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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From High BP & High Blood Sugar Levels

Last night I was in a car accident that totaled the suv and all I remember is someone asking me mam do you know where you are? I had hit a man in the back of his car and landed myself in a ditch but I don t remember anything. I was taken by ambulance to a hospital. They did a ct scan and did xrays but fount nothing wrong with me. My blood pressure was 200/100 and my blood sugar was 188. I will be going to my family doctor in the morning. I have a history of myofascial pain, sacroiliac arthropathy and lumbosacral spondylosis. I am a diabetic and I also have suffer from high blood pressure. What kind of test or what kind of questions should I ask my doctor to do? I need answers.Thank you in advance.
Tue, 21 Apr 2015
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Psychiatrist 's  Response
Hi welcome to HCM.
I understand your query and concern.
High blood pressure should me monitored regularly to avoid complications like stroke in the brain.Uncontrolled blood pressure could be related to inadequate drug dosage or non compliance of your Anti hypertensive drug intake.Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile as a part of routine screening of your heart.Restrict the intake of salt to less than 6 g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Reduce the intake of fatty and fried food.One pomegranate a day will help . Stress management is most vital in your case.Monitor blood sugars,hbA1C levels regularly.Drugs like Metformin 500 mg will be helpful to control your diabetes.Regular screening of your Eye,Renal profile is mandate to prevent complications of diabetes.So Consult a Cardiologist and Endocrinologist for further expert management.
Post your further queries if any.
Thank you
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Suffering From High BP & High Blood Sugar Levels

Hi welcome to HCM. I understand your query and concern. High blood pressure should me monitored regularly to avoid complications like stroke in the brain.Uncontrolled blood pressure could be related to inadequate drug dosage or non compliance of your Anti hypertensive drug intake.Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile as a part of routine screening of your heart.Restrict the intake of salt to less than 6 g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Reduce the intake of fatty and fried food.One pomegranate a day will help . Stress management is most vital in your case.Monitor blood sugars,hbA1C levels regularly.Drugs like Metformin 500 mg will be helpful to control your diabetes.Regular screening of your Eye,Renal profile is mandate to prevent complications of diabetes.So Consult a Cardiologist and Endocrinologist for further expert management. Post your further queries if any. Thank you