General fitness, health and nutrition · Public discussion

Prescriptions for diabetics .

Started by Kamalakar Pasupuleti · · Last activity · 80 posts · 2,010 views

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General fitness, health and nutrition
Published
26 July 2005
Last activity
2 August 2005
Original author
Kamalakar Pasupuleti
Posts
80
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  1. Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

  2. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

    The definitive guide on diabetes is:

    http://www.amazon.com/exec/obidos/tg/detail/-/0316099066/qid=1122406072/sr=8-1/ref=pd_bbs_sbs_1/103-4432530-3656655?v=glance&s=books&n=507846

    Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving
    Normal Blood Sugars Revised & Updated
    by Richard K. Bernstein

    Read it.

    TC

  3. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

    The definitive guide on diabetes is:

    http://www.amazon.com/exec/obidos/tg/detail/-/0316099066/qid=1122406072/sr=8-1/ref=pd_bbs_sbs_1/103-4432530-3656655?v=glance&s=books&n=507846

    Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving
    Normal Blood Sugars Revised & Updated
    by Richard K. Bernstein

    Read it.

    TC

  4. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

    The definitive guide on diabetes is:

    http://www.amazon.com/exec/obidos/tg/detail/-/0316099066/qid=1122406072/sr=8-1/ref=pd_bbs_sbs_1/103-4432530-3656655?v=glance&s=books&n=507846

    Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving
    Normal Blood Sugars Revised & Updated
    by Richard K. Bernstein

    Read it.

    TC

  5. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

    The definitive guide on diabetes is:

    http://www.amazon.com/exec/obidos/tg/detail/-/0316099066/qid=1122406072/sr=8-1/ref=pd_bbs_sbs_1/103-4432530-3656655?v=glance&s=books&n=507846

    Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving
    Normal Blood Sugars Revised & Updated
    by Richard K. Bernstein

    Read it.

    TC

  6. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

    The definitive guide on diabetes is:

    http://www.amazon.com/exec/obidos/tg/detail/-/0316099066/qid=1122406072/sr=8-1/ref=pd_bbs_sbs_1/103-4432530-3656655?v=glance&s=books&n=507846

    Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving
    Normal Blood Sugars Revised & Updated
    by Richard K. Bernstein

    Read it.

    TC

  7. TC wrote

    Quoted message said:


    snip

    The definitive guide on diabetes is:


    No, it is not the defintiive guide. No such thing exists. YMMV

    Quoted message said:

    Dr. Bernstein

    Read it.


    Is that a commandment, or advice? Sounds like the first
    ..
    Do you know what YMMV means?

    Alan H

    BTW i have read the book, and some -- but only some -- of it is very useful
    for me - but NOT absolute for everyone. YMMV

    Quoted message said:

    TC

  8. TC wrote

    Quoted message said:


    snip

    The definitive guide on diabetes is:


    No, it is not the defintiive guide. No such thing exists. YMMV

    Quoted message said:

    Dr. Bernstein

    Read it.


    Is that a commandment, or advice? Sounds like the first
    ..
    Do you know what YMMV means?

    Alan H

    BTW i have read the book, and some -- but only some -- of it is very useful
    for me - but NOT absolute for everyone. YMMV

    Quoted message said:

    TC

  9. TC wrote

    Quoted message said:


    snip

    The definitive guide on diabetes is:


    No, it is not the defintiive guide. No such thing exists. YMMV

    Quoted message said:

    Dr. Bernstein

    Read it.


    Is that a commandment, or advice? Sounds like the first
    ..
    Do you know what YMMV means?

    Alan H

    BTW i have read the book, and some -- but only some -- of it is very useful
    for me - but NOT absolute for everyone. YMMV

    Quoted message said:

    TC

  10. TC wrote

    Quoted message said:


    snip

    The definitive guide on diabetes is:


    No, it is not the defintiive guide. No such thing exists. YMMV

    Quoted message said:

    Dr. Bernstein

    Read it.


