Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. His bp is high and he should be on meds. Get medicines modified if current are not working. He should have Telmisartan Amlodipine combination once or twice a day depending upon the response. Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope this helps you and get back if you have any doubts.