Understanding Diabetes medication

[Jake]

Hi,
I am a diabetic for quite some years. I am male, 42 years old. I
currently take Metaformin and Glimepiride. I am a little overweight.
Till now my cholesterol markers all seem normal. My blood pressure was
also normal the last time it was checked by a doctor.
But yesterday I checked it at a friends place and it showed 140/100.
So I am going to visit my doctor next week to check it with him, but in
the meantime, I want to understand treatment of hypertension. I have
noticed that there are several medications like diuretics, Beta
Blockers, ACE etc.

I was wondering on what basis is medication chosen? i.e. for someone
like me, what would be prescribed? What are the good/bad points of the
different kinds of medication?

[Jake]

Sorry the title should have been "Understanding Hypertension Medication.

[Julie Bove]

"Jake" <j...@jk.com> wrote in message news:jn56o9$pkv$1...@dont-email.me...

I'm sure you take Metformin. AFAIK there is no such med as Metaformin.

What kind of device did your friend have for measuring BP? And how was it
done? To get a proper reading you need to be sitting still with no talking
for 5 minutes. Nothing to eat or drink prior. Of course this isn't going
to happen at the Drs. office either. They usually march you into the room,
talking all the way and then test you.

There is another variable... Assuming you used an arm cuff. Was it the
right size for you? If you are overweight it is likely that you need a
bigger cuff to get the correct reading.

As for BP meds... Beta Blockers are bad for diabetics. They can mask the
symptoms of hypos. They can in and of themselves cause diabetes. And
because of this it would stand to reason that they could raise BG.

ACE inhibitors are the most commonly prescribed meds for diabetes even if
you don't have high BP. They offer protection to the kidneys. But they can
cause a cough. So if those don't work you will likely be put on an ARB.
They're the next best thing for diabetics.

I know diuretics can help with BP. I don't know under what circumstances
they would be prescribed. I take one but for swelling and not BP.

Also a small percentage of people with high BP are sensitive to sodium. So
you might try the DASH diet for a couple of weeks to see if that helps.

[None Given]

Just one comment. Taking meds to control T2 DM maybe needed but your
BP
seems too high. Why haven't they offered a blood pressure med?
I am feeling trolled.

Magnesium Citrate or Carbonate may help with your hypertension. I
suggest
you talk to Alternative Medicine Provider as opposed to a stupid big
pharma conventional
medical pusher MD. If you have T2 DM, I suggest be aggressive in
choosing insulin over
the second step conventional meds if needed. Just my view and opinion.

[Jake]

On 24-04-2012 10:29 AM, Julie Bove wrote:

> ACE inhibitors are the most commonly prescribed meds for diabetes even if
> you don't have high BP. They offer protection to the kidneys. But they can
> cause a cough. So if those don't work you will likely be put on an ARB.
> They're the next best thing for diabetics.

Is an ACE inhibitor better than an ARB - if yes, how?

Is ACE the first line only because it's cheaper than ARB or are there
other reasons?

[John Williamson]

A single high blood pressure reading on an uncalibrated tester is not a
reason to worry about your blood pressure. Home testers can be well out,
as I found when I bought a new one and my blood pressure went from
115/76 to 130/95. I tried the old one again, and was instantly back to
normal. For what it's worth, a lot of people get a higher reading at the
surgery due to "White coat syndrome", where the stress of expecting a
bad result causes high blood pressure. I can also increase mine
temporarily by exercising vigorously.

There's also no real link between cholesterol and blood pressure.

Relax, unless you get consistently high readings on a number of testers.
Then you can start worrying about which blood pressure medication is
best for you, and that's something that can only be found in
consultation with yoru doctor.

--
Tciao for Now!

John.

[Julie Bove]

"Jake" <j...@jk.com> wrote in message news:jn5jhq$atq$1...@dont-email.me...

As I said... The ACE offers protection to the kidneys. I've never used an
ARB and I'm not a Dr.

[Roberts]

<johnwil...@btinternet.com> wrote in message
news:9vn2ur...@mid.individual.net...

Lots of things can cause high blood pressure, stress, minor infections,
worrying about parking near the hospital or even a good looking nurse
holding your hand! You should get your kidney function checked regularly
especially as your are taking metformin.
I queried why I was taken off metformin suddenly and was told while
metformin is believed not to cause kidney problems it does not help if your
kidneys are on the way out due to the diabetes.
Hope that helps
Robbie 30 years a diabetic now on insulin

[tedrosenberg]

You are asking WAY too much

You will see your doctor next week.

Your single reading MAY have been in error, and I doubt he will do much
unless you are still high.
my GUESS is that he will give you some type of diuretic, and possibly
Lisinopril (common for diabetics because of its kidney effects) but
there are WAY too many drugs, and WAY to little info for that t be any
more than a guess.

