Three meds for blood pressure ?

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Three meds for blood pressure ?


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Old 05-08-2016, 01:09   #1
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Default Three meds for blood pressure ?

I have high bp of about 170/100. I'm 45 female, type 2 (uncontrolled, unmedicated pretty much). Both my normal weight, non diabetic parents have high bp and cholesterol. I have tried coversyl then irbesartan. Neither made any difference. I'm now deciding whether to start trying candesartan. My mother didn't improve until she added a diuretic to her coversyl. Are diuretics ok for diabetics ? I thought they would concentrate the glucose in the blood. Most diuretic/bp meds have a diabetes warning on them.

The doctor indicated they normally keep adding a different med rather than raising the dose of one med. Most people are on a combo of three meds ! As someone who hates any medication I can't imagine tolerating three lots of side effects. To me it seems like this just fills the doctors pockets because of course you have three scripts, three times the appointments/pathology to monitor the impacts of the drugs.

I'm about 40lbs overweight but no research I can find indicates that losing that weight will improve my bp. LCHF seems to make it a little worse. I'm not sure why.

Anyone have any blood pressure control advice /experiences for me? Would you say Bp control is more important than bg control (a1c is 8.0) ?

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Old 05-08-2016, 03:54   #2
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You really need to control both. Higher BG is higher risk of cardio events. High BP also increases cardio event risks. It shouldn't be a one or the other thing.

I'm on 2 BP meds. The second one was added after the first one was doubled without the desired results. Both have been reduced to half of what they were and they are still working well. Sometimes it takes combinations to get the desired result.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
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Old 05-08-2016, 04:28   #3
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Thanks for your reply. The second med that was added... do you know if it would've worked in isolation or are you just glad you've found a combo that works ? It's a long road to find that magic combination. I'm exhausted just thinking of the steps ahead of me. I'm starting metformin ER again right now, it's always traumatic for me. To add another new med at the same time for blood pressure...I'm not sure it's a good idea. Getting metformin stable could take months. Perhaps I should've sorted out the BP first, but you're right both are equally vital.

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Old 05-08-2016, 05:26   #4
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My BP was not too high 145/85 but it had been coming up for a while. My first med was metoprolol, a beta blocker. The second med was lisinopril, an ace inhibitor. The metoprolol was working by itself for a while and then wasn't. It was doubled and it worked for a while but then my cardiologist thought I needed something else, so the lisinopril was added. This seems to work well, so I haven't tried to see if the lisinopril was effective on its on. I had heard that a lot of times it may even take three things in combination to get things right with BP and that it was not that uncommon to do.

I hear you on not having too many changes at once.

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a1c 8.8 (8/2011) 5.2 (07/2019)
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Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 05-09-2016, 00:16   #5
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Adding a diuretic is common for diabetes patients as well as others. You probably have indications of edema. I know both my brother and late Dad took diuretics after getting on blood pressure meds, but I don't know enough about them to expound knowledgeably about how they work. I do know that for both Dad and bro, without the diuretic, their blood pressure is higher and legs and ankles had more swelling. High BP is so common with diabetics apparently. Doc started sis on lisinopril right away after diabetes diagnosis. It apparently has some other protective effects for diabetics. Again, though, not my area as I have never needed treatment for blood pressure. Yet.

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Old 05-09-2016, 00:20   #6
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Quote:
Originally Posted by Bunjee View Post
Adding a diuretic is common for diabetes patients as well as others. You probably have indications of edema. I know both my brother and late Dad took diuretics after getting on blood pressure meds, but I don't know enough about them to expound knowledgeably about how they work. I do know that for both Dad and bro, without the diuretic, their blood pressure is higher and legs and ankles had more swelling.
I do look puffy most of the time. Difficulty getting my rings on etc. I think if this candesartan has no effect I will look at trying coversyl plus diuretic as it works for my mum.

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Old 05-09-2016, 19:59   #7
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I'm also on 2 BP meds, Losartin and a low dose diuretic. A higher dose of a diuretic does do bad things to my BG but the low dose works well. I have noticed however that exercise and losing weight also has helped quite a bit with lowering my BP and BG. It may take some experimenting to find out what works for you, good luck

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Old 05-12-2016, 20:08   #8
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Quote:
Originally Posted by macksvicky View Post
I'm also on 2 BP meds, Losartin and a low dose diuretic. A higher dose of a diuretic does do bad things to my BG but the low dose works well. I have noticed however that exercise and losing weight also has helped quite a bit with lowering my BP and BG. It may take some experimenting to find out what works for you, good luck
Just an FYI - you need to up how much water you drink when taking a diuretic unless you've been told otherwise. Slight dehydration can result in higher BG, I'm told.

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Old 05-12-2016, 21:31   #9
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I have been taking the same blood pressure medication for over 25 years (Valsartan/hydrochlorothiazide 320/25mg daily) . I started it long before I was diagnosed with type 2 diabetes, although the 25mg of diuretic/ hydrochlorothiazide was added around 9 years ago as my BP had started to move up, that fixed it quickly.

With this medication my BP ran around 140-90 to 130-85, not perfect but controlled. I weighed in at 320lbs most of those 25 years, until last year when I started LCHF.

I lost 50 lbs. over the first 6 months with LCHF! My weight is now 270. over the last 6 months my BP has checked in at 120-70 and a few weeks ago I was at 100-65....my Doctor was amazed but said we may have to back off on my BP meds if this continues...and it will if I have anything to say about it. My A1c has been at 5.8 - 6.2 and I have dropped my nightly injection of Lantus Insulin from 126u to 25u during this same period!

Learning how to test to my meter on food I eat, and following the LCHF model has saved my life and is giving me back control of my life...what fun it has been so far....

Good luck

Last edited by div2live; 05-12-2016 at 21:34.
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