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GP and DN are not being helpful

akindrat18

akindrat18

Well-Known Member
After having the results back from my blood tests my GP has said that Blood Pressure has come down quite a lot from being on ramipril for nearly 2 months, but he has decided to increase the strength from 5mg to 10mg even though my Blood Pressure has come down from 178/90 to 136/70. My Hba1C has lowered down to 9.5 from 11.8 in three months, but it's not as good as it was 6 months ago with it being 8.3. Also my weight has slight gone up from 147kg to 150kg even though I am walking 2 hours a day every week and I still haven't been able to use the gym or pool yet as the Livewell programme as I fire burnt down the building and I am nearing the end of my 2nd year at uni.

I am still on 2 metformin 500mg twice daily, 1 morning and 2 evening Gliclazide 80mg and 1 Ramipril 10mg. I have been following a lowish carb diet and been avoiding bread, rice, pasta, potatoes, porridge with the exception of pizza dough and yesterday a burger bun.
 
Doctors :rolleyes: you just keep doing what you know is right, great job with the walking! i had a similar experience, i went to see the doc to ask for my bp meds to be reduced as it was 250/150 and fallen to 106/65 everydy (i self check it) but i suffer from white coat syndrome nd i said to the doc before he took it i had been testing it alot nd it would be higher because of the situation, which it was and he wanted to up the bp meds lol i said are you joking? i came here to have them reduced as im going dizzy when i stand etc, so without a second thought he said ok then and reduced them lol so he went from upping them to lowing them because i asked him if he was joking, you couldnt make it up, so id say research for yourself and only use the doc for the stuff you have to, anyway im rambling, well done you, keep it up :) maybe try a further carb reduction to help with the weight, best of luck
 
136/70 is only very slightly above the desired range of 130 for diabetics. I take BP meds but I also get higher readings at the docs. I take my own readings at work which the doc accepts. If you can afford a BP monitor, they are fairly cheap from Amazon, approx £20 or so for electronic one. You can then take your own readings as they can vary a great deal. If you up the dose, keep a close eye on your readings and report back to your doc as you don't want to drop too low.


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I do wonder if your gp is upping the Ramipril dose to protect your kidneys, bp drugs like Ramipril are often given to diabetics to help prevent kidney disease and to treat it once it progresses, they are called Ace Inhibitors and if you google this you will find some good explanations on how they work,

I'm sure once you start using the gym and pool again and lose some weight you will notice a big difference in your bp readings, if you feel unwell on the higher dose of Ramipril mention it to your gp.
 
noblehead said:
I do wonder if your gp is upping the Ramipril dose to protect your kidneys, bp drugs like Ramipril are often given to diabetics to help prevent kidney disease and to treat it once it progresses, they are called Ace Inhibitors and if you google this you will find some good explanations on how they work,

I'm sure once you start using the gym and pool again and lose some weight you will notice a big difference in your bp readings, if you feel unwell on the higher dose of Ramipril mention it to your gp.
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Yes he is the upping the Ramipril as in January I had my urine tested which showed signs of protein. Nowadays I am starting to get hypos and I even fainted today in a shop after having a nose bleed and coughing up blood, the ambulance came and gave me a bottle of coke to drink as my blood sugars were 3.2. The paramedics told me that I should talk to my GP about dealing with hypos.
 
136/70 is only very slightly above the desired range of 130 for diabetics. I take BP meds but I also get higher readings at the docs. I take my own readings at work which the doc accepts
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They can also do a 24h BP profile if it's a borderline case or you can convince them that high BP is due ton"white coat syndrome"
 
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