[GysdeJongh]

Hi Jake, nice to meet you :)

For your kind of complications your dokter will first try life style
modifications (if he is a caring dokter and in a positive mood)

Move more, eat less

Only if you can't persuade yourself to do this he will start the med's which
*all* have more negative side effects than the life style modifications

Gys

[BessieBee]

On 4/24/2012 2:33 AM, Julie Bove wrote:
> I've never used an ARB and I'm not a Dr.
>
>

But you play one on TV?

--
BessieBee

"I was gratified to be able to answer promptly, and I did.
I said I didn't know."
-Samuel Clemens

[Larry]

ACE inhibitors seem to trump ARB but both are pretty similar. I should
mention though doctors won't tell you always. Even if your blood
pressure is high normal ie. 132/82 for example doctors really want
most if not all diabetics on blood pressure meds per research results
for the diabetic population. I don't agree but yet I am on BP meds
mostly due to "white coat syndrome" as a result of frustration with
doctors in the examining room. My home results are typically 126/75.
Diastolic never higher than 85. I suppose that 40 mg ACE/day will
POSSIBLY help me anyway.

Larry

.

[Julie Bove]

"BessieBee" <Bess...@DreadfulBitch.com> wrote in message
news:jn7ho3$h8b$3...@dont-email.me...

> On 4/24/2012 2:33 AM, Julie Bove wrote:
>> I've never used an ARB and I'm not a Dr.
>>
>>
> But you play one on TV?

No.

[Jake]

Ok. I met the doc and was asked to start with 25mg losartan (ARB) per
day. He said the dose may have to be increased to 50mg if the 25mg isn't
enough.

Very surprisingly, a relative who is a couple of years elder to me and
also diabetic was recently diagnosed with hypertension & he was
prescribed a Calcium Channel Blocker (amlodipine) and not an ARB or an
ACE. His doc is different, of course.

[Larry]

That is surprising to me. As a diabetic first line BP medication is
almost always ARB or ACE unless side effects such a cough occur. But
always to start out of ACE or ARB due to how they are beneficial with
kidney function issue..

[Andy]

I have never seen a picture of Julie but iam sure is cuter then the paid for
appearances on TV doctors you see:)


--
AL'S COMPUTERS
"Julie Bove" <juli...@frontier.com> wrote in message
news:jn86vq$bvc$1...@dont-email.me...

[Jake]

On 26-04-2012 06:43 PM, Susan wrote:
> x-no-archive: yes

>
> On 4/26/2012 1:13 AM, Larry wrote:
>
>> That is surprising to me. As a diabetic first line BP medication is
>> almost always ARB or ACE unless side effects such a cough occur. But
>> always to start out of ACE or ARB due to how they are beneficial with
>> kidney function issue..
>

> ISTR publication of research indicating that they do not protect kidneys.

I assume your talking about Calcium Channel Blockers.

>
> Probably, their deleterious effects could be avoided by use of time
> released K and Mag instead in many folks.

What deleterious effects of what?

[mainframetech]

As a CKD patient, I take a calcium channel blocker called Nifedipine
ER and I've had no problem with it for 6 years.

Chris

[Robert Miles]

Lisinopril worked too well for me - it reduced my blood pressure enough
that I started falling down with no dizziness to warn me.

[Roberts]

"Robert Miles" <mil...@Usenet-News.net> wrote in message
news:4fbb19e2$0$2082$882e...@usenet-news.net...

This is one of the disadvantages of Diabetes is if you have more than just
diabetes. The doctor may suggest something for other complaints which will
upset your diabetes or the other way round. Always read the small print on
the paper that comes with the medicine. The hospital staff are just as bad
because you are in hospital for a particular problem and they will treat
just that problem and not read up on your case history. I learnt this from
experience so read the small print.
Robbie. Last time I was in hospital, they abruptly stopped the metformin and
I could never get a sensible answer why?
Robbie

[tedrosenberg]

probably they thought you MIGHT need either a minor operation, or a
high-contrast CT scan.

ASSUMING (a rash idea) that they are current on protocols, you can't
take Metforman in any cases where you may be exposed to high-contrast
dyes, or if you have a procedure which may last for 4 hours, or a
procedure which would cause you to miss two meals.

Many hospitals just STOP if they even think that they may POSSIBLY have
to do anything surgical (even remove a splinter) in the next 48 hours.

[Roberts]

"tedrosenberg" <theodore....@gmail.com> wrote in message
news:jpgea6$ihp$1...@dont-email.me...

