Blood Pressure Medicine in Diabetics
Q: My dad is 60 years old. He was diagnosed with diabetes and hypertension 8 years ago. He has been on Metformin 1000 mg twice daily, Gliclazide 160 mg twice daily and Amlodipin 10 mg once daily. HbA1c varies from 7.6 to 8 %.
Blood pressure is 163/92. Should he change his treatment (either doses or types) for his diabetes and hypertension?
Yes, he needs to change his medications. Neither his diabetes nor blood pressure seem to be in control.
HbA1c should be between 5 and 5.6. Ideal reading for blood pressure would be 130/80 in his case.
Diabetes and Hypertension Are linked
In type 2 diabetes, hypertension presents as part of the overall metabolic syndrome of insulin resistance. Usually, the patient is obesity (peritoneal or central obesity) and has dyslipidemia.
Dyslipidemia is a condition of having abnormal fat levels in blood.
What Should Blood Pressure Be If You Have Diabetes?
Blood pressure readings vary, but in general the reading should not go above 130/80. The top number is the systolic pressure. This is the pressure in the arteries when your heart beats and fills the arteries with blood. The bottom number is the diastolic pressure or the pressure in the arteries when your heart rests between beats, filling itself with blood for the next contraction.
You need to talk to your doctor regarding his medications. Many medications are available to control B.P. Read more about B.P. medicines.
In diabetics, the drug of choice for blood pressure is ACE (angiotensin converting enzyme) inhibitors. ARBS (angiotensin II receptor blockers) may also be used.
These drugs respond well. Furthermore, they have a protective role on the kidney functions, which is essential in diabetics.
Some blood pressure medicines may adversely affect your blood sugar and lipid levels. So, it is important to discuss your medicines with your doctor.
Also, diet and lifestyle play an important role in control these diseases. So he needs to watch his diet and daily routine carefully. Read about ways to control these lifestyle diseases naturally.
- Control your blood sugar
- Stop smoking, limit alcohol intake
- Eat healthy and maintain a healthy body weight. Obesity is bad for these conditions.