I had a strange ordeal with my blood pressure a couple years ago that has gotten me on beta blockers.
My blood pressure used to go from normal range of 120/70 up to 190/105 after eating large meals. It would take an hour to three hours for it to come back down.
After several ER trips (maybe it was anxiety related?) my cardiologist put me on a few different meds, and finally wound up leaving me just on the beta blocker alone.
Still to this day I take 50mg of Toprol XL (extended release). I haven't seen a high reading over 130/85 on this. I'm usually in low- norm range.
Also the beta blocker helps with an arrhythmia that I have called PSVT.
Maybe I need to be on a beta blocker, but I am very concerned about T2 diabetes because my father had it.
That seems to show concrete evidence that beta blocker may cause or worsen diabetes in some people.
I'm going to go on a sugar restricted diet anyway. I check my blood sugar once a month (I have a reader) and my GP also checks my A1C test, which is so far normal.
Finally I’m wondering if it might be normal for blood pressure to sky rocket after eating a large meal, after a stressful day (with anxiety). Perhaps I don’t need any medication?
Honestly the beta blocker has not helped with the PSVT issue, but I only have a few of those each year - doesn't bother me much.
What would you do? Continue taking the beta blocker, eat sensibly and get regular blood tests? Or would you talk to your cardiologist to see if you can get off the beta blocker?
Richard wrote: > I had a strange ordeal with my blood pressure a couple years ago that > has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to 190/105 > after eating large meals. It would take an hour to three hours for it > to come back down.
> After several ER trips (maybe it was anxiety related?) my cardiologist > put me on a few different meds, and finally wound up leaving me just > on the beta blocker alone.
> Still to this day I take 50mg of Toprol XL (extended release). I > haven't seen a high reading over 130/85 on this. I'm usually in low- > norm range.
> Also the beta blocker helps with an arrhythmia that I have called > PSVT.
> Maybe I need to be on a beta blocker, but I am very concerned about T2 > diabetes because my father had it.
> That seems to show concrete evidence that beta blocker may cause or > worsen diabetes in some people.
> I'm going to go on a sugar restricted diet anyway. I check my blood > sugar once a month (I have a reader) and my GP also checks my A1C > test, which is so far normal.
> Finally I’m wondering if it might be normal for blood pressure to sky > rocket after eating a large meal, after a stressful day (with > anxiety). Perhaps I don’t need any medication?
> Honestly the beta blocker has not helped with the PSVT issue, but I > only have a few of those each year - doesn't bother me much.
> What would you do? Continue taking the beta blocker, eat sensibly and > get regular blood tests? Or would you talk to your cardiologist to see > if you can get off the beta blocker?
<sooperdoo...@cox.net> wrote: >I had a strange ordeal with my blood pressure a couple years ago that >has gotten me on beta blockers.
>My blood pressure used to go from normal range of 120/70 up to 190/105 >after eating large meals. It would take an hour to three hours for it >to come back down.
>After several ER trips (maybe it was anxiety related?) my cardiologist >put me on a few different meds, and finally wound up leaving me just >on the beta blocker alone.
>Still to this day I take 50mg of Toprol XL (extended release). I >haven't seen a high reading over 130/85 on this. I'm usually in low- >norm range.
>Also the beta blocker helps with an arrhythmia that I have called >PSVT.
>Maybe I need to be on a beta blocker, but I am very concerned about T2 >diabetes because my father had it.
>That seems to show concrete evidence that beta blocker may cause or >worsen diabetes in some people.
>I'm going to go on a sugar restricted diet anyway. I check my blood >sugar once a month (I have a reader) and my GP also checks my A1C >test, which is so far normal.
>Finally I’m wondering if it might be normal for blood pressure to sky >rocket after eating a large meal, after a stressful day (with >anxiety). Perhaps I don’t need any medication?
>Honestly the beta blocker has not helped with the PSVT issue, but I >only have a few of those each year - doesn't bother me much.