Many thanks for that, which is spot on as I eventually had a CT scan and a
major operation. But why could they not say that ?
Robbie

[tedrosenberg]

On 5/22/2012 7:36 PM, RobertPatrick wrote:
> Robert Miles<mil...@Usenet-News.net> wrote in

> news:4fbb19e2$0$2082$882e...@usenet-news.net:

> I am "allergic" to Lisinopril. For a few months after starting it, I just
> felt sick all the time. Could not pinpoint what it was. Then I began bouts
> of throwing up for no reason whatsoever. One day, I realized it was the
> Lisinopril and told my doctor who said she didn't think so. So I told her
> I was going to stop taking it. I stopped with the throwing up episodes.
> She told me to start using it again after a while and I was throwing up
> again. It's been about 2 years since I stopped taking it. No more throwing
> up and I feel better over all.
> RP
I worry about your doctor
Lisiinopril is great stuff, but it CAN have those side effects, and
there are lots of alternatives available

[Robert Miles]

On 5/22/2012 6:36 PM, RobertPatrick wrote:
> Robert Miles <mil...@Usenet-News.net> wrote in
> news:4fbb19e2$0$2082$882e...@usenet-news.net:
>

> I am "allergic" to Lisinopril. For a few months after starting it, I just
> felt sick all the time. Could not pinpoint what it was. Then I began bouts
> of throwing up for no reason whatsoever. One day, I realized it was the
> Lisinopril and told my doctor who said she didn't think so. So I told her
> I was going to stop taking it. I stopped with the throwing up episodes.
> She told me to start using it again after a while and I was throwing up
> again. It's been about 2 years since I stopped taking it. No more throwing
> up and I feel better over all.
> RP

I was throwing up frequently when I was on lisinopril, but it seemed
to be due to letting my throat get too dry during meals, and starting
to cough continuously until I threw up.

Robert Miles

[Dean Jackson]

Letter that came advising me of admission date for surgery told me to
stop taking mini aspirin five days before and Metformin two days before.
Dean

[Dean Jackson]

On 23/05/2012 00:36, RobertPatrick wrote:
> Robert Miles<mil...@Usenet-News.net> wrote in

> news:4fbb19e2$0$2082$882e...@usenet-news.net:

> I am "allergic" to Lisinopril. For a few months after starting it, I just
> felt sick all the time. Could not pinpoint what it was. Then I began bouts
> of throwing up for no reason whatsoever. One day, I realized it was the
> Lisinopril and told my doctor who said she didn't think so. So I told her
> I was going to stop taking it. I stopped with the throwing up episodes.
> She told me to start using it again after a while and I was throwing up
> again. It's been about 2 years since I stopped taking it. No more throwing
> up and I feel better over all.
> RP

I had the classic Lisinopril reaction. Initially swollen lips and later
angioedema, a large blood blister like swelling at the back of my throat.
Dean

[W. Baker]

Dean Jackson <djac...@somewhere.com> wrote:

Good luck.

Warning (I found out this the haard way) when it is time for you to go
back on Metformin, GO BACK ON IT SLOWLY!!!! Start just like you started
when you first wwere put on the med or you may well have a lower
intestinal tract explosion!!! and have to live on the potty for a while.
It happened to me after a hospitalization so learn from my suffering:-)

Wendy

[Dean Jackson]

I have not needed a potty but an hour after taking Metformin I get ulcer
like stomach pains. Strangely research shows that it supposedly protects
people from ulcers.
Dean

[W. Baker]

Dean Jackson <djac...@somewhere.com> wrote:
: > :>
: > : Letter that came advising me of admission date for surgery told me to

: > : stop taking mini aspirin five days before and Metformin two days before.
: > : Dean
: >
: > Good luck.
: >
: > Warning (I found out this the haard way) when it is time for you to go
: > back on Metformin, GO BACK ON IT SLOWLY!!!! Start just like you started
: > when you first wwere put on the med or you may well have a lower
: > intestinal tract explosion!!! and have to live on the potty for a while.
: > It happened to me after a hospitalization so learn from my suffering:-)
: >
: > Wendy
: I have not needed a potty but an hour after taking Metformin I get ulcer
: like stomach pains. Strangely research shows that it supposedly protects
: people from ulcers.
: Dean

Do you take it only with meals? Tha may help. I keep the bottle righ ton
the dinner table so I don't forget-breakfast and dinner. Ionly keep it
high p in the kitchen when my small gandchildren visit:-)

Wendy

[Dean Jackson]

I take it mid meal.
Dean

[tedrosenberg]

Wendy, take Metformin ER, little or no stomach problems for most people.

