Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Just wondering who says the a1c is supposed to be 5.0 or so? My doc never said this, just that it should be 6.0 or so. Dave Blood pressure meds pooping out on me > I was just wondering if anyone else on this list has experienced this before - a blood pressure med was working great giving me good BP control through the whole day, and now it's not doing that anymore. I had been on Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in the morning and even at night. But it seems the last couple of months, for no trackable reason, that it's not cutting the mustard and I've been getting readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it would be better on the kidneys, in hopes this would control the pressure better. By itself, I was getting readings around 160/90 or 150/110. Obviously that's NOT good. My nephrologist put me BACK on the Plendil and said to keep taking the Lisinopril. Then I had a BP check yesterday at my regular doc's office and it was still 140/90 so he said to double up on the Lisinopril and continue taking the Plendil, do a diary on the BPs during the day over a week and then see him next week for follow-up. > > Now I know that the body changes over time and I guess it goes without saying that what once worked doesn't always. And I also know I have to contend with the proteinuria problem I mentioned a couple of months back, although have not been able to afford another lab test to check it again (thank you very much Medicare, you're so wonderful.) > > My obvious objective is to keep the BP lower and stave off any organ damage, so I take this very seriously, and I am finally starting to make some weight-loss progress without any " diets " , just eating less of what I usually eat. So I'm making some progress, BS's are good, just not BP. > > Although none of us on here are doctors, has anyone else had a similar experience and if so what worked for you or do you have any comments that might point me to something that DOES work? > > Thanks for your thoughts and input. > > Just sign me " frazzled " ..... > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Just wondering who says the a1c is supposed to be 5.0 or so? My doc never said this, just that it should be 6.0 or so. Dave Blood pressure meds pooping out on me > I was just wondering if anyone else on this list has experienced this before - a blood pressure med was working great giving me good BP control through the whole day, and now it's not doing that anymore. I had been on Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in the morning and even at night. But it seems the last couple of months, for no trackable reason, that it's not cutting the mustard and I've been getting readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it would be better on the kidneys, in hopes this would control the pressure better. By itself, I was getting readings around 160/90 or 150/110. Obviously that's NOT good. My nephrologist put me BACK on the Plendil and said to keep taking the Lisinopril. Then I had a BP check yesterday at my regular doc's office and it was still 140/90 so he said to double up on the Lisinopril and continue taking the Plendil, do a diary on the BPs during the day over a week and then see him next week for follow-up. > > Now I know that the body changes over time and I guess it goes without saying that what once worked doesn't always. And I also know I have to contend with the proteinuria problem I mentioned a couple of months back, although have not been able to afford another lab test to check it again (thank you very much Medicare, you're so wonderful.) > > My obvious objective is to keep the BP lower and stave off any organ damage, so I take this very seriously, and I am finally starting to make some weight-loss progress without any " diets " , just eating less of what I usually eat. So I'm making some progress, BS's are good, just not BP. > > Although none of us on here are doctors, has anyone else had a similar experience and if so what worked for you or do you have any comments that might point me to something that DOES work? > > Thanks for your thoughts and input. > > Just sign me " frazzled " ..... > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Dave, In the " old school " of medical thinking, a hemoglobin A 1 c of 6.0, or even 7.0, was actually considered " acceptable " . Of course with more modern research we now know that's passe. The lower the level is, the better off we are, and it's better to stick to guidelines that will increase our health, not just allow us to squeak by. Plus, the old guidelines allowed a higher blood sugar than is now acceptable, ditto for dealing with high blood pressure, where modern guidelines have lower numbers now. Bottom line: Stricter control means better health, and I'm all for it. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Dave, In the " old school " of medical thinking, a hemoglobin A 1 c of 6.0, or even 7.0, was actually considered " acceptable " . Of course with more modern research we now know that's passe. The lower the level is, the better off we are, and it's better to stick to guidelines that will increase our health, not just allow us to squeak by. Plus, the old guidelines allowed a higher blood sugar than is now acceptable, ditto for dealing with high blood pressure, where modern guidelines have lower numbers now. Bottom line: Stricter control means better health, and I'm all for it. