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How Can Blood Glucose Levels Be Treated While On BP Medications?
Posted on
Wed, 14 Mar 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 14 Mar 2018
Answered on
Tue, 19 Mar 2019
Last reviewed on
Question : I had comp metab/lipid panel done on 7/22/17 and all of my numbers were perfectly in line. Between then and most recent metab/lipid panel done on 3/10/18, I all but ceased my normal exercise routine and did not really watch my diet very well and I gained about 10-lbs (normal weight is ~215-220 lbs) and my Dr. also put me on Olmesartin/HCTZ for Stage 2 hypertension. My BP has always been and was normal back on 7/22/17 but was fluctuating up and down toward the end of 2017 (three male siblings and father have HYPRTSN).
My 3/10/18 metab/lipid panel has my glucose at 110, my BUN at 27, CRTN at 1.09, BUN/CRTN at 25, with cholesterol at 213, triglyc's at 216, ldl at 127, hdl at 163. This panel was taken about 1-1/2 weeks after a all inclusive vacation where I ate and drank much more than usual and 3-days before leaving for that trip I was diagnosed with a severe neck sprain for which they gave me a very strong NSAID (cant remember name but pink tablet has a P50 on it) that I took through to completion. Note I also eat a high protein diet and have been drinking about 48-oz of water/day.I am seeing my Dr. this evening but wanted another opinion as I listen to what he has to say.
My questions, can this increase in BUN/CRTN levels be caused my the new BP meds? I presume the raise in other numbers is predominantly diet/exercise related? Is the 110 glucose level and elevated lipid readings cause for concern considering the recent vacation indulgence? Should I have to go for further evaluation for diabetes or would you recommend giving me 30-45 days to get my weight, diet, exercise routine in order and retest?
Thanks
My 3/10/18 metab/lipid panel has my glucose at 110, my BUN at 27, CRTN at 1.09, BUN/CRTN at 25, with cholesterol at 213, triglyc's at 216, ldl at 127, hdl at 163. This panel was taken about 1-1/2 weeks after a all inclusive vacation where I ate and drank much more than usual and 3-days before leaving for that trip I was diagnosed with a severe neck sprain for which they gave me a very strong NSAID (cant remember name but pink tablet has a P50 on it) that I took through to completion. Note I also eat a high protein diet and have been drinking about 48-oz of water/day.I am seeing my Dr. this evening but wanted another opinion as I listen to what he has to say.
My questions, can this increase in BUN/CRTN levels be caused my the new BP meds? I presume the raise in other numbers is predominantly diet/exercise related? Is the 110 glucose level and elevated lipid readings cause for concern considering the recent vacation indulgence? Should I have to go for further evaluation for diabetes or would you recommend giving me 30-45 days to get my weight, diet, exercise routine in order and retest?
Thanks
Brief Answer:
Diet, exercise and lifestyle modifications, Control in 2-3months!
Detailed Answer:
Hi,
1. Blood glucose of 110 raises questions about increased risk for diabetes. I will recommend exercise, diet and lifestyle modifications only at this time. There is no need for aggressive further workup at this time.
2. Same as above, get all in place and control your numbers in 2-3months time. While they are out of the normal range, nondrug measures should be tried first and medications only used if they fail. I believe you would do pretty good seen the fact that you had abandoned healthy habits for a while and had a vacation where you were prone to eating unhealthy.
3. The same information for your kidneys. I wouldn't bother much unless these numbers XXXXXXX high on the follow-up evaluation. In the interim, to be cautious, avoid over the counter pain medications such as Tylenol, naproxen, aspirin, etc.
Hope I have answered your query.
Take care
Regards,
Dr Ivo Ditah, Internal Medicine Specialist
Diet, exercise and lifestyle modifications, Control in 2-3months!
Detailed Answer:
Hi,
1. Blood glucose of 110 raises questions about increased risk for diabetes. I will recommend exercise, diet and lifestyle modifications only at this time. There is no need for aggressive further workup at this time.
2. Same as above, get all in place and control your numbers in 2-3months time. While they are out of the normal range, nondrug measures should be tried first and medications only used if they fail. I believe you would do pretty good seen the fact that you had abandoned healthy habits for a while and had a vacation where you were prone to eating unhealthy.
3. The same information for your kidneys. I wouldn't bother much unless these numbers XXXXXXX high on the follow-up evaluation. In the interim, to be cautious, avoid over the counter pain medications such as Tylenol, naproxen, aspirin, etc.
Hope I have answered your query.
Take care
Regards,
Dr Ivo Ditah, Internal Medicine Specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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