Your fasting blood sugar of 97 mg/dL is excellent, but your post-meal level of 264 mg/dL is high and needs addressing. Your blood pressure medication Telmiget AM contains telmisartan and amlodipine, which is a highly effective combination; we just need to ensure your daily readings are on target. To safely manage your post-meal blood sugar spikes, a doctor may consider adding generic medications like metformin, DPP-4 inhibitors (such as sitagliptin), or alpha-glucosidase inhibitors (like voglibose). Please consult your physician to adjust your treatment plan. In the meantime, incorporating a short walk after meals and reducing carbohydrate intake can greatly help manage these spikes without causing panic.