blood pressure - plaque relation

I'm in my late 50's. This past year my blood pressure has been in the
range of 140/90 to 150/95. Last year a clinic told me that I shouldn't go
on blood pressure medication, and a different clinic recently told me that
I should.

This past year my diet has been terrible and a housemate has been a
terrible nag from the time I wake up. I know that I have to leave the
situation. I've noticed that one of my ankles has become variably puffy
and the veins especially in the lower foot have become increasingly
varicose.

Is any of this a sign of increased plaque? What type of herbs, spices,
and medicines should I start taking frantically? Is there some way to
test if there is plaque buildup?

I believe that I've been borderline diabetic too and I still eat a lot of
sugars (which I know I shouldn't), but I haven't had nerve insensitivity
in my extremities...

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