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  #1   ^
Old Thu, Aug-28-08, 11:53
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default Diabetes & Hypertension

Here comes the big question of the day.

Currently, I am taking Micardis HCT for my hypertension. Since, low carbing and losing some weight my blood pressure has dropped close to hypotension range. I've cut my medicine in half and will get to my doctor soon to adjust my meds. I'm seeing an endocrinologist in a month.

My question is ..Will the endo take care of my hypertension meds or should I go to my GP?

I would normally go to my GP who prescribed the drug but, he hasn't been the most proactive person on my diabetes/health team. However, I'm not sure if endos will even work out my hypertension meds since I suppose that isn't their specialty - or am I wrong?

Thanks,
~Danielle
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  #2   ^
Old Fri, Aug-29-08, 08:23
Lottadata Lottadata is offline
Senior Member
Posts: 287
 
Plan: Test-Test-Test w/insulin
Stats: 170/145/145 Female 5' 3"
BF:approx 31%
Progress: 100%
Default

My endo will prescribe BP meds for me.

I had to stop taking all of them, though, due to hypotension.

Also, your endo should know that HCT raises blood sugar and is not recommended for people with diabetes.

All the Beta blockers (end in -OL) also promote diabetes and are not recommended.
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  #3   ^
Old Fri, Aug-29-08, 09:54
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

Thank you Jenny!

I also take Yaz birth control (pcos) and just found out that it also has a diuretic. Is it all diuretics or just hydrochlorothiazide?

Maybe I should try lisinopril again. I'll get your website again to read up on this.

~Danielle
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  #4   ^
Old Fri, Aug-29-08, 11:37
RobLL RobLL is offline
Senior Member
Posts: 1,648
 
Plan: generalized low carb
Stats: 205/180/185 Male 67
BF:31%/14?%/12%
Progress: 125%
Location: Pacific Northwest
Default

HCT - Hydrochlorothiazide?
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  #5   ^
Old Fri, Aug-29-08, 11:42
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

HCT/HCTZ/HZT = Hydrochlorothiazide

I take Micardis HCT which is a Angiotensin II receptor blocker plus the diuretic hydrochlorothiazide.

~Danielle
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  #6   ^
Old Fri, Aug-29-08, 11:45
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

I'm so happy my GP tells me I have insulin resistance and then decides to give me HCT which has a side effect of high blood sugar.

Could this have caused my diabetes or does it just exacerbate the situation. Also - could it be reversable/improved by removing the HCT from my meds?

~Danielle
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  #7   ^
Old Tue, Sep-02-08, 06:43
chandbaby1's Avatar
chandbaby1 chandbaby1 is offline
Senior Member
Posts: 750
 
Plan: PPLPish<30ecc.
Stats: 180/165/150 Female 5 foot 5 inches
BF:
Progress: 50%
Location: Boston
Default

Please review your choice for YAZ . It has really bad effects especially for PCOS, it will mess your hormones further. I had the worst problems with YAZ i continue to battle mainly adrenal fatigue. Please look into this site.

http://www.createforum.com/yasminsi...43179b58bfebe37 Jasmine

Natural is always the best and these hormone tablets containe estrogen and progesterone(synthetics) which will further increase insuline resisitence. It is insuline resistence in the first place the cause of all the problems.

Manage your blood sugar, do very low carb, take supplements, excercise. everything can be very overwhelming start small.Take metformin if you are very insuline resistent. Be extremely careful about any hormone you take.
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  #8   ^
Old Tue, Sep-02-08, 07:45
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

Thanks Chandbaby1

I've been really thinking about which medicines I should take and which ones to avoid. I have been considering dropping birth control and most if not all my allergy medications. As well as decreasing or omitting my hypertension medications. I have to at least cut back on hypertension because low carbing is making my BP swing low at times.

I'm not taking any meds for diabetes - yet. If the doctor feels I needs medication for my diabetes, I'll take it bcause I feel my BG is the root of the other problems even my allergies. Maybe I'm being a bit of a conspiracy theorist?

~Danielle
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  #9   ^
Old Tue, Sep-02-08, 07:55
chandbaby1's Avatar
chandbaby1 chandbaby1 is offline
Senior Member
Posts: 750
 
Plan: PPLPish<30ecc.
Stats: 180/165/150 Female 5 foot 5 inches
BF:
Progress: 50%
Location: Boston
Default

Go by gut feeling , it feels like the blood sugar should be the first thing to target. I wouldnt worry as long as you are losing weight .....about metformin or something. But if you have a stall dont hesitate. but remember a stall is no weightloss for 2 months with all the effort.

Check your blood sugar everyday in the morning which wil be a good start since if ther are hapazard blood glucose reading it will show up eventually on morning blood glucose. Ofcourse you can do glucose tolerance test to find how insuline resistent you are.

If you can maintain one thing steady like blood glucose then you can play with the others. Atleast that is my strategy.
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  #10   ^
Old Tue, Sep-02-08, 10:27
RCo's Avatar
RCo RCo is offline
Senior Member
Posts: 589
 
Plan: Bernstein (Guided)
Stats: 140/140/140 Female 5 feet 10 inches
BF:
Progress:
Location: UK/France/Spain
Default

Quote:
Originally Posted by CantEven

I'm not taking any meds for diabetes - yet. If the doctor feels I needs medication for my diabetes, I'll take it bcause I feel my BG is the root of the other problems even my allergies. Maybe I'm being a bit of a conspiracy theorist?

