Inability to hold urine for a long period

If you blood sugar is elevated and your BP is elevated it could be your kidneys. Unfortunately hypertension is common among black men as is kidney disease for West African ancestry. I drink a lot of fluid also and always have, which causes me to urinate a lot. You say you always feel as if you need to urinate even after going, which may be due to your elevated blood sugar? But one number tells you nothing. You’ll need to obtain a running sample of blood sugars over a few days or hours. There is a simple test called a glucose tolerance test that is very informative. Your kidneys are functioning which is good. You’ll need more testing, see your family doc first.