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66 Years Old. Overweight. Test Showed Elevated Blood Pressure And Sugar Level. Concerned
Posted on
Tue, 22 Jan 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 22 Jan 2013
Answered on
Mon, 11 Feb 2013
Last reviewed on
Question : my dad is 66yro 195lbs blood pressure is 190-103 ...heart is 67..... blood sugar 171
Hi friend,
Welcome to Health Care Magic
There are a few problems that need attention.
HE SHOULD SEE AN INTERNIST / HE SHOULD HAVE BASIC INVESTIGATIONS – EKG, ECHOcardiogram, Renal function, Lipids and so on. HbA1c should be estimated. Glucose Tolerance Test (GTT) if not a known diabetic
BLOOD PRESSURE gets the priority.
It is moderately elevated and needs immediate attention and treatment.
Several classes of drugs are there / thee are several drugs in each class.
An ARB (Angiotensin Receptor Blocker) or ACEI (Angiotensin Converting Enzyme Inhibitor) is often the first choice. Start a small dose / step up / if not controlled add another class – usually a CCB (Calcium Channel Blocker) / may be a third drug like Diuretic...
WEIGHT should be reduced. Life style modifications – diet and exercise – are the mainstay. Initially, he should see a dietician – to master the principles and practice.
SUGAR should be addressed. 171 is rather high, if it is the fasting value. Not very high, if 2 hours after food.
In general, there may be nothing to worry.
He needs to be examined / investigated / treated
He needs regular follow up.
Happy to see a good son, caring for his father...
Take care
Wishing speedy recovery
God bless
Good luck
Welcome to Health Care Magic
There are a few problems that need attention.
HE SHOULD SEE AN INTERNIST / HE SHOULD HAVE BASIC INVESTIGATIONS – EKG, ECHOcardiogram, Renal function, Lipids and so on. HbA1c should be estimated. Glucose Tolerance Test (GTT) if not a known diabetic
BLOOD PRESSURE gets the priority.
It is moderately elevated and needs immediate attention and treatment.
Several classes of drugs are there / thee are several drugs in each class.
An ARB (Angiotensin Receptor Blocker) or ACEI (Angiotensin Converting Enzyme Inhibitor) is often the first choice. Start a small dose / step up / if not controlled add another class – usually a CCB (Calcium Channel Blocker) / may be a third drug like Diuretic...
WEIGHT should be reduced. Life style modifications – diet and exercise – are the mainstay. Initially, he should see a dietician – to master the principles and practice.
SUGAR should be addressed. 171 is rather high, if it is the fasting value. Not very high, if 2 hours after food.
In general, there may be nothing to worry.
He needs to be examined / investigated / treated
He needs regular follow up.
Happy to see a good son, caring for his father...
Take care
Wishing speedy recovery
God bless
Good luck
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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