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need to alter her medications ?

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I am asking this query on behalf of my mom and have provided all her details below,
My mother has Hypertension and Diabetes from the past 30 years and she has been on hba1c levels of 7.5% from past few years.Her blood pressure control is at 140/80 from past few years,she needs to take multiple medications to keep them at these levels.She monitors her blood pressure twice a week at home ,my only concern been she has some high blood pressure values of 160/90 occasionally whereas usually i.e 80% of her readings are 140/80 or below.Does she need to alter her medications to accommodate for these occasional high readings?
Also is a diuretic a proper medicine for diabetics as it has been known to affect the fibrinolytic balance which is already disturbed in diabetics?.


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replied February 20th, 2011
High Blood Pressure and Hypertension Answer A19824
Hi,
Welcome to the forum. I am really glad to help you out. As per the American Diabetes Association Guidelines, before meal sugar should remain between 90-130 mg% and post meal glucose should be < 180 mg % and HbA1c should be < 7.0 %.

The blood pressure should be <130/80 mmHg. The drugs which a diabetic should take for lowering the blood pressure should be either ACE inhibitors like enalapril, ramipril or ARB's like olmesartan, telmisartan etc.

Diuretics should be avoided in diabetics as they tend to raise the blood sugar. I sincerely hope that helps. Take care.



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