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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment And Diet Plan For A Hypertension Patient

Thanks Doctor Am a DM and having typertension patient for 4 yrs. Am worried about kidney problems. As my mother passed away recently, who suffered from diabetic and hyper. Can u pl. suggest good food and treatment.. am checking my blood every week along with BP. pl. lemme know how to have best n healthy life . regards ps: anyone looking at this pl.
Mon, 25 May 2015
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General & Family Physician 's  Response
Thank you for asking on HCM.

I really understand your concern.

The optimal values of blood pressure for a person with diabetes are
Here are my recommendations for hypertension:

1. Diet alone will only make the lowest incremental change in BP; therefore, it should be combined with lifestyle modification and lower sodium intake; stop smoking, weight loss, and exercise are essential.
2. It is essential for the patient/family to read labels for sodium, fat content, and serving sizes.
3. Other dietary changes include low-fat/lowcholesterol diets and limiting fats.
a. Use monounsaturated fats to decrease cholesterol.
i. Canola oil
ii. Olive oil
b. Use in limited quantities: Polyunsaturated fats decrease cholesterol but not as well as monounsaturated.
i. Vegetable and fish oils
ii. Corn, safflower, peanut, and soybean oils


If lifestyle changes alone are not adequate to control HTN, consider drug therapy. Medication doses are dependent on age, ethnicity, and comorbid conditions. Most patients will require two or more medications to control
their BP.

In patients with diabetes, the drug of choice for treating hypertension are
ACEI or ARB drug class to improve kidney outcomes (usually Enalapril or Losartan). Also depending on your blood pressure reading one or two drug combination may be used. You should talk about that with your doctor.

I tried my best to help you.

Wish you all the best.

Kindly rate my answer as helpful.


Dr. Elton
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Suggest Treatment And Diet Plan For A Hypertension Patient

Thank you for asking on HCM. I really understand your concern. The optimal values of blood pressure for a person with diabetes are Here are my recommendations for hypertension: 1. Diet alone will only make the lowest incremental change in BP; therefore, it should be combined with lifestyle modification and lower sodium intake; stop smoking, weight loss, and exercise are essential. 2. It is essential for the patient/family to read labels for sodium, fat content, and serving sizes. 3. Other dietary changes include low-fat/lowcholesterol diets and limiting fats. a. Use monounsaturated fats to decrease cholesterol. i. Canola oil ii. Olive oil b. Use in limited quantities: Polyunsaturated fats decrease cholesterol but not as well as monounsaturated. i. Vegetable and fish oils ii. Corn, safflower, peanut, and soybean oils If lifestyle changes alone are not adequate to control HTN, consider drug therapy. Medication doses are dependent on age, ethnicity, and comorbid conditions. Most patients will require two or more medications to control their BP. In patients with diabetes, the drug of choice for treating hypertension are ACEI or ARB drug class to improve kidney outcomes (usually Enalapril or Losartan). Also depending on your blood pressure reading one or two drug combination may be used. You should talk about that with your doctor. I tried my best to help you. Wish you all the best. Kindly rate my answer as helpful. Dr. Elton