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Should Losartan Be Continued For BP While Having Kidney Atrophy And Borderline Diabetes?

Posted on Thu, 11 Apr 2019

Question: I have atrophic kidney and borderline 100 diabetes I was taking losartan for high blood pressure, now I do not have high blood pressure, losartan is known to help kidnoes do you think I should continue taking losartan

Answered by Dr. Mirjeta Guni (39 minutes later)

Brief Answer:
Continue with Losartan.

Detailed Answer:

Hello,

Losartan is known as a protector of kidney function, especially of diabetic nephropathy. If your blood pressure is within the normal range under treatment with Losartan. It means that the treatment is efficient, it should be discontinued if there is a tendency for low symptomatic blood pressure.

The blood pressure for your age should not be higher than 120/80 mm/hg.

I would suggest to continue taking it if the blood pressure is normal under treatment.

I hope the information will help. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mirjeta Guni (42 minutes later)

with no losartan my blood pressure is115 over 75 should I continue it?

Answered by Dr. Mirjeta Guni (1 minute later)

Brief Answer:
The blood pressure is normal under treatment;

Detailed Answer:

Hello,

Yes, you need to keep Losartan. Low blood pressure is considered under 100/70 mm/hg.

Your blood pressure is normal under treatment, if you stop taking it, it will get back to previous values. You need to keep kidney function (BUN and creatinine) also under control.

Hope I have answered your query. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mirjeta Guni (2 hours later)

also mtadorim makes me nausioua is there a minimum dosage.
what drugs are good to prevent diabetic neeopothy

Answered by Dr. Mirjeta Guni (20 hours later)

Brief Answer:
About diabetic nephropathy prevention:

Detailed Answer:

Hi,

Please specify better the tablets that cause your nausea?

Regarding diabetic nephropathy prevention, Losartan (and other medications of this class) are most preferred, so you are at the right way.

Keep monitoring blood pressure and renal function.

Hope I have answered your query. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mirjeta Guni (26 minutes later)

metformin or Glucophase 1500 mg twice a day, but it makes me nesuous so I usually take less is there anything to do fabout this?

What is better Arbs or ACE inhibitors? what Arb or ace inhibitor hurts the kidney the least

also is a diuretic for bloodpressure bad for the kidnies?

Answered by Dr. Mirjeta Guni (3 hours later)

Brief Answer:
About Metformin side effects

Detailed Answer:

Hi,

Yes, Metformin can cause nausea and vomiting that usually begin at the first 2 weeks of treatment. If they persist for more than 2 weeks, you should decrease the dose until no symptoms occur.

The dose you reported is high, usually 2000 mg is the recommended dose, but you should reduce it until no symptoms are reported.
You can try to increase the dose after some weeks if it is necessary.

We usually prefer ARB for diabetic nephropathy prevention that have almost the same effect. Diuretics can be necessary in a more advanced state of nephropathy.

Hope I have answered your query. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mirjeta Guni (2 days later)

I sometimes get the shivers after eating
what can e done about this and what do you think is the cause?

Answered by Dr. Mirjeta Guni (25 hours later)

Brief Answer:
Check blood sugar and thyroid function

Detailed Answer:

Hello,

You need to check the blood sugar, the moments you have these symptoms. Metformin does not cause low blood sugar. Anyway you need to confirm that the blood sugar is over 70 mg/dl at that moment.

You need to check thyroid function also. An under-active thyroid may also cause low body temperature and shivering.

Hope I have answered your query.

Thank you.

Regards,
Dr. Mirjeta Guni
Endocrinologist

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Raju A.T