>What would you do? Continue taking the beta blocker, eat sensibly and >get regular blood tests? Or would you talk to your cardiologist to see >if you can get off the beta blocker?
My mother had something like you have. I believe it was atrial tachycardia and not the PSVT. Pulse all of a sudden 200+ two or three times a year. She never passed out, but go to the hospital and they would give her Verapamil by IV. Usually it was just a couple hours in the ER. Finally started her on the pill form of Verapamil and a guess over the years it cut the incidents by 90%.
Richard wrote: >I had a strange ordeal with my blood pressure a couple years ago that >has gotten me on beta blockers.
>My blood pressure used to go from normal range of 120/70 up to 190/105 >after eating large meals. It would take an hour to three hours for it >to come back down.
>After several ER trips (maybe it was anxiety related?) my cardiologist >put me on a few different meds, and finally wound up leaving me just >on the beta blocker alone.
>Still to this day I take 50mg of Toprol XL (extended release). I >haven't seen a high reading over 130/85 on this. I'm usually in low- >norm range.
>Also the beta blocker helps with an arrhythmia that I have called >PSVT.
>Maybe I need to be on a beta blocker, but I am very concerned about T2 >diabetes because my father had it.
>That seems to show concrete evidence that beta blocker may cause or >worsen diabetes in some people.
>I'm going to go on a sugar restricted diet anyway. I check my blood >sugar once a month (I have a reader) and my GP also checks my A1C >test, which is so far normal.
>Finally I’m wondering if it might be normal for blood pressure to sky >rocket after eating a large meal, after a stressful day (with >anxiety). Perhaps I don’t need any medication?
>Honestly the beta blocker has not helped with the PSVT issue, but I >only have a few of those each year - doesn't bother me much.
>What would you do? Continue taking the beta blocker, eat sensibly and >get regular blood tests? Or would you talk to your cardiologist to see >if you can get off the beta blocker?
Losing the VAT should keep you from ever having type-2 diabetes:
> I had a strange ordeal with my blood pressure a couple years ago > that has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to > 190/105 after eating large meals. It would take an hour to three > hours for it to come back down.
> After several ER trips (maybe it was anxiety related?) my > cardiologist put me on a few different meds, and finally wound up > leaving me just on the beta blocker alone.
> Still to this day I take 50mg of Toprol XL (extended release). I > haven't seen a high reading over 130/85 on this. I'm usually in low- > norm range.
> Also the beta blocker helps with an arrhythmia that I have called > PSVT.
> Maybe I need to be on a beta blocker, but I am very concerned about > T2 diabetes because my father had it.
> That seems to show concrete evidence that beta blocker may cause or > worsen diabetes in some people.
> I'm going to go on a sugar restricted diet anyway. I check my blood > sugar once a month (I have a reader) and my GP also checks my A1C > test, which is so far normal.
> Finally I’m wondering if it might be normal for blood pressure to > sky rocket after eating a large meal, after a stressful day (with > anxiety). Perhaps I don’t need any medication?
> Honestly the beta blocker has not helped with the PSVT issue, but I > only have a few of those each year - doesn't bother me much.
> What would you do? Continue taking the beta blocker, eat sensibly > and get regular blood tests? Or would you talk to your cardiologist > to see if you can get off the beta blocker?
It shows a ~40% increased risk for new onset diabetes in hypertensives treated with a beta blocker (plus a thiazide diuretic, if required) over a calcium channel blocker (plus an ACE inhibitor, if required). Note that both beta blockers and diuretics are known to increase insulin resistance. So, even though it is a nice study with a large number of participants, it is not exactly on point for your situation.
Standard practice with diabetics is to start antihypertensive treatment with an ACE inhibitor and to avoid beta blockers. But that isn't exactly on point either.
It is common to start antihypertensive treatment in the general population with diuretics or beta blockers.
In addition to beta blockers, calcium channel blockers and a variety of other medications are used for arrhythmias, each with its own set of potential problems.