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Dave, In the " old school " of medical thinking, a hemoglobin A 1 c of 6.0, or even 7.0, was actually considered " acceptable " . Of course with more modern research we now know that's passe. The lower the level is, the better off we are, and it's better to stick to guidelines that will increase our health, not just allow us to squeak by. Plus, the old guidelines allowed a higher blood sugar than is now acceptable, ditto for dealing with high blood pressure, where modern guidelines have lower numbers now. Bottom line: Stricter control means better health, and I'm all for it. Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Dave, The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to somehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. I hope this helps you and gets you going toward a healthier you! Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Dave, The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to somehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. I hope this helps you and gets you going toward a healthier you! Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 I hear the logic, but what medical authority says a normal a1c should be between 4.5 and 5? I've never heard this before. Thanks. Dave Blood pressure meds pooping out on me > I was just wondering if anyone else on this list has experienced this before - a blood pressure med was working great giving me good BP control through the whole day, and now it's not doing that anymore. I had been on Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in the morning and even at night. But it seems the last couple of months, for no trackable reason, that it's not cutting the mustard and I've been getting readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it would be better on the kidneys, in hopes this would control the pressure better. By itself, I was getting readings around 160/90 or 150/110. Obviously that's NOT good. My nephrologist put me BACK on the Plendil and said to keep taking the Lisinopril. Then I had a BP check yesterday at my regular doc's office and it was still 140/90 so he said to double up on the Lisinopril and continue taking the Plendil, do a diary on the BPs during the day over a week and then see him next week for follow-up. > > Now I know that the body changes over time and I guess it goes without saying that what once worked doesn't always. And I also know I have to contend with the proteinuria problem I mentioned a couple of months back, although have not been able to afford another lab test to check it again (thank you very much Medicare, you're so wonderful.) > > My obvious objective is to keep the BP lower and stave off any organ damage, so I take this very seriously, and I am finally starting to make some weight-loss progress without any " diets " , just eating less of what I usually eat. So I'm making some progress, BS's are good, just not BP. > > Although none of us on here are doctors, has anyone else had a similar experience and if so what worked for you or do you have any comments that might point me to something that DOES work? > > Thanks for your thoughts and input. > > Just sign me " frazzled " ..... > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 I hear the logic, but what medical authority says a normal a1c should be between 4.5 and 5? I've never heard this before. Thanks. Dave Blood pressure meds pooping out on me > I was just wondering if anyone else on this list has experienced this before - a blood pressure med was working great giving me good BP control through the whole day, and now it's not doing that anymore. I had been on Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in the morning and even at night. But it seems the last couple of months, for no trackable reason, that it's not cutting the mustard and I've been getting readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it would be better on the kidneys, in hopes this would control the pressure better. By itself, I was getting readings around 160/90 or 150/110. Obviously that's NOT good. My nephrologist put me BACK on the Plendil and said to keep taking the Lisinopril. Then I had a BP check yesterday at my regular doc's office and it was still 140/90 so he said to double up on the Lisinopril and continue taking the Plendil, do a diary on the BPs during the day over a week and then see him next week for follow-up. > > Now I know that the body changes over time and I guess it goes without saying that what once worked doesn't always. And I also know I have to contend with the proteinuria problem I mentioned a couple of months back, although have not been able to afford another lab test to check it again (thank you very much Medicare, you're so wonderful.) > > My obvious objective is to keep the BP lower and stave off any organ damage, so I take this very seriously, and I am finally starting to make some weight-loss progress