[W. Baker]

tedrosenberg <theodore....@gmail.com> wrote:
: On 6/27/2012 3:10 PM, W. Baker wrote:
: > : >

: > : > Warning (I found out this the haard way) when it is time for you to go
: > : > back on Metformin, GO BACK ON IT SLOWLY!!!! Start just like you started
: > : > when you first wwere put on the med or you may well have a lower
: > : > intestinal tract explosion!!! and have to live on the potty for a while.
: > : > It happened to me after a hospitalization so learn from my suffering:-)
: > : >
: > : > Wendy
: > : I have not needed a potty but an hour after taking Metformin I get ulcer
: > : like stomach pains. Strangely research shows that it supposedly protects
: > : people from ulcers.
: > : Dean
: >
: > Do you take it only with meals? Tha may help. I keep the bottle righ ton
: > the dinner table so I don't forget-breakfast and dinner. Ionly keep it
: > high p in the kitchen when my small gandchildren visit:-)
: >
: > Wendy
: >
: Wendy, take Metformin ER, little or no stomach problems for most people.

I do and have , successfully for many years. It only failed when I
resumed my regular doseright after 5 days in the hospital after a car
accident. Atthat time my endo told me to start slowly and build up
gradually even with the ER. No problem now unless I eat too many diet
candies:-)

Wendy

[tedrosenberg]

Diet Candies HARD diet candies?

stay FAR away from them. They use sugar alcohols. A large number of
people metabolize sugar alcohols as if they were carbs, others don't
metabolize them at all, and can have major cramping and bloating. MOST
of us metabolize them a LITTLE bit, so, if we don't eat too many, we
don't have either problem, but...

[W. Baker]

tedrosenberg <theodore....@gmail.com> wrote:
: >
: > I do and have , successfully for many years. It only failed when I

: > resumed my regular doseright after 5 days in the hospital after a car
: > accident. Atthat time my endo told me to start slowly and build up
: > gradually even with the ER. No problem now unless I eat too many diet
: > candies:-)
: >
: > Wendy
: >
: Diet Candies HARD diet candies?

: stay FAR away from them. They use sugar alcohols. A large number of
: people metabolize sugar alcohols as if they were carbs, others don't
: metabolize them at all, and can have major cramping and bloating. MOST
: of us metabolize them a LITTLE bit, so, if we don't eat too many, we
: don't have either problem, but...

Don't I kow that:-) It just is sometimes hard to resist,, like just the
other day whec I ws in the store that caries these lovely no sugar added,
kosher cookies in a smalish package. Icouldn't resist and pigged out last
night, leaving only a few for today:-( I have already had to take a
lotrimin tablet! Fortunately, I don't succomb to this often, but, well,
every once in a while.

Wendy

[tedrosenberg]

Again beware of no sugar added. Check what the total carbs ARE. I
could label it no cyanide added

[hemyd]

"tedrosenberg" <theodore....@gmail.com> wrote in message

news:jsj79q$ss1$1...@dont-email.me...

"no sugar added", as well as not accounting for carbs, might mean that
although no sugar has been added, there is still sugar.

As you say, look for "total carbs" on the label.

Henry.

[outsider]

Obviously your reading and comprehension skills are in trouble. You
seem to have missed the fact that the cookies Wendy is talking about
are kosher.

[W. Baker]

hemyd <myd!!!h...@optusnet.com.au> wrote:
: "tedrosenberg" <theodore....@gmail.com> wrote in message

Of course, and also know what your personal reaction is to sugar alcohols
to decide how to interpret their inclusion in the total carb number for
your individual case.

Wendy

[tedrosenberg]

Yes and can you quote me where in the Gemora it prohibits natural fruit
products? Besides I said none Added. Apple and Peach, in particular
contain a fair amount on natural Cyanide, so do ALMONDS (duh).

Anything with Tomato or Potato in it contains Nicotine .

[outsider]

OK, you're telling me 2 = 1 in your universe. Glad we could clear that
up.

[Jorge]

In article <jn56o9$pkv$1...@dont-email.me>, Jake <j...@jk.com> wrote:

> Hi,
> I am a diabetic for quite some years. I am male, 42 years old. I
> currently take Metaformin and Glimepiride. I am a little overweight.
> Till now my cholesterol markers all seem normal. My blood pressure was
> also normal the last time it was checked by a doctor.
> But yesterday I checked it at a friends place and it showed 140/100.
> So I am going to visit my doctor next week to check it with him, but in
> the meantime, I want to understand treatment of hypertension. I have
> noticed that there are several medications like diuretics, Beta
> Blockers, ACE etc.
>
> I was wondering on what basis is medication chosen? i.e. for someone
> like me, what would be prescribed? What are the good/bad points of the
> different kinds of medication?

Louise Hay has some healing messages for High B.P.
It's a suggestion for a new way to heal.
repeat this and see if it fits.

I joyously release the past. I am at peace.

and;
Good Luck!
--
Karma ; what a concept!