The choice of the best medication can be difficult and often depends on the clinical judgement of the particular physician. You need to have a frank discussion with your cardiologist where he explains what the alternatives are, what the trade offs are, and why he has chosen the current treatment. If he is not willing to do that, you need to find someone who will. The fact that he is tracking your A1c is a good sign, but you also need a doctor who will communicate with you and make you part of the treatment team.
My blood pressure used to go from normal range of 120/70 up to 190/105 after eating large meals. It would take an hour to three hours for it to come back down.
After several ER trips (maybe it was anxiety related?) my cardiologist put me on a few different meds, and finally wound up leaving me just on the beta blocker alone.
Still to this day I take 50mg of Toprol XL (extended release). I haven't seen a high reading over 130/85 on this. I'm usually in low- norm range.
Also the beta blocker helps with an arrhythmia that I have called PSVT.
Maybe I need to be on a beta blocker, but I am very concerned about T2 diabetes because my father had it.
That seems to show concrete evidence that beta blocker may cause or worsen diabetes in some people.
I'm going to go on a sugar restricted diet anyway. I check my blood sugar once a month (I have a reader) and my GP also checks my A1C test, which is so far normal.
Finally I’m wondering if it might be normal for blood pressure to sky rocket after eating a large meal, after a stressful day (with anxiety). Perhaps I don’t need any medication?
Honestly the beta blocker has not helped with the PSVT issue, but I only have a few of those each year - doesn't bother me much.
What would you do? Continue taking the beta blocker, eat sensibly and get regular blood tests? Or would you talk to your cardiologist to see if you can get off the beta blocker?
----------
Yes, a Beta Blocker can cause diabetes. Do you need one? I don't know. Have you asked about taking an ACE or an ARB?
As for your diet, restricting sugar is kind of meaningless. It is carbs we must watch. Yes, sugar is a carb but no worse in terms of blood sugar than juice, fruit, potatoes, pasta, bread, etc.
> I had a strange ordeal with my blood pressure a couple years ago that > has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to 190/105 > after eating large meals. It would take an hour to three hours for it > to come back down.
> After several ER trips (maybe it was anxiety related?) my cardiologist > put me on a few different meds, and finally wound up leaving me just > on the beta blocker alone.
> Still to this day I take 50mg of Toprol XL (extended release). I > haven't seen a high reading over 130/85 on this. I'm usually in low- > norm range.
> Also the beta blocker helps with an arrhythmia that I have called > PSVT.
> Maybe I need to be on a beta blocker, but I am very concerned about T2 > diabetes because my father had it.
> That seems to show concrete evidence that beta blocker may cause or > worsen diabetes in some people.
> I'm going to go on a sugar restricted diet anyway. I check my blood > sugar once a month (I have a reader) and my GP also checks my A1C > test, which is so far normal.
> Finally I’m wondering if it might be normal for blood pressure to sky > rocket after eating a large meal, after a stressful day (with > anxiety). Perhaps I don’t need any medication?
> Honestly the beta blocker has not helped with the PSVT issue, but I > only have a few of those each year - doesn't bother me much.
> What would you do? Continue taking the beta blocker, eat sensibly and > get regular blood tests? Or would you talk to your cardiologist to see > if you can get off the beta blocker?
> Thanks > Richard
If you're overweight, stuffing yourself at meals and eating junk - you're on the road to self-destruction no matter what meds you take or don't take. Trust me, I've been on that very same road myself.
> I had a strange ordeal with my blood pressure a couple years ago that > has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to 190/105 > after eating large meals. It would take an hour to three hours for it > to come back down.
> After several ER trips (maybe it was anxiety related?) my cardiologist > put me on a few different meds, and finally wound up leaving me just > on the beta blocker alone.
> Still to this day I take 50mg of Toprol XL (extended release). I > haven't seen a high reading over 130/85 on this. I'm usually in low- > norm range.
> Also the beta blocker helps with an arrhythmia that I have called > PSVT.
> Maybe I need to be on a beta blocker, but I am very concerned about T2 > diabetes because my father had it.