~Danielle


I am in on this conspiracy...if it is one. I thought a conspiracy was a deliberate act of one or more people...not speculating about what is affecting one's health.
I thought my allergies were getting worse, until I reached near normal BG's. It can be hard to stay on top of what is going on in a body that has more than one thing wrong with it.
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  #11   ^
Old Thu, Sep-04-08, 12:35
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

Quote:
Originally Posted by RCo
I am in on this conspiracy...if it is one. I thought a conspiracy was a deliberate act of one or more people...not speculating about what is affecting one's health.
I thought my allergies were getting worse, until I reached near normal BG's. It can be hard to stay on top of what is going on in a body that has more than one thing wrong with it.


Sorry for the late response. I've been building a fence - LOL.

Years ago, I had Chronic Fatigue Syndrome and it was debilitating for about 2 years and then, poof - gone. I think the Yeast Connection Diet at the time help quite a bit but, I don't know what caused the onset or the ending of my misery. Those two years, I had seasonal allergies. That was the first and the last time I had any allergies.

Now, in 2001, I had lost over 50 lbs and moved to Sweden to be with my husband, then engaged. I gained a lot of weight and had chronic problems with post nasal drip and what I thought was chronic bronchitis. I barely slept and was miserable. We moved back to the States, once married, and my problems cleared up within a few months. Very odd. However, in 2006 my sinus problems came back with a vengeance. Again, I was miserable. After at least a year of trying to diagnose my problems through my GP and ultimately an ENT, we figured out that I had many seasonal and environmental allergies along with food allergies and oral allergy syndrome. It was topped off with a deviated septum.

I was put on Singulair, Zyrtec and Flonase. I also had a tonsillectomy/adenoidectomy. I have been pretty much symtom free.

Now, here is my theory, probably not a conspiracy as you pointed out, I believe I have been insulin resistant my entire life or at least since puberty and when I moved to Sweden and gained back those 50 pounds - plus some, I think I became even more insulin resistant. I feel this brought on an immune response which resulted in all these allergies. I feel that if I get my BG under control and lose some of this weight which, obviously, would help me gain more control, I would be allergy free or at least be able to cut back on meds.

Phewww - that was quite a bit of typing.

~Danielle
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  #12   ^
Old Thu, Sep-04-08, 12:41
lowcarbUgh's Avatar
lowcarbUgh lowcarbUgh is offline
Dazed and Confused
Posts: 2,927
 
Plan: South Beach
Stats: 170/132/135 Female 5'10
BF:
Progress: 109%
Location: Flip-flop, FL
Default

The hypertension, diabetes, weight gain are related in what doctors call "metabolic syndrome." I wouldn't be surprised if other things were related also.
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  #13   ^
Old Thu, Sep-04-08, 12:41
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

Quote:
Originally Posted by chandbaby1
Go by gut feeling , it feels like the blood sugar should be the first thing to target. I wouldnt worry as long as you are losing weight .....about metformin or something. But if you have a stall dont hesitate. but remember a stall is no weightloss for 2 months with all the effort.

Check your blood sugar everyday in the morning which wil be a good start since if ther are hapazard blood glucose reading it will show up eventually on morning blood glucose. Ofcourse you can do glucose tolerance test to find how insuline resistent you are.

If you can maintain one thing steady like blood glucose then you can play with the others. Atleast that is my strategy.


Thanks - so far I am averaging a weight loss of 2 lbs a week.

My BG ranges from 85-125mg/dl. My morning numbers are the highest and I have improved them by walking an hour every morning. So, some days I wake up around 100mg/dl and others 115mg/dl. I was waking up and reaching 125mg/dl ~ 8am every day but, that seems to have improved and I haven't seen 125mg/dl in awhile now. The only time I may go over that amount is if I eat out and discover some hidden sugar/starch in the food - which I don't know about until I test. I cut that food out if i discover it. Trial and error and living by the meter.

My numbers seem to be improving so, I'm starting to question the need for medicating my diabetes but, I'll have a deep conversation with my endocrinologist before making a final decision. No doubt I'll post my thoughts here at that time to get opinions. My endo appointment is on the 22nd of this month. Here is hoping this endo is not stuck in the dark ages.

~Danielle
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  #14   ^
Old Thu, Sep-04-08, 12:43
CantEven's Avatar
CantEven CantEven is offline
Senior Member
Posts: 274
 
Plan: Bernstein
Stats: 285/275/135 Female 5'3"
BF:baby's got back
Progress: 7%
Location: Seattle Metro
Default

Quote:
Originally Posted by lowcarbUgh
The hypertension, diabetes, weight gain are related in what doctors call "metabolic syndrome." I wouldn't be surprised if other things were related also.



Exactly - you hit the nail on the head - as always Susan!

If you are married or dating make sure to tell them I said that. - LOL

~Danielle
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  #15   ^
Old Fri, Sep-05-08, 14:02
lowcarbUgh's Avatar
lowcarbUgh lowcarbUgh is offline
Dazed and Confused
Posts: 2,927
 
Plan: South Beach
Stats: 170/132/135 Female 5'10
BF:
Progress: 109%
Location: Flip-flop, FL
Default

Quote:
Originally Posted by CantEven
Exactly - you hit the nail on the head - as always Susan!

If you are married or dating make sure to tell them I said that. - LOL

~Danielle


No, not married, not dating right now either.

I know a type 1 who cured her arthritis by normalizing her blood sugars:

Quote:
After all, my trec towards tight control was initiated when I backed my rheumatologist (regarding all my joint problems) into a while the last time he used the phrase "because you're a diabetic." SO freaking what. What is it doing mechanically and what can I do about it. The answer ... normalized blood sugar. Not recommended, normalized.


Although no one suggested it to her. It's a crying shame.
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