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Suffering with asthma, diabetes from a long time, on medicines, recently have high BP with tingling and pain in foot. Suggestions?

Dear Doctor, I am 45 yrs Male in stressful Govt Service (administration and Mgt). I have Asthma for 15 years (Controlled by Seroflo 250 Rotacap BDS + Montair Plus OD) and also Diabetes ( 10 years, Volibo M 0.2 BDS, Pregeb MOD 75 OD, Modlib ASG 75 OD medication , HB1AC normally below 7 above 6, PP Blood Sugar 160-180). Now for last 2 months I am having higher BP average 130/95 and a tingling in my foot and lower leg and mild pain occasionally. What should I do? Should I start BP Medicines??
Asked On : Wed, 24 Oct 2012
Answers:  2 Views:  36
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Internal Medicine Specialist 's  Response
Welcome to HCM
After going through history, Diabetes type II,Neuropathy,dyslipidemia,Asthma these are lifestyle diseases and need to be controlled lifelong. Certainly sress increases BP and makes sugar control difficult.
Your BP is in pre hypertension range and can be monitered regularly along with life style modification, reduce Salt intake to
Take up regular walking 3 to 4 km/day, do practice yoga and meditation,along with Pranayam which will also help Asthma.
If overweight reduce weight also check your Lipid Profile and ECG.
If BP is not controlled and rises further treatment with drug can be started.
Your pain in lower limb and tinglig may be because of diabetic neuropathy.
Discuss with treating Physician your treatment is OK.
Take care
Answered: Wed, 24 Oct 2012
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Pulmonologist Dr. Shashi Dangwal's  Response
Your BP reading falls in the category of ~Mild Hypertension~ for which treatment is life style management. You should cut down on salt intake, stop smoking if a smoker and take alcohol in moderation if you consume alcohol. You must be physically active and walk at least 4 to 5 kms daily atleast 4 to 5 days in a week. Avoid cholesterol rich diet and keep your cholesterol under check. Consume plenty of fruits, veggeis and dry fruits like almonds and walnuts. Avoid stress and get a good night sleep. If BP still remains high, consult your physician regarding medication.
Answered: Wed, 24 Oct 2012
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