> That seems to show concrete evidence that beta blocker may cause or > worsen diabetes in some people.
> I'm going to go on a sugar restricted diet anyway. I check my blood > sugar once a month (I have a reader) and my GP also checks my A1C > test, which is so far normal.
> Finally I’m wondering if it might be normal for blood pressure to sky > rocket after eating a large meal, after a stressful day (with > anxiety). Perhaps I don’t need any medication?
> Honestly the beta blocker has not helped with the PSVT issue, but I > only have a few of those each year - doesn't bother me much.
> What would you do? Continue taking the beta blocker, eat sensibly and > get regular blood tests? Or would you talk to your cardiologist to see > if you can get off the beta blocker?
> Thanks > Richard
I would recommend Bystolic, a newer beta-blocker which seems to have a better glycemic profile. The trend seems to be going towards prescribing lower doses of multiple anti-hypertensives rather than maxing out on one. For the price of the pill, the ace-inhibitor lisinopril has to be one of the biggest bargains in medicine.
> Then *most* diabetics wouldn't be on med. Pretty much all of the ones I > know in real life are.
Not necessarily. Just because they are on meds does not mean they have failed with diet with T2 diabetes control. IME T2 diabetics on meds have failed to control their T2 *because* they have failed at calorie counting, commercially oriented book diets such as Atkins.
You know this and you are being *BOVine*, as usual, and disingenuous, as usual.
>> Then *most* diabetics wouldn't be on med. Pretty much all of the ones I >> know in real life are.
> Sorry to intervene here, but this tread is becoming a collection of > meaningless and inaccurate one-liners.
> Type-2 diabetes is a serious condition that should not be ignored.
> The level at which a patient is affected by type 2 depends on a number > of performance indicators to be looked at by a health care professional.
> Some patients with type-2 diabetes can be treated with just pills.
> Other type two's do need insulin as I learned from the discussions here.
> And some type two's can keep their diabetes under control with a diet.
> Your mileage may vary.
> But, usually the situation is, once you are diagnosed with type 2 it is > something that will stay with you for the rest of your life.
> Just following a diet with type 2, or losing weight, or whatever > self-proclaimed idea you see, is not a good general advice for people > with type 2.
Should Type 2 diabetics not maintain healthy weight? That's what the 2PD OMER is about.
> You will need to be tested once every year and sometimes more often, and > a professional should be telling you this.
Like a cardiologist? In Atlanta, would that be considered a "professional"
On Tue, 3 Nov 2009 17:49:01 -0800 (PST), Zed wrote: > If you're overweight, stuffing yourself at meals and eating junk - > you're on the road to self-destruction no matter what meds you take or > don't take. Trust me, I've been on that very same road myself.
Being overweight eating zucchini is still overweight and obesity is clearly the greater issue than what is consumed.
On Tue, 3 Nov 2009 09:25:01 -0800 (PST), Richard wrote: > I had a strange ordeal with my blood pressure a couple years ago that > has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to 190/105 > after eating large meals. It would take an hour to three hours for it > to come back down.
Didn't you answer your own question? Did your cardiologist state "Don't eat large meals"?
On Nov 4, 7:05 am, MU <efacsimi...@gmail.com> wrote:
> On Tue, 3 Nov 2009 09:25:01 -0800 (PST), Richard wrote: > > I had a strange ordeal with my blood pressure a couple years ago that > > has gotten me on beta blockers.
> > My blood pressure used to go from normal range of 120/70 up to 190/105 > > after eating large meals. It would take an hour to three hours for it > > to come back down.
> Didn't you answer your own question? Did your cardiologist state "Don't > eat large meals"?
> Isn't the real issue your overconsumption?
