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Blood Pressure Control In Diabetics
5 Comments · Posted by bjmdjd in Health Information, Medical Studies
Results of the ACCORD study were reported at the American College of Cardiology 2010 Scientific Sessions and in the online version of the New England Journal of Medicine this week.
The report concluded that there is no benefit in aggressively treating high blood pressure in diabetics to numbers below 120 mm Hg diastolic. There was no difference in fatal and non fatal cardiovascular events in this group of patients and a group who had their diastolic blood pressure treated to less than 140 mm Hg.
Blood pressure in diabetics definitely needs to be successfully treated but there is no advantage to being over treated. bjmdjd
Material modifications since posting: none
American College of Cardiology · diabetics · high blood pressure · hypertension
Reid Lundy · March 20, 2010 at 7:25 am
I’m going to show this to my doctor next visit. He’s wanting me to go on blood pressure medication and I am saying no. Last check, I was 87/132, a little high, yeah, but not enough for me to see a need for drugs (yet).
Admin comment by bjmdjd · March 20, 2010 at 7:08 pm
Thanks for the comment Reid. In my experience 132/87 at least needs to be closely watched. Especially the 87. Some docs are more aggressive than others. Prior to seeing this in a diabetic I would definitely have been on board with your doc and I might still. This is just one study. I’ll email you the complete article for your perusal. Thanks again! bjmdjd
Admin comment by bjmdjd · March 22, 2010 at 10:46 pm
Someone attempted to post a question in the comments section on 3/20/10 but it did not come through clearly. If I understood it correctly it was asking for some advice on portable blood pressure monitors for home use. I personally would avoid the monitors that fit over a finger or your wrist. Any of the ones that fit over the middle of the arm should be OK but I would always take it to my doctor’s office to have them check it against their equip[ment for accuracy. Checking your pressure at home can be a good idea for some patients.
L.L. Watts · October 20, 2011 at 10:59 am
I am diabetic, I just had a checkup on Monday my A1C is 6.3 I currently don’t take any meds for that, my cholestoral is normal but my blood pressure was 136/83 I take Valsartan 80mg and Hydrochlorothiazide I was taking 12.5mg of this but the Dr moved it up to a full tablet it is still on a average of between 131 and 136/82 to 88. Every so often I get a sudden like pulse or slight burst in my chest area or throat area doesnt last but a second not an everyday thing Im trying to get an idea of what is actually going on with me it happens mostly at rest and right after exercise.
Admin comment by bjmdjd · October 20, 2011 at 11:14 am
While I don’t give medical advice on this blog I do feel that your doctor is on the right track by trying to bring your blood pressure down a bit. It is a little high for a diabetic. You definitely need to mention your symptoms to your physician. While it’s not classic for angina it can present in many different ways. Especially in diabetics. Talk to your doc and good luck!