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Losartan

Discussion in 'Type 1 Diabetes' started by searley, Apr 4, 2020.

  1. searley

    searley Type 1 · Well-Known Member

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    I’ve just been prescribed losartan for blood pressure, I’ve taken it for 4 days now..

    But from the very first day I’ve had blood glucose level issues.. if I take the amount of insulin I normally take for food/correction the BG crashes fast.. a few times after food if found myself drop from 9mmol for 3.5 mmol I’ve adjusted my basal insulin down quite a bit but this will take a few to take effect as it’s tresiba.. I’ve reduced my insulin to carb ratio and waiting to see what happens today.

    Anyone else have experience of this? I’m interested to know if this is a temporary issue
     
  2. urbanracer

    urbanracer Type 1 · Moderator
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    Hi @searley

    Did your medication come with a PIL? (Patient Information Leaflet).

    "In Summary
    Commonly reported side effects of losartan include: asthenia, chest pain, diarrhea, fatigue, and hypoglycemia. Other side effects include: hyperkalemia, hypotension, and orthostatic hypotension. See below for a comprehensive list of adverse effects."

    I find it strange that you were not warned about the possible side effects as an insulin user.
     
    • Agree Agree x 1
  3. searley

    searley Type 1 · Well-Known Member

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    Yes I did read that... and I’m left unsure what to do for the best if I don’t take insulin then my levels don’t go to low, but as a T1 I don’t know how little insulin a can take before I’m putting myself at risk
     
  4. urbanracer

    urbanracer Type 1 · Moderator
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    I think all you can do is reduce the insulin doses slowly and keep checking your blood glucose levels to see if they level out.
     
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  5. EllieM

    EllieM Type 1 · Well-Known Member

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    Are you able to talk to your diabetic team by phone? This is the sort of issue they ought to be knowledgeable about....
     
  6. JMK1954

    JMK1954 Type 1 · Well-Known Member

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    In my experience, a lot of doctors know very little about the possible side-effects of anything they prescribe, but if anybody wants me to swallow anything these days, I remind them I am type 1 and ask if there are any side-effects I need to know about. The GP I see most often now checks on side-effects and reads them out without my having to ask.
     
  7. JMK1954

    JMK1954 Type 1 · Well-Known Member

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    @searley How are things now ? It would certainly be worth telling your doctors about this problem, as it strikes me that if you are ever switched to any other sort of BP medication, your BS will be affected all over again - and may spike high. If there is ever a manufacturing problem which affects the supply of a drug for example, you can get switched to a different drug to control BP. In your position, I would keep a note about the effect of Losartan had on you when you first started it, as a safety measure.
     
  8. searley

    searley Type 1 · Well-Known Member

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    I’ve reduced my tresiba.. and as work won’t allow my in at the moment so am slightly less active my bg levels are no longer crashing I’m keen to stay on them for a couple more weeks to see what happens as my BP is at a level it needs reducing.

    However the last time I took BP meds about 8 years ago I ended up on 5 tablets at maximum dose and my BP was still high.

    I agreed with the GP to try this one to see what effect it has
     
  9. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

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    Hi. Glad you are able to talk about this with your gp. I am taking a sartan (irbesartan) and have had no side effects that I have noticed. I am taking it for kidney disease but it is an anti hypertensive too.
    The other option is to drop carbs/increase exercise over the longer term. Not to mention eating cruciferous veg (brocoli and cauliflower etc.\.
    Fortunately this isn't in the Ace Inhibitor class of meds that is rumoured to make you more vulnerable to CoVid complications.
     
    • Useful Useful x 1
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