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How to manage high blood pressure and blood sugar levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 70 years old. I have issues with high BP and diabetes. The doctor has given me a medicine for the heart and cholesterol. Are these good medicines? Is there any prevention I need to take? In some reports, it says that something is passing through the urine. I do not understand clearly but, the doctor has not given any medicine or preventive action for this.

Can you suggest something from your end?

Hello,

Welcome to icliniq.com.

I have reviewed the reports (attachment removed to protect patient identity). Regarding your concerns about your urine, I did not find anything abnormal in the urine report. Therefore, please double-check and re-upload the report if it is available.

Secondly, your blood sugar levels, blood pressure, and ECG (electrocardiogram) show abnormalities, indicating that you need medication for these issues. Your cholesterol is also slightly elevated. As a diabetic and hypertensive patient, you are at risk for coronary artery disease. Additionally, your ECG shows some changes.

The next step is to undergo an echocardiogram. If the results are abnormal, you may need an angiogram. If the echocardiogram is normal, then you should consider a stress thallium test or CT coronary angiography. It is important to evaluate your condition thoroughly.

Your blood pressure and blood sugar levels should be controlled. If you have obtained the prescribed medications, please upload photos of the strips or the names of the tablets.

You should maintain a healthy lifestyle by avoiding fatty, oily, and high-calorie foods, and following a low-salt diet. Monitor your blood pressure regularly—three times a day for one week, then once or twice a week. If your blood pressure remains consistently above 140/90 mmHg, your medication dosage may need to be increased.

Engage in regular exercise, such as brisk walking or jogging, for at least 30 minutes a day, five days a week. Incorporate plenty of green leafy vegetables, fruits, and fish into your diet once or twice a week, while avoiding meat. Additionally, refrain from smoking and alcohol, if applicable, and aim to prevent abdominal fat deposition or obesity.

I hope this information helps, and feel free to reach out if you have any questions.

Medically reviewed byDr. K. Shobana

Published At September 11, 2017
Reviewed AtOctober 18, 2024

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