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Old 07-14-2005, 02:01 PM   #1
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Maxide = higher glucose - Which med?

Maxide has elevated my glucose 26 points. I stopped it four days ago and tested my blood (friend has a tester). Down from 106 to 80....and interestingly enough, my blood pressure is down also - staying steady at 138/78. Don't ask me! I am wondering if my increase in exercise is starting to show in the lower BP.

My question is - which BP meds will not cause elevated glucose? Thanks!
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Old 07-14-2005, 05:55 PM   #2
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Re: Maxide = higher glucose - Which med?

Quote:
Originally Posted by lillypad
Maxide has elevated my glucose 26 points. I stopped it four days ago and tested my blood (friend has a tester). Down from 106 to 80....and interestingly enough, my blood pressure is down also - staying steady at 138/78. Don't ask me! I am wondering if my increase in exercise is starting to show in the lower BP.

My question is - which BP meds will not cause elevated glucose? Thanks!

I don't think the Ace or ARB's cause glucose to rise. I was on Altace and had no problems, but the cough drove me wacko, and it did nothing for my BP. Now I am on Avapro, and things seem to be fine. Good luck....

 
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Old 07-15-2005, 04:53 AM   #3
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Re: Maxide = higher glucose - Which med?

lily,
Here's the British Government's recommendation for people with both conditions:

Quote:
Table 2. Initial treatment recommendations in hypertensive people with no degree of nephropathy

Antihypertensive
Recommendations

ACE inhibitors
First choice in heart failure, left ventricular dysfunction and diabetes.

Angiotensin II receptor antagonists (AIIRAs)
Alternative option for someone who cannot tolerate an ACE inhibitor.

Thiazide diuretics
A low dose of thiazide is first choice in most people, especially those over 60 years.

Beta-blockers
Cardioselective agents are preferred. First choice if angina or history of myocardial infarction. Those that are appropriately licensed may be considered in people with heart failure.

Calcium-channel blockers (dihydropyridines)
Long-acting dihydropyridines are an alternative option in elderly people, especially those with isolated systolic hypertension. Consider as an alternative option in angina if a beta-blocker is not tolerated or is contraindicated.

Calcium-channel blockers (rate-limiting)
Alternative option for someone with angina if a beta-blocker is not tolerated or is contraindicated.

Alpha-blockers
An option in someone with prostatism, and to be considered for someone with dyslipidaemia.
You might want to read the entire excellent site dealing with people who have hypertension and diabetes:
http://www.prodigy.nhs.uk/guidance.asp?gt=Diabetes%20-%20hypertension

There seems to be agreement among physicians that diuretic usage is a good idea EVEN IF the risk of diabetes is increased. Most seem to feel that the increase in blood glucose is not significant enough to warrant discontinuation.

Last edited by Lenin; 07-15-2005 at 05:00 AM.

 
Old 07-15-2005, 02:46 PM   #4
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Re: Maxide = higher glucose - Which med?

Thanks for the info. I will read some more! I appreciate you taking the time to reply
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