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My first follow up a month after diagnosis.

Joe Sweatthang

Joe Sweatthang

Well-Known Member
Messages
241
Type of diabetes
Treatment type
Diet only
Dislikes
Not Paragliding
The first thing I was asked was for my eating and exercise calendar. Ah, well, haven't done one....but....exercise..at least 5 x 13km rowing @ 55mins per week. 4 x 6 story climb per day. Eating, much less carbs, bit more fruit....she wasn't impressed with the latter. She was impressed with my knowledge of diabetes and the fact that I had lost an inch around the waist and 2kg in weight in 4 weeks. So the session went reasonably well but she offered me a prescription for Ramipril when I mention that I still need 1 or 2 pees in the middle of the night. My blood pressure readings have always been good for my age so I declined. On my first visit she wanted to give me statins which I also declined.
Is anyone taking Ramipril just for diabetes ? I can't see the point if a.my blood pressure is good & b.I intend to lower my BG levels through diet and exercise thus reducing my need to pee. What do you guys think ?
 
Ramipril has an effect on the passage of water in the kidneys if I remember.
I didn't take it though, and I still stopped having to get up to pee fairly quickly.
 
Well done for the weight loss and waist line. I haven't had my first month review yet and don't really know what to expect, other than the urine test she promised me! Talking of urine, I have always had to pee at least once, sometimes twice, during the night. This is perfectly normal for me and has been the case as far back as I can remember. It wouldn't even occur to me to mention it.

As far as high blood pressure meds are concerned, I can't understand why she suggested them if you don't have high BP. For a diabetic with no evidence of kidney, eye or CV disease, the max average BP is 140/80. More than that may cause concern. Are you under this?
 
Bluetit1802 said:
Well done for the weight loss and waist line. I haven't had my first month review yet and don't really know what to expect, other than the urine test she promised me! Talking of urine, I have always had to pee at least once, sometimes twice, during the night. This is perfectly normal for me and has been the case as far back as I can remember. It wouldn't even occur to me to mention it.

As far as high blood pressure meds are concerned, I can't understand why she suggested them if you don't have high BP. For a diabetic with no evidence of kidney, eye or CV disease, the max average BP is 140/80. More than that may cause concern. Are you under this?
Click to expand...
Last reading was 110/70. Normally around 120/70. Resting heart rate 55...I can get this down to 47. And I'm 57.
 
Although like you my bp was fine my Ophthalmologist and gp decided that I should take Ramipril when I developed diabetic retinopathy, the thinking that the lower the bp the better it was whilst the retinopathy was active.

Although I've been clear now for 8-9 years now I still take Ramipril, I was told at the time of taking that it also helps protect the kidneys so that is a good enough reason to continue, I did stop it for a short while but soon started to take it again, so far not had any side-effects whatsoever.
 
Taking Ramipril just because you have diabetes is stupid of the GP. It's a blood pressure control pill and has nothing to do with diabetes; where do some GPs get their guidance? I think you will find NICE does not suggest prescribing it for diabetes as such. Your blood pressure readings are well within the good range. My GP prescribed the lowest dose of Ramipril as my blood pressure was starting to go just above the good range which made some sense.
 
That's a fine result for your first 4 weeks. Your exercise looks really good and I think you made the right decision to refuse the Ramipril, which, as you said, doesn't seem necessary.
 
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