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Hi there,This is Dr Basu Specialist, experienced in Cadiovascular Diseases. I am here to address your concerns and provide great service.
Do you get any dizziness?
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Your blood pressure is indeed running too high.
Since you have diabetes, ideally your blood pressure should be around 140/80 or below.
So, your systolic number is always higher than 140.
This is a risk factor for stroke and heart attack in diabetic patients.
I analyzed your current medications.
YOu are on ace inhibitor ( perindopril), alpha blocker ( doxazosin), and a caclium channel blocker ( nicardipine).
Hence, you may benefit from adding a beta blocker like metoprolol or a diuretic like hydrochlorothiazide to your current medications.
I will prefer betablocker first as this is safe for your age and also offer some cardiac benefits.
So metoprolol ER (long acting) can be started at 25 to 50 mg daily taken in the evening or bedtime to reduce your blood pressure at night time and early morning.
Also follow a low sodium diet.
Please get your kidney function checked as decreasing kidney function from diabetes can also elevate your blood pressure.
You should also get a echocardiogram of the heart to check for any aortic valve disease.
Aortic valve disorder usually causes such big difference between systolic and diastolic blood pressure ( difference between upper and lower numbers)
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