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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Blood Pressure Levels?

I am now taking Losartan 100mg for high BP. my BP the last six weeks have been all over the place as high as 186/123. My PCP does not think I need to see a diabetic Endocronoly for further evaluation, so he put me on Diltiazern 180mg to use with the Losartan. I have some real concerns, should I be concern?
Tue, 9 Oct 2018
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General & Family Physician 's  Response
Hi,

"As" per your clinical history is concerned, do adjust medication dose and if you are diabetic then you may do a clinical examination by your Doctor [Endocrinologist].

Do follow lifestyle modifications like this to control your blood pressure-
1) Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. Consult with your dietician to make a diet chart.
2) Try to decrease the salt in your diet.
3) Try to maintain a healthy weight. If you're overweight, losing even 5 pounds can lower your blood pressure.
4) Try to increase physical activity. Regular physical activity can help lower your blood pressure and keep your weight under control. Strive for at least 30 minutes of physical activity a day.
5) Limit alcohol and avoid smoking.
6) Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation and deep breathing. Getting plenty of sleep can help, too.
7) Try to monitor your blood pressure at home. Home blood pressure monitoring can help you keep closer tabs on your blood pressure, show if medication is working, and even alert you and your doctor to potential complications.

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

Regards,
Dr. Uday Nath Sahoo,
General & Family Physician
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What Causes Elevated Blood Pressure Levels?

Hi, As per your clinical history is concerned, do adjust medication dose and if you are diabetic then you may do a clinical examination by your Doctor [Endocrinologist]. Do follow lifestyle modifications like this to control your blood pressure- 1) Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. Consult with your dietician to make a diet chart. 2) Try to decrease the salt in your diet. 3) Try to maintain a healthy weight. If you re overweight, losing even 5 pounds can lower your blood pressure. 4) Try to increase physical activity. Regular physical activity can help lower your blood pressure and keep your weight under control. Strive for at least 30 minutes of physical activity a day. 5) Limit alcohol and avoid smoking. 6) Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation and deep breathing. Getting plenty of sleep can help, too. 7) Try to monitor your blood pressure at home. Home blood pressure monitoring can help you keep closer tabs on your blood pressure, show if medication is working, and even alert you and your doctor to potential complications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo, General & Family Physician