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Diabetic. BP reading is high even with medication. Feeling tired. Suggest measures to be taken to prevent high BP?

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General & Family Physician
Practicing since : 2010
Answered : 1109 Questions
My SO is a 67 yr old male with diabetes. His BP reading for the past couple fo days have been running high evenon his BP meds. for example, 180/74, 170/80 184/82
These measure were taken with in 10 minutes of the other.
He has been more tired than usual the last 3 days or so.

Posted Sat, 2 Nov 2013 in Hypertension and Heart Disease
Answered by Dr. Manjeth Kumar G 1 hour later
Brief Answer:
Hypertensive Crisis. Need immediate treatment.

Detailed Answer:
Welcome to XXXXXXX

Thanks for your query.
I have gone through your query and understand your concern.

It is a hypertensive crisis.
Because couple of blood pressure readings are very high ( > 180 mm hg of systolic pressure.

He is at risk of organ damage.
Following are the usual symptoms of organ damage and their consequences.
1.Chest pain - Heart attack or angina
2.Shortness of breath- Heart attack, angina or Pulmonary edema
3. Back pain - Aortic dissection
4. Numbness/weakness - Stroke
5. Change in vision - Stroke
6. Difficulty in speaking - Stroke.

Please move to emergency department immediately.
He require immediate evaluation, because early evaluation of organ function and blood pressure elevations at these levels is critical to determine the appropriate management.

He may require readjustment of anti hypertensives and/or additional dosing of anti hypertensives.

Hope this helps.
Please reply for further queries.
Wishing you good health.
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