Blood pressure and Diabetes Type 2?

Question

What's the average blood pressure-should be- for patient with diabetis type 2???

When it's considered high??

is 168/88 a life threatening???

I'm already taking daily:Lipitor,Aspirin,Neurobine,Glucophage and yesterday the physician added Zestril,what's the situation exactly?!

I have 123 Kg's,I'm 177 Cm,my work exhausts me mentally rather than physically

Answer 1

You have what the medical literature refers to as the 'deadly quartet': hypertension, dyslipidemia (elevated lipids such as VLDL and LDL cholesterol), diabetes and obesity. Your body mass index is 39 kg/m2. For those of European descent body mass index means for an adult 1) less than 18.5 too low and a health risk, 2) 18.5 to 25 ideal, 3) 25 to 30 overweight and a concern but not clearly a health risk, 4) 30 to 35 level 1 obesity, 5) 35 to 40 level 2 obesity, and 6) above 40 is level 3 or 'morbid' obesity. The risk of premature (think younger than age 50 for a male) cardiovascular events (think stroke and heart attack) increases in a non-linear geometric or logarithmic fashion above a body mass index of 30. There is not much difference between 39 and 40 so your risk here is quite high. Your blood pressure of 170/090 mm Hg (I and many other academic physicians prefer to round to the nearest '5' blood pressure and pulse readings) is certainly high but not life threatening. Your blood pressure ideally should be about 115/065 mm Hg. There is a linear increase in the risk of premature cardiovascular events above this number. Indeed - for every increase of 20/10 the cardiovascular risk doubles. If your blood pressure had been 175/095 - not much off your actual reading - your cardiovascular risk would have doubled not once, not twice, but three times. Thus - it is not surprising that your physician would intervene. Lisinopril/Zestril is my personal first choice for those with a normal pulse rate. I always prescribe lisinopril with hydrochlorothiazide and I quite frankly do not believe it appropriate to prescribe lisinopril by itself although I see it done often enough. Lisinopril and hydrochlorothiazide have a synergistic effect - in essence 1 + 1 = 3. The reduction is blood pressure is greater than would be predicted by either drug alone. Lisinopril and hydrochlorothiazide are available in a single combination tablet. In the United States at WalMart 30 such tablets - one month's worth - cost $4. For a type 2 diabetic the most often quoted goal for blood pressure is 120/80 although I prefer 115-120/65-70 as this more clearly approximates the literature. Bear in mind that many factors influence blood pressure readings and physician/nurse generated blood pressure readings are notoriously inaccurate. I prefer that patients check their blood pressure and pulse at home upon arising and email them to me. These are the most accurate and reproducible blood pressure and pulse readings. Blood pressure varies by as much as 30 to 50 points during the day and it is universally higher in the physician's office than anywhere else. For all of these reasons I believe that patient monitored early morning blood pressure readings are the future of blood pressure therapy. The deadly quartet need not be deadly. Get your blood pressure down to 115-120/65-70. Get you LDL cholesterol down to 70 mg/dL (1.8 mmol/L). Get your glycated hemoglobin A1C down to 6.5% or 6% if possible. The most difficult of your problems to deal with is your body mass index. We simply have no diet nor pill that lowers body mass index from 39 to 30. Indeed - in the United States you would be referred to a bariatric surgeon for a weight loss procedure. Virtually all insurance companies now pay for this for an individual with a body mass index above 40 or for an individual with a body mass index above 35 with other health problems such as hypertension, dyslipidemia, and diabetes. I wish you the very best of health and may God bless.

Answer 2

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Answer 3

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Answer 4

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Answer 5

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RE:
Blood pressure and Diabetes Type 2?
What's the average blood pressure-should be- for patient with diabetis type 2???

When it's considered high??

is 168/88 a life threatening???

I'm already taking daily:Lipitor,Aspirin,Neurobine,Glucophage and yesterday the physician added Zestril,what's the situation exactly?!

Answer 6

168/88 is not good. Zestril is an ACE inhibitor that should bring your blood pressure down. Drink plenty of water while you are taking in. Please try to lose some weight. Even a 5 kg loss will help with both your blood pressure and glucose. One of the risks of elevated blood pressure in diabetics is kidney damage. The high pressure plus elevated blood glucose interferes with the proper blood flow to your kidneys and often leads to kidney failure. I KNOW how hard it can be to find the energy to exercise, but even walking 20-30 minutes a day, will help. Exercise can help lower your blood pressure, even with out the benefit of weight loss, plus it helps with regulating your blood glucose.

Answer 7

One word about the stomach reduction surgery to lose weight. Doctors beat this drum to death but beware it may not solve the BP and diabetes problems.

My brother in law had the surgery last year. He now weighs 130 pounds (looks sickly!). Since his weight has stablized, guess what is going BACK up!.......his BP and his blood sugar levels. The doctor has upped his BP meds and is thinking of putting him back on insulin shots.

Just to let you know that the surgery is NOT a cure-all. He was misled into believing it would solve all his problems. Sometimes weight just doesn't account for the high BP and diabetes. Heredity can't be removed by surgery.

Take care. Good luck with your battle.

Answer 8

It is life threatening. DM is damaging to blood vessels because the extra sugars in your blood are like sand paper causing scarring. High blood pressure forces the vessels to be more dilated than they should be further reducing their elasticity. Your weight is increasing the workload of your heart and if your cholesterol is high or you are a smoker you are virtually garaunteed a heart attack. Please save yourself the pain and expense! Exercise, eat lots of veggies and multi-grains, keep blood sugar between 80 and 140, and live a longer healthier life. Doing these things will actually help you feel better and be able to deal with work stress more.

Answer 9

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Answer 10

168/88 is not life-threatening. The zestril will help tremendously.

As others have said, diet and exercise can help with all your conditions.

Answer 11

your bp is high, the normal is 120/80. Not to be nosy, but are you also overweight. This plays a BIG part in your high blood pressure and possible Diabetes 2. I know its hard but you have to try to shed some pounds (if you are in fact overweight)