Hypertensive limit for diabetics

[kanaujiavijay]

I am diabetic and I found that, my BP is highly fluctuating from 115/70 to sometimes 147/ 93. I am using digital instrument for my BP measurements. I want to know from this noble forum that how reference BP should be taken for knowing the actual BP and at what BP level, medication is advised. My HbA1C remains between 6 to 7. and normally below 6.6%.

[ramana42 Volunteer]

Are you taking any medication for BP ?

[gangadharan_nair]

Lifestyle changes can help you control and prevent high blood pressure — even if you're taking blood pressure medication.

Here's what you can do:--

* Eat healthy foods.

* Decrease the salt in your diet.

* Maintain a healthy weight.

* Increase physical activity.

* Limit alcohol.

* Don't smoke.

* Manage stress.

* Monitor your blood pressure at home.

* Practice relaxation or slow, deep breathing.

Adopt DASH diet (Mediterranean diet). Eat a low-cholesterol, low-fat diet, which includes cottage cheese, fat-free milk,

fish, vegetables, poultry, and egg whites. Use monounsaturated oils such as olive, peanut, and canola oils or polyunsaturated oils such as corn, safflower, soy, sunflower, cottonseed, and soybean oils. Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods.

An ideal diet is low in carb, controlled and moderated fat and protein; vegetables and fruits a plenty; and red meat, dairy

and bakery the least.Most bakery items contain High Fructose Corn Syrup. (Lays, Curkure, Oreo, Coco cola and other aerated drinks). High Fructose Corn Syrup is a concentrated form of sugar, fructose derived from corn. It increases body fat, cholesterol and triglycerides and it also makes you hungry.

Links:-

en.wikipedia.org/wiki/DASH_...

medlineplus.gov/ency/patien...

medlineplus.gov/ency/patien...

[BudhaS]

Seems you are fine. You have not mentioned your age and what time of the day you have taken BP reading. Also readings in digital instrument fluctuates. Take average of three readings. If you are young try to maintain 130/80 with diet, exercise and controlling stress levels. If it consistently shows high follow medical advise.

[namaha Administrator]

Any BP reading higher than 120/80 , after consulting with your physician you must take a BP medicines such as ARB or ACE...

In fact it is a standard practice nowadays for any Endocrinologist to prescribe one of the above two Medicines if you are a diabete. Even if your BP is ok, a low dose Is a standard protocol.

Apart from BP lowering, the function of the ARB/ ACE for a diabete is to protect your kidney from Nephropathy and also help in endothelial health/ Nitric oxide production.

BP lowering medications such as: ACE/ ARB nowadays are considered safe on long term without any side effects and the benefits outweigh the risk you would carry by not taking it!

[sandybrown]

How many of you understand "ARB or ACE"?

I do not know what these are !!!

[rnpath in reply to sandybrown]

ACE is the enzyme in blood converting a precursor to blood pressure raising substance normally.its inhibitor is used to reduce BP in patients

[namaha Administrator in reply to sandybrown]

Dear Sandybrown

It is never too late to learn things !

ACE inhibitors ( Angiotensin converting enzymes) and ARB ( Angiotensin Receptor Blockers ) are a class of life saving medications used for hypertension / high blood pressure and are in the market for the last 30 years...

Apart from blood pressure lowering , these drugs are also found to protect kidney if one is vulnerable to Nephropathy due to metabolic Syndrome/ type 2 . These are also found to Protect endothelial health.

For diabetes even without High BP, it is nowadays a standard protocol to prescribe a low dose Telmisartan (ARB).

So much so, even without diabetes and high BP, in case a person is having High creatinine and albuminurea, a nephrologist would prescribe ARB/ ACE.

Fortunately these drugs are highly safe if taken for long term and life long with out side effects. Some people may have a little sore throat with ACE , but then that is how ARB came as a new discovery to have zero side effect. ...

Disclaimer: I am not a medical practitioner . Please don't do self medication..always consult your doctor and check if you need it. ...

medicinenet.com/ace_inhibit...

[sandybrown]

When I was doing GCE o' level, the chemistry teacher put on the black board to complete the following Cu + H2O= ??, 35 in the class, many were working very hard found an answer, few did not do any thing. one by one we had to go to the black board to write the answer.!!!! In the Westeren world copper is used in central heating.

To day we have a lot of information on medication. We all need a simple explanation to understand the chemistry of medication..

[rnpath]

measurement of BP to be done morning after getting up in a lying down posture at the elbow level.you can repeat in a upright position also if you have significant postural change. this s the base line level.

measurements at other times are unreliable.