General fitness, health and nutrition · Public discussion

Re: Prescriptions for diabetics .

Started by Herman Rubin · · Last activity · 3 posts · 339 views

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General fitness, health and nutrition
Published
26 July 2005
Last activity
27 July 2005
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Herman Rubin
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  1. 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

  2. "Herman Rubin" <[email hidden]> wrote in message
    news:[email hidden]

    Quoted message said:

    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.

    Are beta blockers and calcium channel blokers contra
    indicated for diabetics ? What if ace-inhibitors donot bring
    desired effect .

    Kam

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

  3. "Kamalakar Pasupuleti" <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:

    "Herman Rubin" <[email hidden]> wrote in message
    news:[email hidden]

    Quoted message said:

    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.

    Are beta blockers and calcium channel blokers contra
    indicated for diabetics ? What if ace-inhibitors donot bring
    desired effect .

    Kam

    A common path is to start with and ACE (ARB if cough develops) and add
    a diuretic if a moderate dose of the first medication doesn't get you
    there. You get more bang for your buck by using meds with different
    actions and diuretics are cheap and don't have much of a down side.
    As Herman pointed out most start with the drug that is protective of
    the kidney and there is evidence that there is cardiovascular
    protection is in excess of that expected by blood pressure drop alone.
    In fact, the combination is common enough so my Diovan (an ARB) is
    available with a diruetic in the same pill.

    --
    -------
    Charly Coughran
    [email hidden]

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