What medicine is good to take for high blood pressure caused by diabetes

Diabetes mellitus and hypertension are common diseases in middle-aged and elderly people, and they often cause and effect each other, fueling each other and aggravating the risk of vascular lesions. The coexistence of the two diseases increases the difficulty of ** and affects the prognosis. Therefore, it is necessary to choose appropriate antihypertensive drugs while controlling blood sugar well to achieve blood pressure standards.

How to choose antihypertensive drugs reasonably. In principle, it is necessary to lower blood pressure without affecting blood sugar, and if necessary, a combination of drugs should be used. Specifically, most experts advocate the first choice of angiotensin-converting enzyme inhibitors (such as benazepril, enalapril, etc.), because such "puri" drugs (trade names such as lodinin, Kaibotong, etc.) can not only lower blood pressure, but also improve the sensitivity of muscle and fat to insulin, and do not affect the metabolism of sugar and fat; It can also protect kidney function in diabetics.

If the ideal antihypertensive effect is not achieved, other antihypertensive drugs can also be considered, such as combined with angiotensin receptor antagonists (such as losartan, etc.), which can exert a synergistic antihypertensive effect without affecting the body's tolerance to glucose and increasing insulin sensitivity; It can also be used in combination with calcium channel blockers such as nifedipine (heartache, etc.), which can lower blood pressure without affecting sugar and fat metabolism.

It is generally accepted that receptor blockers (eg, betaloc) are best avoided in hypertensive patients with diabetes mellitus, as they may inhibit insulin secretion by pancreatic islet cells. Of course, due to the differences in each person's condition, it must be individualized, so it is necessary to formulate a specific plan under the guidance of a doctor.

Hypertension is closely related to hyperglycemia, and when blood sugar rises, it causes an increase in plasma osmolality and an increase in blood volume. When blood volume increases throughout the body, the pressure on blood vessels increases, which leads to an increase in blood pressure. Moreover, hyperglycemia can also cause insulin resistance, decreased insulin activity, decreased carbon monoxide production in vascular endothelial cells, and increased indirectness of vasoconstriction, resulting in increased blood pressure.

Hypertension can also lead to an increase in blood sugar, because long-term hypertension can cause insulin resistance and endothelial damage, which can cause poor blood sugar metabolism and increase blood sugar, so hypertension is closely related to high blood sugar.

Patients with high blood pressure must pay attention to their eating habits and try to reduce salt, fat and sugar. Patients with hyperglycemia must pay attention to their blood pressure, usually after suffering from hyperglycemia for many years, blood pressure will rise, so it is necessary to monitor blood pressure at the same time as monitoring blood sugar.

And we must pay attention to the changes in our living habits, try to avoid sugar intake, and avoid excessive salt and fat intake. Eat more fresh vegetables and fruits, drink some Luding tea, and exercise appropriately. It is also necessary to have a regular work and rest, quit smoking, quit drinking, try to eat less pickled foods and fried, fried, fatty meat, and try to eat more like apples, grapefruits, kiwifruit, and then green vegetables with high fiber content, which will help the health of the body.

Question 1: What antihypertensive drugs are good for diabetes and hypertension For diabetes and hypertension, you can take sartan antihypertensive drugs, such as valsartan, telmisartan, etc.

Because sartan antihypertensive drugs can not only lower blood pressure, but also have a good bile protection effect on the heart, brain and kidneys.

A series of large-scale clinical trials have proved that patients with heart failure, diabetes, kidney disease and left ventricular hypertrophy can not only reduce blood pressure, but also effectively prevent and treat the above complications.

Question 2: What antihypertensive drugs should be taken for essential hypertension with diabetes Daiwen (valsartan capsules), lowering blood pressure can provide better target organ protection at the same time, because diabetes often causes heart and kidney damage. Daiwen can provide protection for the heart and kidneys, and the antihypertensive effect is also good.

Question 3: What is the best blood pressure medicine for patients with urine Don't take the medicine indiscriminately, diabetics just need to pay attention to not eating high-calorie and high-sugar foods.

Question 4: What antihypertensive drugs are good for diabetic nephropathy and high blood pressure Antihypertensive drugs should be taken for a long time, and there are ***, it is recommended that you take a vitamin with antihypertensive drugs, and your blood pressure will become more and more stable.

Question 5: What medicine is good for diabetes and high blood pressure Is it better to ask what blood sugar medicine to use, or what blood pressure medicine is better to use for age.

When diabetes mellitus is combined with hypertension, there are no special requirements for the use of hypoglycemic drugs. The selection of antihypertensive drugs is particular, diuretic and - receptor blockersAntihypertensive drugs can reduce glucose tolerance and be used sparingly; Angiotensin-converting enzyme inhibitors (ACE inhibitors, such as enalapril, etc.) can improve human glucose tolerance, and have a protective effect on the kidneys, and can prevent or delay the occurrence of diabetic nephropathy, so it is recommended; Angiotensin receptor-II antagonists (ARB, such as losartan, etc.) have a protective effect on the kidneys, can prevent or delay the occurrence of diabetic nephropathy, and are recommended. Other classes of antihypertensive drugs have no effect on diabetes.

If you consider diabetes mellitus with hypertension, you should manage the complications formally. The blood pressure target for diabetes is 130 to 80 or less. Now blood sugar is well controlled, but blood pressure also needs to be controlled within the ideal range, so that there is no damage to the target organs.

Antihypertensive drugs should be used for diabetes and hypertension, and pril or sartan should be used, which is conducive to protecting important organs. Control your dietary intake and eat less salt. Review regularly.

The use of hypoglycemic drugs can only control and has no effect, and long-term use has *** to the body, and will produce drug resistance. "Gastric diversion surgery" is a good choice for diabetic patients, and the advantage of surgery** diabetes is that it gets rid of the shackles of hypoglycemic drugs after surgery, and can restore normal blood sugar and normal diet.

At present, the Diabetes Center of the Chongqing Armed Police Corps Hospital and the Guangxi Armed Police Corps Hospital are carrying out this operation, you can get a general understanding.

If there is snoring, it works well with a sleep apnea.

Eat 7 to 8 layers of full food at each meal, with less oil and less salt.

Eat more beans and deep-sea fish.

Health products to choose from:

1. Fish oil and lecithin can prevent and **, and can also remove garbage in the blood vessels 2, it is recommended to eat spirulina in Chenghai Lake with better results.

I bought it for my grandfather to eat for 2 months, and I went to the hospital for a check-up, and I have been eating, and I recommend going to** [Bishui Qinghe] Buy them with good quality and fresh products.

Metformin, glipizide, PSS tablets, enalapril maleate tablets plus Liuwei Dihuang pills (concentrated pills).

I am a patient with type 2 diabetes and high blood pressure, I am ashamed of what medicine works well? Can you please help me?

Blood pressure medication will only make your blood pressure and blood sugar higher and higher.

Hello, according to your blood pressure situation and diabetes, it is recommended to choose a long-acting preparation with a small number of medications and a stable antihypertensive effect It can be seen that he is "the road of perseverance and perseverance" How to prevent it Follow the doctor's advice.