Diabetes and ramipril

[humph3]

Is it ok to take ramipril (for high bp) if you have diabetes type 2? The literature with the medicine suggests not ok.

[MichaelJH Heart Star]

Hello and welcome to the forum!

Ramipril can lower BG (blood glucose) slightly. This may mean a slight reduction in diabetes medication. In general this is more relevant to medication that can cause hypoglycaemia, e.g. insulin. Ramipril is an ACE Inhibitor and to my knowledge (sixth decade of Type I) this effect applies to all ACE Inhibitors. This effect is thought to delay the onset of Type II diabetes by up to a year in pre-diabetes where people make no changes (diet, exercise, weight loss, etc).

Can you provide me a reference to the literature that says "not OK".

[Hidden]

I am new to this site, I also have type 2 diabetes, and prescribe Ramipril 10mg daily, however I do have to do blood pressure checks several times a week, nothing was mentioned about not being compatible

[SpiritoftheFloyd]

I'm on Ramipril and Metformin - The NHS site says that ramipril may have issues with diuretics - it refers to Furosemide and vaguely mentions medicines for diabetes ;- link below

nhs.uk/medicines/ramipril/

The NHS page for Metformin says there may be issues if you take Furosemide and again vaguely mentions medicines for heart problems and high blood pressure. Link below

nhs.uk/medicines/metformin/

I'm on Ramipil, Furosemide and Metformin - GP is says she is happy for me to be on them, not having any adverse reaction to them

[Gregstreet]

Your doctor wouldn't have prescribed it if it wasn't safe. I have been taking it for 4years after my attack along with 10 more tablets and 3 at night. Don't worry your fine taking rampril xxx

[Qualipop]

That's what my husband takes specifically for his BP as he is type 2 diabetic

[Handel]

Hi humph3. I'm Type 1 so may be completely different! I was given Ramipril 1.25 mg to take alongside my BP tablet Cardioplen 10mg in January this year.

There was a little protein in my urine so that's why it was prescribed.

Good luck and take care xxx

[humph3]

Thanks for all the responses - you have put my mind to rest!

[RobertFerguson]

There are truthfully many sources describing that these 2 things are compatible. To tell you the truth, I've seen so many cases when doctors weren't competent enough and they were prescribing some meds even not compatible to the actual health condition. For instance, one of my close friends had diabetes t.2. She was supposed to take meds prescribed usually for treating schizophrenia and the manic symptoms of bipolar disorder. Owing to drugwatcher.org/risperdal-l... , she found all necessary info and we were actually taken aback that a doctor could have mixed such serious meds up...