Does diabetic person blood pressure exceed 160, does doctor let take 2 kinds of medicine depressurize? This combination is preferred

Many friends with diabetes also have high blood pressure. This situation is very common. In the control of high blood pressure in diabetic patients, if the blood pressure is too high and can not be controlled by life conditioning, doctors often suggest to strengthen the control of blood pressure by taking antihypertensive drugs. Many friends don’t understand it. I haven’t taken it yet What about antihypertensive drugs? How to give me two kinds to eat as soon as I come up. Is the medication too fierce? Today, let’s talk about the topic of blood pressure control in patients with diabetes and hypertension. < / P > < p > looking at the situation of such a sugar friend, he has a confirmed diabetes problem, and his blood pressure has reached the level of 160 / 110. However, from the blood pressure value, it is already a problem of secondary moderate and severe hypertension. In addition, with the health impact of diabetes, it is almost unnecessary to comprehensively evaluate other risk factors, and the sugar friend can be preliminarily judged as the high-risk risk risk of cardiovascular disease Yes. What are high risk risks? It refers to that in the next 10 years, if the blood pressure and blood glucose are not actively controlled, the risk of cardiovascular disease is higher than 10%. < / P > < p > for such a situation, the first thing we should consider is not how to reduce blood glucose and blood pressure by strengthening the intervention of life conditioning. Instead, we should quickly add drugs to regulate and control related diseases at the same time of life conditioning. Why do we need to “hurry up” to add drugs? For patients with simple mild hypertension, the health hazard of hypertension to the body is relatively small, and the probability of falling through life conditioning intervention is also very large. However, for patients with diabetic complications on the one hand and blood pressure rising more seriously on the other hand, if they still rely on life conditioning to slow down, it is far from enough, in order to reduce the correlation as far as possible It is very necessary to strengthen blood pressure control through rational drug use as soon as possible. < / P > < p > however, in the case of diabetes mellitus and secondary hypertension, in terms of medication, it is often not enough to rely on a single drug. In order to control the blood pressure stably as soon as possible, it is recommended to combine the two antihypertensive drugs to control the blood pressure. The combined application of antihypertensive drugs does not mean that taking more drugs will cause greater risk of adverse reactions or health damage to the body. For hypertension control, combined drug use is one of the basic principles. The advantages of combined drug use are mainly in two aspects – < / P > < p > reasonable combination of drugs can strengthen blood pressure control from different mechanisms, and achieve 1 + 1 > 2 pressure control effect Fruit, to achieve better and stronger antihypertensive effect. Reasonable combination of drugs can reduce the risk of increasing the risk of adverse reactions by increasing the dosage of single drug to control blood pressure. At the same time, the combination of two antihypertensive drugs can offset and improve the risk of adverse reactions and reduce the incidence of adverse reactions. Therefore, for diabetic friends who need strict control and management of blood pressure, combined use of antihypertensive drugs is very necessary, and can ensure the safety of drug use. < / P > < p > before talking about the medication for patients with diabetes mellitus and hypertension, let’s briefly talk about the blood pressure control objectives of patients with diabetes and hypertension. Generally speaking, for the sugar friends with light disease course and good health condition, we require that the blood pressure should be strictly controlled to the level below 130 / 80. Strict control of blood pressure can not only effectively reduce the risk of cardiovascular disease, but also help to reduce the risk of stroke. However, if you are an old diabetic friend and have hypertension problems, especially those with elevated systolic blood pressure, you can relax the standard according to the actual situation. On the premise that the diastolic blood pressure is not too low, the systolic blood pressure can be controlled below 140, which is also an acceptable blood pressure control target. < / P > < p > in view of this sugar friend’s condition, hypertension is above 160 / 110, so it is necessary to combine antihypertensive drugs. In the aspect of drug selection, for the friends with diabetes mellitus complicated with hypertension, among several kinds of antihypertensive drugs, angiotensin inhibitors are generally preferred. We often say that all kinds of pril and sartan belong to this kind of drugs. Although the specific mechanism of action of these two kinds of drugs is different, they are inhibited by inhibiting renin angiotensin aldosterone system In addition to lowering blood pressure, drugs that can reduce blood pressure can also improve microalbuminuria and protect kidney. Diabetes and hypertension are chronic diseases that not only cause cardiovascular diseases, but also damage renal function. Therefore, in the aspect of hypertension control in diabetic patients, as long as there is no serious damage to renal function, pril / sartan can be used to control hypertension in diabetic patients Class I drugs should be considered as the first antihypertensive drugs. However, the combination of pril and sartan is not recommended. When we choose the combination of antihypertensive drugs, we should try our best to choose the combination of different mechanisms, which can synergize and enhance the antihypertensive effect. However, the mechanism of action of pril and sartan is similar. If they are taken together, their antihypertensive effect will not be much stronger than that of a single drug. Therefore, it is not recommended and we should use it in combination Drugs, we should choose a drug and pril or sartan drugs to form a combination. For the friends with diabetes complicated with hypertension, the most recommended combination with pril or sartan drugs here is dipine drugs. It can inhibit the tension of vascular smooth muscle, dilate blood vessels and reduce blood pressure by blocking the intracellular flow of calcium ion. Amlodipine, felodipine, lacidipine, benidipine and so on are all antihypertensive drugs. The combination of these drugs with pril or sartan drugs can reduce blood pressure from different mechanisms, and achieve the effect of 1 + 1 greater than 2, which is a good combination of antihypertensive drugs. In the aspect of renal protection, the renal protective effect of sartan or pril drugs will not be affected by dipyrides, and the drugs themselves have no adverse effects on kidney health. Therefore, this combination can be said to be a good combination of antihypertensive and kidney protection. In terms of adverse reactions, one of the most common adverse reactions of dipine drugs is ankle edema, and sartan / pril drugs can effectively dilate capillaries and reduce the probability of edema when taking dipine drugs. Therefore, the combination of the two drugs can counteract adverse reactions and improve the safety of medication. < / P > < p > in addition to taking the two drugs together, there are many compound antihypertensive drugs in the combination of these two drugs, such as valsartan, amlodipine, amlodipine, benazepril, etc. if you are afraid of taking the two drugs in trouble, you can also choose compound antihypertensive drugs to strengthen blood pressure control and stabilize blood pressure level. The advantage of compound antihypertensive drugs is to use prescriptions However, in the aspect of dosage adjustment, it is not as flexible as choosing two antihypertensive drugs alone. Therefore, which medication method to choose can be selected reasonably in combination with its own situation. 08/16/2020