Brief Answer:
Blood pressure and cholesterol-lowering agents

Detailed Answer:
Hello, sir. Thank you for your question and welcome to Health Care Magic. I understand your concern.

Normal blood pressure figures are 100-139 mmHg (systolic) and 60-89 mmHg (diastolic). The figures you provided are unacceptable if they are constantly this way, because it is estimated that figures, above those I provided, staying that way constantly, can produce and will produce damages to various organs in the organism, starting with the eyes and kidneys. That is the reason why hypertension (high blood pressure) is treated and kept under 140/90 mmHg, these figures being the main goal of the treatment. According to your gender and age, indeed you are in the risk "zone" to develop hypertension. In between, it is a good and appropriate thing that you wore the 24-hour blood pressure monitor. Some things should be said, however. If the provided figures are a one-time thing during a day, they can be easily attributed to other, physiological factor that may raise the blood pressure in any individual, young or old, such as physical activity, psychological stress, caffeine-containing beverages etc. If those are constant figures, then proper medical treatment for hypertension should installed immediately. Consult with your cardiologist regarding this matter. I would recommend you to be started on two blood pressure-lowering agents, one being from the beta-blocker or calcium channel blocker families (besides lowering the blood pressure, they also reduce the heart workload). Also, acetyl salicylic acid (aspirin) plays a good role in primary prevention of the cardiovascular diseases.

About the cholesterol levels, they should be treated and brought down if above 220 mg/dL. The strategy is following two roads simultaneously: medical therapy plus lifestyle and dietary changes. I would recommend a drug from the family of statins. They are hydroxy-methyl glutaryl coenzyme A reductase (HMG-CoA) inhibitors, an important enzyme in the biosynthesis of cholesterol. Any drug from this therapy effectively reduces cholesterol levels. In the lifestyle and dietary changes "road", I would recommend the following:
- no fast food
- vegetable oil (ideally, olive oil) for cooking, no animal fat
- less red or raw meat (maximum once a week), more chicken and fish in the diet
- up to 300 g a day with green or dark green leafy vegetables and fruit
- restricting alcohol intake up to a maximum of 30 g a day (two beers or a glass of wine)
- preferably only the white part of an egg
- 60 minutes of physical activity, every day, like walking, gym, swimming, jogging etc. or combined as it suits you better.

I hope this was helpful. Wish you a good health. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not.

Best regards,
Dr. Meriton

---

Brief Answer:
Hello again

Detailed Answer:
Welcome back.

My suspicion is very low regarding that this could be a pathological problem. Assuming also that blood glucose levels are within normal range. May be because of various climateric changes during this time of the year and/or the general response of the organism to small changes within it. If you hydrate well, the urinary output may be abundant, in often manner, or both. Avoid having large amounts of fluids one to two hours before you go to sleep. With the medical therapy I provided in the first answer, I think the parameters provided as high, will be brought out of control effectively.

I hope this helps. Take care.

Kind regards,
Dr. Meriton

---