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Uncontrolled hypertension and diabetes

Written by: Dr. Rowena | Posted: Aug 28 2009

Q: I am taking BP medicines Natrilix SR, cardiovas 12.5 mg and amlopress L and my BP is not stabilised. For diabetes I am taking diamicron MR 60 and glucomet-1gm twice daily and my blood sugar level is not controlled. My fasting blood sugar is about 200. What do you suggest?

A: It appears that you do not have your diabetes or high blood pressure in control. Make sure you are following all of your doctor’s instructions, including any recommended life style and dietary changes. Also, make a follow-up appointment with your doctor to discuss additional interventions.

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Diabetes and frequent urination

Written by: Dr. Rowena | Posted: Jul 14 2009

Q: What type of diabetes makes one urinate frequently and uncontrollably, and what can I do to overcome this worrisome disease? I have totally abstained from sugary foods as advised by my doctor since my release from hospital 2 months ago.

A: All types of diabetes can cause frequent urination. Having to go often occurs when your blood sugar is too high. All diabetics are encouraged to check their blood sugar level on a regular basis so adjustments can be made to stay in control. Just avoiding sugary foods isn’t enough. To learn about diet planning and diabetes, visit the American Diabetes Association website.

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Diet for diabetes and high cholesterol

Written by: Dr. Rowena | Posted: Jul 06 2009

Q: I have type 2 diabetes, my bad cholesterol is high and my good cholesterol is low. I need some advice about my diet.

A: A diet that helps get your sugar in control will also help with your cholesterol. The national library of medicine provides excellent dietary guidelines and tasty recipes. Similar information from the American Diabetes Association is available.

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Prevening diabetic neuropathy

Written by: Dr. Rowena | Posted: Jun 22 2009

Q: I have diabetes type II. I would like to know if there is anything out there for my diabetic neuropathy. I have it in my feet and am now really starting to feel it in my hands. I’ve tried simple solutions–applications of new ointments and such but I was wondering if you could recommend something besides seeing my doctor?

A: Maintaining good blood sugar control is the best thing you can do to help with diabetic neuropathy. Check your blood sugar frequently during the day to make sure you are staying in control. Regular exercise and having a normal weight help with blood sugar control.

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ARBs and diabetes

Written by: Dr. Rowena | Posted: Jun 03 2009

Q: Have there been any reports of lower extremity neuropathy linked to the use of angiotensin receptor blockers (ARBs)? I also have diabetes but I did not develop neuropathy until I was started on 2 different ARB medications. I quit taking the medications due to the pain and since then the pain has gradually decreased.

A: In general, angiotension receptor blockers are felt to be beneficial in diabetes. However, individual responses to drugs can vary. You should discuss your experience with your doctor.

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BP reduction for diabetics

Written by: Dr. Rowena | Posted: May 11 2009

Q: How much drop in B.P. on average, can a person with type 2 diabetes expect? Currently my B.P. is 150/82. What would be the reasonable expectation?

A: An article was recently published showing the RESPeRATE is effective in lowering blood pressure in type 2 diabetics. On average the systolic blood pressure dropped 10 mm and diastolic pressure 3.6 mm. You can see the abstract of this important clinical study at the Journal of Human Hypertension.

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Diabetes and impotence

Written by: Dr. Rowena | Posted: Feb 04 2009

Q: I’m 72 years old, strong and still working as a music teacher. I take 1000 mg metformin for diabetes, eat well, weigh 198 lbs. What is causing my impotence? Is it just age related?

A: Since you are on metformin, I am assuming you are diabetic. Even though you are strong, you have a sedentary occupation. You didn’t give your height but most people who weigh 198 pounds are at least overweight if not obese. Based on this, it is likely your impotence is caused by vascular damage from uncontrolled diabetes. Please accept my apology if this is not the case. Uncontrolled diabetes combined with obesity greatly increases the risk of a heart attack. I’d suggest that you speak to your doctor who knows your personal medical history.

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Type 2 diabetes with high blood pressure

Written by: Dr. Rowena | Posted: Jan 02 2009

Q: I am a type 2 insulin dependant diabetic. Will RESPeRATE still work for insulin dependant diabetics?

A: Clinical studies have shown that regular use of the RESPeRATE will help lower blood pressure in diabetes. A recently published study of Type 2 diabetics with high blood pressure did not include those taking insulin. However, there is no reason to believe that RESPeRATE would affect diabetics taking insulin any differently than those not taking insulin. Diabetes is an additional risk factor for cardiovascular disease so controlling blood pressure is extremely important.

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Will resperate work for insulin dependent diabetics?

Written by: Dr. Rowena | Posted: Dec 09 2008

Q: I am a type 2 insulin dependant diabetic. Will RESPeRATE still work for insulin dependant diabetics?

A: Clinical studies have shown that regular use of the RESPeRATE will help lower blood pressure in diabetes. A recently published study of Type 2 diabetics with high blood pressure did not include those taking insulin. However, there is no reason to believe that RESPeRATE would affect diabetics taking insulin any differently than those not taking insulin. Diabetes is an additional risk factor for cardiovascular disease so controlling blood pressure is extremely important.

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Treating diabetes with and without high blood pressure.

Written by: Dr. Rowena | Posted: Nov 25 2008

Q: Is there a difference between treating someone with diabetes that has high blood pressure and one that only has high blood pressure?

A: High blood pressure is one disease and diabetes is another. Together they put an individual at even greater risk for heart disease and stroke. The principles of treatment remain the same but different medications may be used to treat hypertensive diabetics to help prevent kidney disease. The addition of RESPeRATE to prescribed medications can help obtain better blood pressure control in both diabetics and non-diabetics. A new study showing the effectiveness of RESPeRATE in lowering blood pressure in Type 2 diabetes was recently published in the Journal of Human Hypertension (MH Schein et al, advance online publication, November 13, 2008).

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