without any " diets " , just eating less of what I usually eat. So I'm making some progress, BS's are good, just not BP. > > Although none of us on here are doctors, has anyone else had a similar experience and if so what worked for you or do you have any comments that might point me to something that DOES work? > > Thanks for your thoughts and input. > > Just sign me " frazzled " ..... > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Since my doc was ok with my 6.2, I was interested in the official medical stance. After 38 years, I'm still working on it. Thanks for the info. Dave Re: Blood pressure meds pooping out on me Dave, The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to somehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. I hope this helps you and gets you going toward a healthier you! Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2004 Report Share Posted August 12, 2004 Since my doc was ok with my 6.2, I was interested in the official medical stance. After 38 years, I'm still working on it. Thanks for the info. Dave Re: Blood pressure meds pooping out on me Dave, The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to somehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. I hope this helps you and gets you going toward a healthier you! Bill Powers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 most of us on list shoot for 5.0 since that is what a normal person runs. Any doc that says 6.0 is ok is to passive of a doc IMO and you need a more agressive doc. Nothign against yoru doc, but 5.0 is what any aggressive doc wants their patients to run. An a1c of 6.0 would put yoru average sugar, if recalling correctly, at around 140 which is high considering an a1c of 5.0 to 5.5 puts you at about 90 to 100. If an a1c is hihger than 5.5, that is sugar in yoru blood eating away at your eyes, kidneys, legs, heart, and so on. You won't die over night, but will get diabetic complications eventually. Secondly, you don't know when it will happen since everyones genetics are different. I.E you could have a stroke in 3 years, 5 years, 15 years, etc. so the best way to not play that game is get your a1c as close to 5 as possible. How to do that? Simple, if you check your sugar 2 hours past eating a meal and it is 120 or less, that guarantees that your a1c will be near 5.0. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on the > Lisinopril and continue taking the Plendil, do a diary on the BPs during the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 most of us on list shoot for 5.0 since that is what a normal person runs. Any doc that says 6.0 is ok is to passive of a doc IMO and you need a more agressive doc. Nothign against yoru doc, but 5.0 is what any aggressive doc wants their patients to run. An a1c of 6.0 would put yoru average sugar, if recalling correctly, at around 140 which is high considering an a1c of 5.0 to 5.5 puts you at about 90 to 100. If an a1c is hihger than 5.5, that is sugar in yoru blood eating away at your eyes, kidneys, legs, heart, and so on. You won't die over night, but will get diabetic complications eventually. Secondly, you don't know when it will happen since everyones genetics are different. I.E you could have a stroke in 3 years, 5 years, 15 years, etc. so the best way to not play that game is get your a1c as close to 5 as possible. How to do that? Simple, if you check your sugar 2 hours past eating a meal and it is 120 or less, that guarantees that your a1c will be near 5.0. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on the > Lisinopril and continue taking the Plendil, do a diary on the BPs during the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 most of us on list shoot for 5.0 since that is what a normal person runs. Any doc that says 6.0 is ok is to passive of a doc IMO and you need a more agressive doc. Nothign against yoru doc, but 5.0 is what any aggressive doc wants their patients to run. An a1c of 6.0 would put yoru average sugar, if recalling correctly, at around 140 which is high considering an a1c of 5.0 to 5.5 puts you at about 90 to 100. If an a1c is hihger than 5.5, that is sugar in yoru blood eating away at your eyes, kidneys, legs, heart, and so on. You won't die over night, but will get diabetic complications eventually. Secondly, you don't know when it will happen since everyones genetics are different. I.E you could have a stroke in 3 years, 5 years, 15 years, etc. so the best way to not play that game is get your a1c as close to 5 as possible. How to do that? Simple, if you check your sugar 2 hours past eating a meal and it is 120 or less, that guarantees that your a1c will be near 5.0. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on the > Lisinopril and continue taking the Plendil, do a diary on the BPs during the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 and the only reason docs are happy with that is most people have absolutely no disiplin, nor want to exert the ability to do a 2 hour post meal, check their sugars, eat what they want, and so on. So, as my doc tells me, we just have to settle for second best hoping their life is sustained some. