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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hypertension With Diabetes?

Hi,



I am 41 and have been diagnosed with hypertension. My blood pressure was 198/116 on Friday and today it was 169/98, which is obviously still too high. When I was first diagnosed about a year ago my blood pressure was 215/110, they conducted all the tests then, due to the fact I am also a type 2 diabetic. Can you assist me with what may be causing the problem?
posted on Fri, 14 Mar 2014
Twitter Mon, 16 May 2016 Answered on
Twitter Tue, 17 May 2016 Last reviewed on
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Internal Medicine Specialist,  's  Response
Brief Answer:
You should see an internist.

Detailed Answer:
Hello,
Thank you for using HCM. I understand your concern. Your age is too young and your blood pressure levels are to high , to have an essential (primary) hypertension.
You should be screened for all the secondary possible causes of hypertension such as renal stenosis , renal parenchymal disease , Cushing syndrome , Pheocromocitoma, Hyperaldosteronism, Hyperthyroidism, Sleep apnea, Acromegaly, Coartation of aorta.
For excluding each of them , you need to do a series of laboratory and imaging exams .
The internist is the adequate doctor which may lead you in detecting the causing factor of your hypertension.
I seems a little bit long way to do , but i encourage you to go under it , cause treating the causing factor once is better than treating hypertension for all of your life.
There are even cases in which eventhough you do all tests for secondary causes , it doesn't get out nothing. At this case we are in front of an idiopathic hypertension , which we have to deal with.


Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
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What Causes Hypertension With Diabetes?

Brief Answer: You should see an internist. Detailed Answer: Hello, Thank you for using HCM. I understand your concern. Your age is too young and your blood pressure levels are to high , to have an essential (primary) hypertension. You should be screened for all the secondary possible causes of hypertension such as renal stenosis , renal parenchymal disease , Cushing syndrome , Pheocromocitoma, Hyperaldosteronism, Hyperthyroidism, Sleep apnea, Acromegaly, Coartation of aorta. For excluding each of them , you need to do a series of laboratory and imaging exams . The internist is the adequate doctor which may lead you in detecting the causing factor of your hypertension. I seems a little bit long way to do , but i encourage you to go under it , cause treating the causing factor once is better than treating hypertension for all of your life. There are even cases in which eventhough you do all tests for secondary causes , it doesn t get out nothing. At this case we are in front of an idiopathic hypertension , which we have to deal with. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda