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66 years old. Overweight. Test showed elevated blood pressure and sugar level. Concerned

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my dad is 66yro 195lbs blood pressure is 190-103 ...heart is 67..... blood sugar 171
Posted Mon, 11 Feb 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 58 minutes later
Hi friend,
Welcome to Health Care Magic

There are a few problems that need attention.
HE SHOULD SEE AN INTERNIST / HE SHOULD HAVE BASIC INVESTIGATIONS – EKG, ECHOcardiogram, Renal function, Lipids and so on. HbA1c should be estimated. Glucose Tolerance Test (GTT) if not a known diabetic

BLOOD PRESSURE gets the priority.
It is moderately elevated and needs immediate attention and treatment.
Several classes of drugs are there / thee are several drugs in each class.
An ARB (Angiotensin Receptor Blocker) or ACEI (Angiotensin Converting Enzyme Inhibitor) is often the first choice. Start a small dose / step up / if not controlled add another class – usually a CCB (Calcium Channel Blocker) / may be a third drug like Diuretic...

WEIGHT should be reduced. Life style modifications – diet and exercise – are the mainstay. Initially, he should see a dietician – to master the principles and practice.

SUGAR should be addressed. 171 is rather high, if it is the fasting value. Not very high, if 2 hours after food.

In general, there may be nothing to worry.
He needs to be examined / investigated / treated
He needs regular follow up.

Happy to see a good son, caring for his father...
Take care
Wishing speedy recovery
God bless
Good luck
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