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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Beta Blockers Advisable For Hypertensive And Diabetic Patient?

had 4 bypasses 23 years ago have 3 open -the ascending artery is 100 % closed but have great collateral veins going around it- did not have a heart attack no muscle damage my doctor has suggested lisinopril - my bloodpressure is 138/78 im a type 2 diabetic on pills n insuling metformin1000 twice a day- novalog 15 each meal and lantus 25 at night im 5ft/ 10 -225 weight--- very active play pickleball/ bowl -- and work out on weights 4 days a week-- last time I tried beta blockers it was terrible couldn t hardly get out of my chair
Mon, 14 Mar 2016
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General & Family Physician,  's  Response
Hi & Welcome to HCM.
I can understand your concern regarding the safety of Beta blockers while treating high BP while suffering from diabetes.
Beta blockers are not advisable for the treatment of high BP in patients with diabetes who are taking Insulins to control their blood glucose level.
1. Beta blockers can mask the signs and symptoms of Insulin or 'hypoglycemic awareness' which can be dangerous in diabetic patient.
2. Beta blockers may also interfere with the blood glucose levels because of they interfere with the carbohydrate metabolism in the liver.
Hence, they should be avoided in patient with diabetes.
Angiotensin converting enzyme inhibitors like Lisinopril are the standard treatment of high BP in patients with diabetes. They not only reduce the high BP effectively, but also prevent the complications of diabetes involving the kidneys.
Hope the suggestions would be useful to you.
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Are Beta Blockers Advisable For Hypertensive And Diabetic Patient?

Hi & Welcome to HCM. I can understand your concern regarding the safety of Beta blockers while treating high BP while suffering from diabetes. Beta blockers are not advisable for the treatment of high BP in patients with diabetes who are taking Insulins to control their blood glucose level. 1. Beta blockers can mask the signs and symptoms of Insulin or hypoglycemic awareness which can be dangerous in diabetic patient. 2. Beta blockers may also interfere with the blood glucose levels because of they interfere with the carbohydrate metabolism in the liver. Hence, they should be avoided in patient with diabetes. Angiotensin converting enzyme inhibitors like Lisinopril are the standard treatment of high BP in patients with diabetes. They not only reduce the high BP effectively, but also prevent the complications of diabetes involving the kidneys. Hope the suggestions would be useful to you.