Mrs B is a 45 year old housewife who smokes fifteen cigarettes per day. She attends for cervical smear when you find her blood pressure to be 158/94. She returns for three more readings over six weeks and you record her average as 154/94. She is perfectly well and has no family history of cardiovascular or cerebrovascular disease under the age of 60.
What next?
You find her fasting blood glucose to be 4.8, her total cholesterol 7, HDL 1.15 and she has no LVH.
What would be your management at this stage?