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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP,sugar And Cholesterol Levels

I am 37 years old my height is 5.9 inch. & my weight is 96 kg.. last month i do the blood chekup, total colestrol is 170, sugar fasting is 110 & after food is 150. My BP is 140 & 85 ( last month it sudanly rase to 160 & 100). So plase advise me about what care i have to take & what msdicine i have to take.
Fri, 26 Jun 2015
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Cardiologist 's  Response
Hello! Thank you for asking on HCM! Regarding your concern, I would explain that, if your BP values continue to such high values (140 to 160 mm Hg), than you are considered to have borderline high to grade 1 hypertension. In that case, I recommend you to closely monitor your BP values at least for a week (more than 3 times during the day), to confirm an exact average BP situation, and also perform some additional tests, like complete blood count (to rule out possible anemia), thyroid hormone levels, liver and renal function tests, blood electrolytes, etc.

Besides your high BP values you have no declared obvious coronary risk factors, so you are considered almost in low risk for future coronary events.

My recommendations are to control your high BP values (if they are persistently confirm to start a monotherapy, like an ACEI, ARB, acalcium channel blocker, etc), and try to reduce your weight as it contributes to coronary risk profile. YO should continue to avoid smoking contacts, follow a healthy physically active life style, and a healthy diet too (Mediterranean diet is highly recommended).
Hope to have been helpful! Greetings! Dr. Iliri
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Cardiologist Dr. Dr. Meriton Siqeca's  Response
Hello. Thank you for your question.

I read your concerns carefully. I notice two striking things. First, your blood glucose level after the meal. I would recommend a test with loading glucose, to look at the glicemic levels after three meals. Second, according to your age, the blood pressure figures are abnormal. I suggest you to be put on a 24-hour blood pressure monitor. Actually, I need more information in order to address your concerns properly. After the results of the BP, measured in 24 hours, we can discuss about possible causes and, eventually, treatment.

I hope I was helpful with my information. Feel free to ask me again. Take care
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Suggest Treatment For High BP,sugar And Cholesterol Levels

Hello! Thank you for asking on HCM! Regarding your concern, I would explain that, if your BP values continue to such high values (140 to 160 mm Hg), than you are considered to have borderline high to grade 1 hypertension. In that case, I recommend you to closely monitor your BP values at least for a week (more than 3 times during the day), to confirm an exact average BP situation, and also perform some additional tests, like complete blood count (to rule out possible anemia), thyroid hormone levels, liver and renal function tests, blood electrolytes, etc. Besides your high BP values you have no declared obvious coronary risk factors, so you are considered almost in low risk for future coronary events. My recommendations are to control your high BP values (if they are persistently confirm to start a monotherapy, like an ACEI, ARB, acalcium channel blocker, etc), and try to reduce your weight as it contributes to coronary risk profile. YO should continue to avoid smoking contacts, follow a healthy physically active life style, and a healthy diet too (Mediterranean diet is highly recommended). Hope to have been helpful! Greetings! Dr. Iliri