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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Pressure

Hello doctor I am male 54 years old , I monitored by Blood pressure today from afternoon at various interval and the reading is 102/164 at 14.25 , 85/135 at 16.25 , 98/156 at 19.40 , 161/90 at 22.45 and at 23.45 it is 169/100 .. I am diabetic and just took one Nebicard sm to lower the pressure . Your recommendation please
Wed, 25 Mar 2015
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Diabetologist,  's  Response
Hi,
Going through ur case record, it is advisable for more tighter Blood pressure control.

As you have Diabetes your Blood pressure target is systolic Less than 140 and diastolic less than 80.

If you have changes of Diabetic nephropathy (Diabetes related adverse effects on kidneys) you have not mentioned about it, further tighter control of blood pressure needed.

In Diabetes certain Blood pressure medicine are given (ACE inhibitors, ARBs, Cilnidipin) that reduces blood pressure as well protect kidneys from effects of diabetes and high blood pressure, if there is no specific contraindications for their use.

So it is advisable to undergo evaluation for diabetes complications of different organ, mainly kidneys (Ultra sonography of kidneys, renal function tests, urinary albumin creatinine ratio), eyes (fundoscopy for retinopathy), foot Examination, electrocardiogram for heart.

So in you case it is advisable to start above mentioned medicine along with nebicard for better blood pressure control.

Along with all above better Diabetes control is necessary.

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Suggest Treatment To Control Blood Pressure

Hi, Going through ur case record, it is advisable for more tighter Blood pressure control. As you have Diabetes your Blood pressure target is systolic Less than 140 and diastolic less than 80. If you have changes of Diabetic nephropathy (Diabetes related adverse effects on kidneys) you have not mentioned about it, further tighter control of blood pressure needed. In Diabetes certain Blood pressure medicine are given (ACE inhibitors, ARBs, Cilnidipin) that reduces blood pressure as well protect kidneys from effects of diabetes and high blood pressure, if there is no specific contraindications for their use. So it is advisable to undergo evaluation for diabetes complications of different organ, mainly kidneys (Ultra sonography of kidneys, renal function tests, urinary albumin creatinine ratio), eyes (fundoscopy for retinopathy), foot Examination, electrocardiogram for heart. So in you case it is advisable to start above mentioned medicine along with nebicard for better blood pressure control. Along with all above better Diabetes control is necessary.