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 and the only reason docs are happy with that is most people have absolutely no disiplin, nor want to exert the ability to do a 2 hour post meal, check their sugars, eat what they want, and so on. So, as my doc tells me, we just have to settle for second best hoping their life is sustained some. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 and the only reason docs are happy with that is most people have absolutely no disiplin, nor want to exert the ability to do a 2 hour post meal, check their sugars, eat what they want, and so on. So, as my doc tells me, we just have to settle for second best hoping their life is sustained some. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 any endo wil tell you that, just ask. The reason they say 6.0 is ok is because that is the best most people will put forth the effort to do so they have to settle for second best and give someone that number to shoot for. If any doc/endo could have their way, they'd have patients at 5.0 since it totally eliminates any diabetic complications. I.E if no sugar is in the blood to eat away daily at your organs, the a1c of 5.0, then there is no way to have diabetic complications. Only thing that causes diabetic complications is high sugar in your blood eating away at your organs. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 any endo wil tell you that, just ask. The reason they say 6.0 is ok is because that is the best most people will put forth the effort to do so they have to settle for second best and give someone that number to shoot for. If any doc/endo could have their way, they'd have patients at 5.0 since it totally eliminates any diabetic complications. I.E if no sugar is in the blood to eat away daily at your organs, the a1c of 5.0, then there is no way to have diabetic complications. Only thing that causes diabetic complications is high sugar in your blood eating away at your organs. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 any endo wil tell you that, just ask. The reason they say 6.0 is ok is because that is the best most people will put forth the effort to do so they have to settle for second best and give someone that number to shoot for. If any doc/endo could have their way, they'd have patients at 5.0 since it totally eliminates any diabetic complications. I.E if no sugar is in the blood to eat away daily at your organs, the a1c of 5.0, then there is no way to have diabetic complications. Only thing that causes diabetic complications is high sugar in your blood eating away at your organs. Regards, Blood pressure meds pooping out on me > > > > I was just wondering if anyone else on this list has experienced this > before - a blood pressure med was working great giving me good BP control > through the whole day, and now it's not doing that anymore. I had been on > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > the morning and even at night. But it seems the last couple of months, for > no trackable reason, that it's not cutting the mustard and I've been > getting > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as it > would be better on the kidneys, in hopes this would control the pressure > better. By itself, I was getting readings around 160/90 or 150/110. > Obviously that's NOT good. My nephrologist put me BACK on the Plendil and > said to keep taking the Lisinopril. Then I had a BP check yesterday at my > regular doc's office and it was still 140/90 so he said to double up on > the > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > day over a week and then see him next week for follow-up. > > > > Now I know that the body changes over time and I guess it goes without > saying that what once worked doesn't always. And I also know I have to > contend with the proteinuria problem I mentioned a couple of months back, > although have not been able to afford another lab test to check it again > (thank you very much Medicare, you're so wonderful.) > > > > My obvious objective is to keep the BP lower and stave off any organ > damage, so I take this very seriously, and I am finally starting to make > some weight-loss progress without any " diets " , just eating less of what I > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > Although none of us on here are doctors, has anyone else had a similar > experience and if so what worked for you or do you have any comments that > might point me to something that DOES work? > > > > Thanks for your thoughts and input. > > > > Just sign me " frazzled " ..... > > > > Bill Powers > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 yup, that downward push is why docs say 6.0 is ok since folks are not disciplined enough to get it to 5.0 for the most part. My doc says I am the only patient she has who runs and a1c of close to 5.0. All others are 6.5 to 7.0 because they just lack diciplin to buckle down and do the drill. BTW I lost my eye sight from running an a1c of 7.5 for 7 years. Also, I'm not saying this to discourage or upset anyone on the list who is running an a1c of 6.0 or higher, I'm just tossing this out trying to give an understanding as to why docs say an a1c of 6.0 to 6.5 is ok. Most docs don't teach carb counting, don't teach a 2 hour post meal test of 120 or