My 77 year old husband has been in stage 3 b , no proteinuria due to type 2 diabetes. We have been very diligent and see his PCP and nephrologist regularly. Few months ago, his labs showed hypothyroidism ( TSH over 10). He has since been on thyroid supplement and TSH has decreased and is stable.
However, my concern is his blood pressure which has over the years been stable around 110/70 when measured last week was 96/50.
He does not have any CVD ( no prior history and ekg normal). I am concerned about his low diastolic. The physicians are not concerned. Should he look into getting off his linosopril because the low blood pressure could have adverse cvd effects and elicit heart attack? Also, he is sleeping more than he used to and his lips are blue ( for about a year now), even though his oxygen level is 98%. Am I overreacting or should I follow up with the PCP regarding my concern? Any advice and experience shared is appreciated
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Vprp
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Hi Vprv - I would call the doctor’s office and let them know your concerns. It may be something as simple adjusting the lisinopril dosage. I can tell you that my Bp has run low like your husband’s. I’m post-transplant and on a beta blocker though. My transplant doctor has never been concerned because I have no other symptoms. He did tell me to increase my sodium intake by eating pickles. I don’t recommend this though unless you hear something similar from his doctor. I’m not sure about the blue lips. I would report both issues to his doctor though. Sounds like he’s in good hands with you.
I would start by seeing your husband's PCP as to make him aware of what has been going on since your last visit. He is your Team Captain and knows your husband's medical issues, medications etc. well and should be communicating with all specialists as part of a team.
I would also make a list all concerning symptoms; approximately when they started as well as when they tend to manifest and bring it with you along a copy of your husband's latest labs to the appointment. Make a point of reviewing prior and checking off any results which flag above or below the normal range as designated by the performing lab.
I would also make list questions / concerns and review them with his doctor at the appointment.
Make sure that all questions and concerns are addressed before you leave the office and a medical action plan has been put into place to arrest this.
Remember that you all are on the same team.
Please reach back and let us know the outcome as you are among friends who care here.
My advice is to NEVER begin a medication based on one lab. If I had taken gosh knows what based on my labs in 2019 when I was under a bucket of stress those meds would have killed me because one year later, some of those numbers changed dramatically for rhe better with nothing I did.
Hello Vprp. Please do speak to his doctor with your concerns asap. It may just be a side effect from one of his meds, but I know that blue lips can also be an indication of possible heart trouble. My mom had congestive heart failure for years. In her last year with us (2000), her lips, which had begun to turn blue that year, had become almost black. In her case, it was because her heart had become so worn with scar tissue from years of suffering repeated heart attacks that her heart couldn’t keep up anymore.
I remember her cardiologist who had called us to extend his condolences after she passed, told us that she would’ve benefited from a heart transplant, but she declined it. I don’t say that this is your husband’s issue. I’m not a doctor, but please don’t wait on this. Speak to his doctor about his lips. It may be something that can be easily corrected.
I wish you and your husband all my best. I have you both in my thoughts and prayers. Please keep us posted. God bless. 🙏🙏
Sincere thanks for your reply. I have informed the nephrologist, it has been a week and I have yet to get a response from him. I don’t recall his blood pressure being so low. While his lips have been blue for a year ( when his blood pressure was normal), I think the two are related. We have an appointment with him mid July, I may just call his nurse and alert her to inform him. The experience that you all share so kindly in this forum is more valuable sometimes than a physician!
As long as he is not dizzy etc he is good to go. Just get up slowly. On reading is not a diagnosis. He would have to wear a cuff for 24 hrs to get a good reading. Or an average of 5 at the doc office. Otherwise BP changes by rhe minute and lower is food for ckd.
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CKD Stage 3b at a young age
I have stage three kidney disease but have never been on a blood pressure pill recently. 
just diagnosed at stage 3b need to know how to live with this
Stage 3b and diabetic 