    Is that a commandment, or advice? Sounds like the first
    ..
    Do you know what YMMV means?

    Alan H

    BTW i have read the book, and some -- but only some -- of it is very useful
    for me - but NOT absolute for everyone. YMMV

    Quoted message said:

    TC

  11. TC wrote

    Quoted message said:


    snip

    The definitive guide on diabetes is:


    No, it is not the defintiive guide. No such thing exists. YMMV

    Quoted message said:

    Dr. Bernstein

    Read it.


    Is that a commandment, or advice? Sounds like the first
    ..
    Do you know what YMMV means?

    Alan H

    BTW i have read the book, and some -- but only some -- of it is very useful
    for me - but NOT absolute for everyone. YMMV

    Quoted message said:

    TC

  12. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    I think every doc has his own preferences, but for a T2, most start with
    metformin at 500mg qd, ramping it up as the GI distress decreases. Some
    seem to add a sulf, either through ignorance or to knock down the
    glucotoxicity right away. From there it is all tweaking the meds,
    perhaps adding a TZD, until fasting and A1c come down.

    The preferred BP meds for a diabetic are the ACE class, then the ARBs if
    people get the bradykinin cough. CCBs have some negative effects in
    diabetics, as do BBs.

  13. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    I think every doc has his own preferences, but for a T2, most start with
    metformin at 500mg qd, ramping it up as the GI distress decreases. Some
    seem to add a sulf, either through ignorance or to knock down the
    glucotoxicity right away. From there it is all tweaking the meds,
    perhaps adding a TZD, until fasting and A1c come down.

    The preferred BP meds for a diabetic are the ACE class, then the ARBs if
    people get the bradykinin cough. CCBs have some negative effects in
    diabetics, as do BBs.

  14. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    I think every doc has his own preferences, but for a T2, most start with
    metformin at 500mg qd, ramping it up as the GI distress decreases. Some
    seem to add a sulf, either through ignorance or to knock down the
    glucotoxicity right away. From there it is all tweaking the meds,
    perhaps adding a TZD, until fasting and A1c come down.

    The preferred BP meds for a diabetic are the ACE class, then the ARBs if
    people get the bradykinin cough. CCBs have some negative effects in
    diabetics, as do BBs.

  15. Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    Kam

    I think every doc has his own preferences, but for a T2, most start with
    metformin at 500mg qd, ramping it up as the GI distress decreases. Some
    seem to add a sulf, either through ignorance or to knock down the
    glucotoxicity right away. From there it is all tweaking the meds,
    perhaps adding a TZD, until fasting and A1c come down.

    The preferred BP meds for a diabetic are the ACE class, then the ARBs if
    people get the bradykinin cough. CCBs have some negative effects in
    diabetics, as do BBs.

  16. In article <[email hidden]>,

    Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    To use an American expression, "What do these medicine men
    know?" They do know something about safe doses, but not
    too much.

    There are several types of hypertension medicine, and as
    with just about anything, all medicines have risks and
    benefits. Remember that Your Mileage May Vary. Any
    doctor who is not willing to change medicines which do
    not work is dangerous.

    Typically, ACEs and ARBs (similar) are used to treat
    hypertension, and to avoid kidney problems. There are
    also diuretics, alpha blockers, beta blockers, calcium
    channel blockers which I know about. I am sure that
    there are more. Each of these works for some and not
    for others. Some of these help diabetes in some, and
    the same ones can make it worse in others. So they have
    to experiment one drug after the other.
    --
    This address is for information only. I do not claim that these views
    are those of the Statistics Department or of Purdue University.
    Herman Rubin, Department of Statistics, Purdue University
    [email hidden] Phone: (765)494-6054 FAX: (765)494-0558

  17. In article <[email hidden]>,

    Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    To use an American expression, "What do these medicine men
    know?" They do know something about safe doses, but not
    too much.

    There are several types of hypertension medicine, and as
    with just about anything, all medicines have risks and
    benefits. Remember that Your Mileage May Vary. Any
    doctor who is not willing to change medicines which do
    not work is dangerous.

