How To Control The High Blood Sugar And Blood Pressure Levels?
hello my brother is 36 yrs old,weighed 120kgs in april .he has a blood pressure 150/100...his blood sugar is 204 and and he has high protein in urine 550 diagonised on 3rd may..which means his kidney is being affected...after strict diet for sometime his blood sugar has come down to 140 and has lost 10kgs since then but his blood pressure remains the same 156/100 as per today.his doctor prescribed to him tablet telma 20 mg once in morning for 20 days...since he has kidney problem with slight pain is telma 20 mgs appropriate for him to take...would it have any bad effects on his kidney...pls reply..
Thank you for the query. As per the information provided, your brother is 36yrs old, with a weight of 120kg, hypertensive and diabetic. As per urinary protein quantification he is also having nephropathy. Since his Blood pressure was not controlled conservatively, he was started on Telma 40 mg. Telmisartan (Telma) is the drug of choice in this situation (combination of hypertension, diabetes with proteinuria). This drug abates proteinuria and is shown to be beneficial in albuminuria related to diabetic nephropathy. In fact this drug is kidney protective, however, in the initial stages of starting this drug, the renal parameters (creatinine) may get deranged. The rise in creatinine level (if present) must be monitored. Since the sugar level was once recorded at 204mg%, i would advise to get a complete blood sugar profile done (Fasting, 2hrs post prandial and HbAic). Your brother may need to start antidiabetic medications if the HbAic levels are more than 7.5%. You also need to get his renal function test (Urea, creatinine) done, at least as a baseline. Weight reduction is very important for management of his condition. He may well be suffering from what is known as metabolic syndrome (diabetes, obesity, hypertension). Hope this helps you out. Regards, Dr. Ayusmati Thakur
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How To Control The High Blood Sugar And Blood Pressure Levels?
Thank you for the query. As per the information provided, your brother is 36yrs old, with a weight of 120kg, hypertensive and diabetic. As per urinary protein quantification he is also having nephropathy. Since his Blood pressure was not controlled conservatively, he was started on Telma 40 mg. Telmisartan (Telma) is the drug of choice in this situation (combination of hypertension, diabetes with proteinuria). This drug abates proteinuria and is shown to be beneficial in albuminuria related to diabetic nephropathy. In fact this drug is kidney protective, however, in the initial stages of starting this drug, the renal parameters (creatinine) may get deranged. The rise in creatinine level (if present) must be monitored. Since the sugar level was once recorded at 204mg%, i would advise to get a complete blood sugar profile done (Fasting, 2hrs post prandial and HbAic). Your brother may need to start antidiabetic medications if the HbAic levels are more than 7.5%. You also need to get his renal function test (Urea, creatinine) done, at least as a baseline. Weight reduction is very important for management of his condition. He may well be suffering from what is known as metabolic syndrome (diabetes, obesity, hypertension). Hope this helps you out. Regards, Dr. Ayusmati Thakur