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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is My BP Normal And Should I Change Medication?

I am 69 years old 5 feet 7inches tall weighing 66 kilos

BP readings are 130/65, 128/61, 123/65 and similar line.Undergone CAGB ON *TH Aug 2011 Is my BP normal and should I change my present drugs like Ecosprin,Clopidregl Metformin Subramanian

Thanks
Wed, 11 May 2016
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General & Family Physician 's  Response
Hello, Thanks for using Healthcaremagic, i had gone through all the information you have posted. your BMI is good, all the BP recordings that have mentioned are good. some recordings arein the range of prehypertension.
systolic blood pressure 120-139 diastolic 80 to 89 mm (BP check up)Hg is called as prehypertension. these people should regular screening every 6 months as they have risk of progression into Hypertension.
so you can continue all your medications same as far as ecospirin, clopidogrel are concerned.
for prehypertension medications are not required unless there is chronic kidney disease or special risk factors. you need life style modificiation changes like
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low fat diary products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

then coming to your diabetes, mention on FBS,PPBS or HbA1c , serum creatinine were not done in the question so i am not commenting about metformin.
hope this helps...
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Is My BP Normal And Should I Change Medication?

Hello, Thanks for using Healthcaremagic, i had gone through all the information you have posted. your BMI is good, all the BP recordings that have mentioned are good. some recordings arein the range of prehypertension. systolic blood pressure 120-139 diastolic 80 to 89 mm (BP check up)Hg is called as prehypertension. these people should regular screening every 6 months as they have risk of progression into Hypertension. so you can continue all your medications same as far as ecospirin, clopidogrel are concerned. for prehypertension medications are not required unless there is chronic kidney disease or special risk factors. you need life style modificiation changes like Major non pharmacological therapies that aid to decrease blood pressure are: Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss. Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low fat diary products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg. Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg. Physical activity: Engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg. Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg. then coming to your diabetes, mention on FBS,PPBS or HbA1c , serum creatinine were not done in the question so i am not commenting about metformin. hope this helps...