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What Causes High Blood Pressure?
Good afternoon. My friend has been struggling for a week or two now with her blood pressure not coming down - it goes higher with each visit to the doctor. The latest result was about 170/150 ! The doctor says he does not know what is wrong and she even went for a second opinion, with the same answer. Medication is not helping and blood sugar also elevated - 11. What could the cause be ?
Thu, 15 Jun 2017
Hello,
Brief answer: Persistent high blood pressure needs control and follow-up, blood sugar alone cannot diagnose diabetes.
Explanation: My opinion is that persistent high blood sugar on multiple occasions in and out of doctors office is a diagnosis of hypertension that needs to be controlled by lifestyle modification, exercise and if not, medication. Random blood sugar alone is not good enough to diagnose diabetes. Other tests like oral glucose tolerance test and hemoglobin A1C are essential to diagnose (one of them is good). Also, if diagnosed needs to be controlled first with lifestyle, some medications like Metformin or maybe more, and that according to type of diabetes, age, risk factors, etc.
I suggest my people the following measure blood pressure at home with a good technique and that you can check on you tube videos. Do other tests like HBA1C, lipid profile, etc. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors, smoking, and anxiety issues.
Conclusion: I suggest you home blood pressure monitoring and recheck you medication with your doctor. Do other tests to be sure of diabetes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mahmmad Gamal
Brief answer: Persistent high blood pressure needs control and follow-up, blood sugar alone cannot diagnose diabetes.
Explanation: My opinion is that persistent high blood sugar on multiple occasions in and out of doctors office is a diagnosis of hypertension that needs to be controlled by lifestyle modification, exercise and if not, medication. Random blood sugar alone is not good enough to diagnose diabetes. Other tests like oral glucose tolerance test and hemoglobin A1C are essential to diagnose (one of them is good). Also, if diagnosed needs to be controlled first with lifestyle, some medications like Metformin or maybe more, and that according to type of diabetes, age, risk factors, etc.
I suggest my people the following measure blood pressure at home with a good technique and that you can check on you tube videos. Do other tests like HBA1C, lipid profile, etc. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors, smoking, and anxiety issues.
Conclusion: I suggest you home blood pressure monitoring and recheck you medication with your doctor. Do other tests to be sure of diabetes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mahmmad Gamal
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