less, and so on. They are using old outdated american diabetes association forms of treatments from the 1970's. I find that most docs that say an a1c of 6.0 or higher is ok are family mom/pop docs who haven't recently graduated from medical school, nor update their knowledge base, and just keep treating diabetes with old school forms of treatment. Regards, Re: Blood pressure meds pooping out on me > Dave, > > The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. > > I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to s omehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? > > These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. > > I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. > > I hope this helps you and gets you going toward a healthier you! > > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 yup, that downward push is why docs say 6.0 is ok since folks are not disciplined enough to get it to 5.0 for the most part. My doc says I am the only patient she has who runs and a1c of close to 5.0. All others are 6.5 to 7.0 because they just lack diciplin to buckle down and do the drill. BTW I lost my eye sight from running an a1c of 7.5 for 7 years. Also, I'm not saying this to discourage or upset anyone on the list who is running an a1c of 6.0 or higher, I'm just tossing this out trying to give an understanding as to why docs say an a1c of 6.0 to 6.5 is ok. Most docs don't teach carb counting, don't teach a 2 hour post meal test of 120 or less, and so on. They are using old outdated american diabetes association forms of treatments from the 1970's. I find that most docs that say an a1c of 6.0 or higher is ok are family mom/pop docs who haven't recently graduated from medical school, nor update their knowledge base, and just keep treating diabetes with old school forms of treatment. Regards, Re: Blood pressure meds pooping out on me > Dave, > > The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. > > I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to s omehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? > > These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. > > I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. > > I hope this helps you and gets you going toward a healthier you! > > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 yup, that downward push is why docs say 6.0 is ok since folks are not disciplined enough to get it to 5.0 for the most part. My doc says I am the only patient she has who runs and a1c of close to 5.0. All others are 6.5 to 7.0 because they just lack diciplin to buckle down and do the drill. BTW I lost my eye sight from running an a1c of 7.5 for 7 years. Also, I'm not saying this to discourage or upset anyone on the list who is running an a1c of 6.0 or higher, I'm just tossing this out trying to give an understanding as to why docs say an a1c of 6.0 to 6.5 is ok. Most docs don't teach carb counting, don't teach a 2 hour post meal test of 120 or less, and so on. They are using old outdated american diabetes association forms of treatments from the 1970's. I find that most docs that say an a1c of 6.0 or higher is ok are family mom/pop docs who haven't recently graduated from medical school, nor update their knowledge base, and just keep treating diabetes with old school forms of treatment. Regards, Re: Blood pressure meds pooping out on me > Dave, > > The new guidelines are set up by the American Diabetic Association, and it's my understanding that they're also endorsed by the American Medical Association. The doc I had back in Baltimore was a progressive doc who used the new guidelines to diagnose me as diabetic and his diagnosis was right on the money, since after getting on treatment, my health has been much better thank you. > > I talk to a lot of people about diabetes (I'm a big crusader for getting people to get checked up and to stick to their treatments) and one of the things I run into quite often is this very issue, where someone will say " what do you mean it (hemoglobain A 1 c) should be 5.5 or lower? My doc says I'm fine at 6.2,6.5, 7.0 " (you pick.) What I sense is that person wants to s omehow feel that they're doing OK just to get the readign down that far and somehow feels like they're being pushed too much to adhere to new lower guidelines and wants to fend that downward push off. Hey, if I fought those guidelines I wouldn't be considered diabetic but then I wouldn't be treated for it, either, and my symptoms would just get worse and then something serious would happen down the road that I could have prevented earlier on. Do you get where I'm going with this? > > These new ADA/AMA guidelines aren't designed to frustrate us, they're designed to get more people on board to be treated for a growing problem that needs better and tighter definition. > > I encourage you, if you are still hovering in the 6's PLEASE do what you can to get it down to 5.4 or below, because believe me, you WILL feel better and you'll add years of good health to your life. > > I hope this helps you and gets you going toward a healthier you! > > > Bill Powers > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 but we have to remember that we aren't normal