    Typically, ACEs and ARBs (similar) are used to treat
    hypertension, and to avoid kidney problems. There are
    also diuretics, alpha blockers, beta blockers, calcium
    channel blockers which I know about. I am sure that
    there are more. Each of these works for some and not
    for others. Some of these help diabetes in some, and
    the same ones can make it worse in others. So they have
    to experiment one drug after the other.
    --
    This address is for information only. I do not claim that these views
    are those of the Statistics Department or of Purdue University.
    Herman Rubin, Department of Statistics, Purdue University
    [email hidden] Phone: (765)494-6054 FAX: (765)494-0558

  18. In article <[email hidden]>,

    Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    To use an American expression, "What do these medicine men
    know?" They do know something about safe doses, but not
    too much.

    There are several types of hypertension medicine, and as
    with just about anything, all medicines have risks and
    benefits. Remember that Your Mileage May Vary. Any
    doctor who is not willing to change medicines which do
    not work is dangerous.

    Typically, ACEs and ARBs (similar) are used to treat
    hypertension, and to avoid kidney problems. There are
    also diuretics, alpha blockers, beta blockers, calcium
    channel blockers which I know about. I am sure that
    there are more. Each of these works for some and not
    for others. Some of these help diabetes in some, and
    the same ones can make it worse in others. So they have
    to experiment one drug after the other.
    --
    This address is for information only. I do not claim that these views
    are those of the Statistics Department or of Purdue University.
    Herman Rubin, Department of Statistics, Purdue University
    [email hidden] Phone: (765)494-6054 FAX: (765)494-0558

  19. In article <[email hidden]>,

    Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    To use an American expression, "What do these medicine men
    know?" They do know something about safe doses, but not
    too much.

    There are several types of hypertension medicine, and as
    with just about anything, all medicines have risks and
    benefits. Remember that Your Mileage May Vary. Any
    doctor who is not willing to change medicines which do
    not work is dangerous.

    Typically, ACEs and ARBs (similar) are used to treat
    hypertension, and to avoid kidney problems. There are
    also diuretics, alpha blockers, beta blockers, calcium
    channel blockers which I know about. I am sure that
    there are more. Each of these works for some and not
    for others. Some of these help diabetes in some, and
    the same ones can make it worse in others. So they have
    to experiment one drug after the other.
    --
    This address is for information only. I do not claim that these views
    are those of the Statistics Department or of Purdue University.
    Herman Rubin, Department of Statistics, Purdue University
    [email hidden] Phone: (765)494-6054 FAX: (765)494-0558

  20. In article <[email hidden]>,

    Kamalakar Pasupuleti said:

    Are there any guide lines for physicians to prescribe medicines based on
    levels of BG and A1C are do they start experimenting one drug after the
    other.
    I think there is a certain relationship between diabetes and
    hypertension . I find my BP is elevated when my BG is also elevated .
    Are there seperate class of medications available to club both diabetes
    and hypertension ?

    To use an American expression, "What do these medicine men
    know?" They do know something about safe doses, but not
    too much.

    There are several types of hypertension medicine, and as
    with just about anything, all medicines have risks and
    benefits. Remember that Your Mileage May Vary. Any
    doctor who is not willing to change medicines which do
    not work is dangerous.

    Typically, ACEs and ARBs (similar) are used to treat
    hypertension, and to avoid kidney problems. There are
    also diuretics, alpha blockers, beta blockers, calcium
    channel blockers which I know about. I am sure that
    there are more. Each of these works for some and not
    for others. Some of these help diabetes in some, and
    the same ones can make it worse in others. So they have
    to experiment one drug after the other.
    --
    This address is for information only. I do not claim that these views
    are those of the Statistics Department or of Purdue University.
    Herman Rubin, Department of Statistics, Purdue University
    [email hidden] Phone: (765)494-6054 FAX: (765)494-0558

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