Wednesday, January 16, 2008
How diabetes with hypertension medication
Because diabetes and hypertension patients more easily occur cardiovascular and cerebrovascular events (such as stroke), it Patients with diabetes should develop blood pressure checks every week a two-time habit of hypertension actively monitoring and treatment. Patients with relatively simple hypertension, diabetes patients should pay more attention to non-drug therapy, such as weight loss, restricting sodium intake, alcohol habit. appropriate exercise, reducing mental pressure. Antihypertensive treatment should be initiated as early as possible to control blood pressure compared to the level of non-diabetic patients with more stringent. "I have high blood sugar, but has high blood pressure, I was hypoglycemic? First, Or blood pressure? "hypoglycemic and hypotensive not contradictory, can be carried out concurrently. Some patients also ideal glycemic control, blood pressure in 160 regular / 100mmHg above, or at the same time, discovered the kidneys, heart problems, lower blood pressure appeared to be more on some urgency. "People with diabetes need special antihypertensive drugs?" Diabetics use of antihypertensive drugs and other patients basically the same person. Some drugs on blood glucose minor effects, such as propranolol, diabetic after taking cover hypoglycemia in the early symptoms, If no hunger, palpitation, sweating, and so on. Diuretic drugs hydrochlorothiazide with Cypriot patients can lipids and glucose. However, careful application to avoid these problems. "With so many antihypertensive drugs, I choose one?" Diabetes with hypertension antihypertensive drug choice In the first layer height, and doctors choose a drug, the results are not satisfactory, on the second level, that is, with a second drug. Some patients need two three-drug treatment. Commonly used to lower blood pressure drugs can be divided into the following categories. ACE inhibitors (angiotensin-converting enzyme inhibitors) : angiotensin hypertension is the material. ACEI antihypertensive drugs such material reduction in the same time protect the cardiovascular and treatment of cardiac failure, diabetic nephropathy patients reduce urinary protein. ACE inhibitors, including captopril, which according to Lin, Monogaga other. That according to Lin MoNopril and require only a very convenient and disadvantages, will lead to a cough. Renal artery stenosis, renal dysfunction, patients on anti hyperkalemia. Calcium antagonists : these drugs inhibit calcium into the blood vessel wall, vascular dilation, lower blood pressure, while the treatment of coronary heart disease. More commonly used drugs are nifedipine. Some patients after taking blood pressure dropped rapidly, quickly bounced back. In order to overcome the side effects of drug, a long-acting formulations of production-Nifedipine Sustained Release Tablets, GITS - Norvasc. There are also heart of nitrendipine. They remember the names are certain amlodipine. Beta receptor antagonist : They have a common name is so-and-so atenolol. If metoprolol, such as atenolol. Apply to the 106 patients with diabetes mellitus. Europium receptor antagonist : apply to diabetes morning blood pressure were increased. If terazosin, such as phenoxybenzamine. Drug drawback is easily lead to orthostatic hypotension. Diuretics : commonly used drug is indapamide (TING than Hill), furosemide. Drug drawback is a large number of applications easily lead to hypokalemia, arrhythmogenic. Drug suitable for diabetic nephropathy, heart disease patients. "My blood pressure smooth little attention to the needs of what?" Diabetic patients choice of antihypertensive drugs is the best long-acting drugs objects. Joint drug can increase blood pressure and avoid drug side effects, such as ACEI and diuretics, calcium antagonists and diuretics. ACEI and calcium antagonists joint applications. For some special patients, such as supine hypertension, standing hypotension, antihypertensive treatment more difficult. These patients require antihypertensive treatment doctors more guidance, they can be non-drug therapy, such as wear elastic stockings, proper diet increased sodium content, from lying to standing position change should be slow movements. If necessary, additional temporary leader before serving antihypertensive drug. Finally, we would like to once again remind everyone to regularly monitor blood pressure and blood pressure as normal as possible. Statistics tell us that a considerable number of patients despite the use of antihypertensive drug, but not controlled hypertension. Diabetic patients with hypertension should keep in mind that the importance of controlling blood pressure no less than that of blood glucose control, already have diabetic nephropathy patients, blood pressure control is the key to the protection of the kidney, blood pressure control to prevent diabetic eye disease is increasing means.
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