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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Diabetic And High BP. Taking Insulin, Aspirin, Olmat. Reason For Sugar And BP Not Coming Down?

I am suffering with diabetic and High BP for the last 20 years. I underwent Angioplasty three times. I am not a smoker and not a drunker. At present i am 62 years old. At present I am taking 60 Units of Human- insulin 30/70 twice along with clopidogrel , Asprin, Olmat-40 and Metaprolol XL-50. My problem is still sugar levels and BP readings are not coming down. At present fbs sugar level around 130-160 and BP 150/100. My E-mail address is YYYY@YYYY . Kindly advise me.
Wed, 26 Dec 2012
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General & Family Physician,  's  Response
Hi there,
Thank you for your question.
I understand that your glucose is on the higher side and so is your blood pressure.
You are certainly on a very high dose of insulin.
I have noticed that you are not on metformin i.e. glucophage.
I would strongly recommend that you should also be metformin as well provided:
1. You have a normal creatinine or a creatinine of less than 1.6 on your blood tests
2. You have a normal or near normal ejection fraction of 40% or above.
If you fulfill these two requirements then I would start metformin in your case.
I think that the main problem with your body is that you are having insulin resistance.
By this I mean that your body is resistant to the action of insulin which is why you are requiring such high doses of insulin.
What metformin will do is that it will reduce insulin resistance and may allow your insulin dose either to be reduced or your blood glucose be normalized on the same dose of insulin.
Kindest Regards
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Suffering From Diabetic And High BP. Taking Insulin, Aspirin, Olmat. Reason For Sugar And BP Not Coming Down?

Hi there, Thank you for your question. I understand that your glucose is on the higher side and so is your blood pressure. You are certainly on a very high dose of insulin. I have noticed that you are not on metformin i.e. glucophage. I would strongly recommend that you should also be metformin as well provided: 1. You have a normal creatinine or a creatinine of less than 1.6 on your blood tests 2. You have a normal or near normal ejection fraction of 40% or above. If you fulfill these two requirements then I would start metformin in your case. I think that the main problem with your body is that you are having insulin resistance. By this I mean that your body is resistant to the action of insulin which is why you are requiring such high doses of insulin. What metformin will do is that it will reduce insulin resistance and may allow your insulin dose either to be reduced or your blood glucose be normalized on the same dose of insulin. Kindest Regards