropriate option from the list below. Select ONE option only.