people and it isn't always possible to achieve a HBA1c of 5%. There are just so many variables for each individual. What might be okay for one person it may not be for another. And we don't know the full medical back ground of each individual. I know for sure that I would be very happy with a HBA1C between 6 to 6.5% but it isn't always achievable. From down under Blood pressure meds pooping out on me > > > > > > > I was just wondering if anyone else on this list has experienced this > > before - a blood pressure med was working great giving me good BP > control > > through the whole day, and now it's not doing that anymore. I had been > on > > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > > the morning and even at night. But it seems the last couple of months, > for > > no trackable reason, that it's not cutting the mustard and I've been > getting > > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as > it > > would be better on the kidneys, in hopes this would control the pressure > > better. By itself, I was getting readings around 160/90 or 150/110. > > Obviously that's NOT good. My nephrologist put me BACK on the Plendil > and > > said to keep taking the Lisinopril. Then I had a BP check yesterday at > my > > regular doc's office and it was still 140/90 so he said to double up on > the > > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > > day over a week and then see him next week for follow-up. > > > > > > Now I know that the body changes over time and I guess it goes without > > saying that what once worked doesn't always. And I also know I have to > > contend with the proteinuria problem I mentioned a couple of months > back, > > although have not been able to afford another lab test to check it again > > (thank you very much Medicare, you're so wonderful.) > > > > > > My obvious objective is to keep the BP lower and stave off any organ > > damage, so I take this very seriously, and I am finally starting to make > > some weight-loss progress without any " diets " , just eating less of what > I > > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > > > Although none of us on here are doctors, has anyone else had a similar > > experience and if so what worked for you or do you have any comments > that > > might point me to something that DOES work? > > > > > > Thanks for your thoughts and input. > > > > > > Just sign me " frazzled " ..... > > > > > > Bill Powers > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2004 Report Share Posted August 13, 2004 but we have to remember that we aren't normal people and it isn't always possible to achieve a HBA1c of 5%. There are just so many variables for each individual. What might be okay for one person it may not be for another. And we don't know the full medical back ground of each individual. I know for sure that I would be very happy with a HBA1C between 6 to 6.5% but it isn't always achievable. From down under Blood pressure meds pooping out on me > > > > > > > I was just wondering if anyone else on this list has experienced this > > before - a blood pressure med was working great giving me good BP > control > > through the whole day, and now it's not doing that anymore. I had been > on > > Plendil 5 mg and it was keeping my pressure right around the 120/80 mark > in > > the morning and even at night. But it seems the last couple of months, > for > > no trackable reason, that it's not cutting the mustard and I've been > getting > > readings around 159/100. So my doc switched me to Lisonopril 10 mg, as > it > > would be better on the kidneys, in hopes this would control the pressure > > better. By itself, I was getting readings around 160/90 or 150/110. > > Obviously that's NOT good. My nephrologist put me BACK on the Plendil > and > > said to keep taking the Lisinopril. Then I had a BP check yesterday at > my > > regular doc's office and it was still 140/90 so he said to double up on > the > > Lisinopril and continue taking the Plendil, do a diary on the BPs during > the > > day over a week and then see him next week for follow-up. > > > > > > Now I know that the body changes over time and I guess it goes without > > saying that what once worked doesn't always. And I also know I have to > > contend with the proteinuria problem I mentioned a couple of months > back, > > although have not been able to afford another lab test to check it again > > (thank you very much Medicare, you're so wonderful.) > > > > > > My obvious objective is to keep the BP lower and stave off any organ > > damage, so I take this very seriously, and I am finally starting to make > > some weight-loss progress without any " diets " , just eating less of what > I > > usually eat. So I'm making some progress, BS's are good, just not BP. > > > > > > Although none of us on here are doctors, has anyone else had a similar > > experience and if so what worked for you or do you have any comments > that > > might point me to something that DOES work? > > > > > > Thanks for your thoughts and input. > > > > > > Just sign me " frazzled " ..... > > > > > > Bill Powers > > > > > > Quote Link to comment Share on other sites More sharing options...
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