Q: I am a 33 years old man and my blood pressure fluctuates between 130/105 mmHg and 115/90 mmHg. How can I manage my diastolic blood pressure?

A:You may have what is termed 'diastolic hypertension'. This appears to be also mild. Please have a complete check up including routine biochemical tests, ECG, TMT, Echo and have a BP check once a week for a month (weekly) to see if you really have high blood pressure. If the diastolic continues to be above 90 mmHg on several occasions you can ask your cardiologist to recommend you a suitable drug e.g. diuretic, ace inhibitor, angiotensin II receptor blockers (ARB) or calcium channel blocker. There is a wide choice nowadays.