34 years old, 5' 11", 148 lb, in shape (I run) and my "large" meals are actually small in comparison to what most people would consider large. Large to me is eating a full sandwich with a serving of beans. Or clearing my plate with two chicken legs and a serving of green beans. Normally I eat like a mouse. Why my blood pressure shot up to 200/105 seemed to have something to do with an endocrine problem. I have a thyroid condition that is being treated as well. My endocrinologist communicated this to my cariologist and because this endocrine thing had something to do with adrenaline, he decided the best thing for me was a beta blocker. I just wish they could fix the root problem instead of giving me beta blockers. Again, my dad had type 2.. he stubbed his toe and didn't have a tetanus shot. But otherwise he was managing it well.. I would just hate to have the beta blockers push me into getting T2 at a younger age and I would rather not have T2 at all.
On Wed, 4 Nov 2009 07:19:09 -0800 (PST), Richard wrote: > On Nov 4, 7:05 am, MU <efacsimi...@gmail.com> wrote: >> On Tue, 3 Nov 2009 09:25:01 -0800 (PST), Richard wrote: >>> I had a strange ordeal with my blood pressure a couple years ago that >>> has gotten me on beta blockers.
>>> My blood pressure used to go from normal range of 120/70 up to 190/105 >>> after eating large meals. It would take an hour to three hours for it >>> to come back down.
>> Didn't you answer your own question? Did your cardiologist state "Don't >> eat large meals"?
>> Isn't the real issue your overconsumption?
> 34 years old, 5' 11", 148 lb, in shape (I run) and my "large" meals > are actually small in comparison to what most people would consider > large. Large to me is eating a full sandwich with a serving of beans.
That is large to me as well. Rarely do that.
> Or clearing my plate with two chicken legs and a serving of green > beans.
I rarely clear my plate...on purpose.
> Normally I eat like a mouse.
Which is my point. Your body is telling you the obvious, continue to eat "small" portions and don't overconsume. Suggestion, 2lbs per day spread over several small portions.
> Why my blood pressure shot up to > 200/105 seemed to have something to do with an endocrine problem. I > have a thyroid condition that is being treated as well. My > endocrinologist communicated this to my cariologist and because this > endocrine thing had something to do with adrenaline, he decided the > best thing for me was a beta blocker. I just wish they could fix the > root problem instead of giving me beta blockers.
Richard, if you didn't overconsume, you wouldn't have a High BP issue. Why do you need beta blockers to keep your BP in check?
> Again, my dad had > type 2.. he stubbed his toe and didn't have a tetanus shot. But > otherwise he was managing it well.. I would just hate to have the beta > blockers push me into getting T2 at a younger age and I would rather > not have T2 at all.
Your definition of overconsumption has been reached by trial and error. Go and err no more.
On Wed, 4 Nov 2009 08:03:04 -0600, MU wrote (in article <hcs1io$fe...@news.eternal-september.org>):
> On Tue, 3 Nov 2009 17:49:01 -0800 (PST), Zed wrote:
>> If you're overweight, stuffing yourself at meals and eating junk - >> you're on the road to self-destruction no matter what meds you take or >> don't take. Trust me, I've been on that very same road myself.
> Being overweight eating zucchini is still overweight and obesity is > clearly the greater issue than what is consumed.
Yes. Eat fewer calories than you need for your current weight and activity and you will lose weight. Eat more and you will gain wait.
Richard wrote: > I had a strange ordeal with my blood pressure a couple years ago that > has gotten me on beta blockers.
> My blood pressure used to go from normal range of 120/70 up to 190/105 > after eating large meals. It would take an hour to three hours for it > to come back down.
> After several ER trips (maybe it was anxiety related?) my cardiologist > put me on a few different meds, and finally wound up leaving me just > on the beta blocker alone.
> Still to this day I take 50mg of Toprol XL (extended release). I > haven't seen a high reading over 130/85 on this. I'm usually in low- > norm range.
> Also the beta blocker helps with an arrhythmia that I have called > PSVT.
> Maybe I need to be on a beta blocker, but I am very concerned about T2 > diabetes because my father had it.
> That seems to show concrete evidence that beta blocker may cause or > worsen diabetes in some people.
> I'm going to go on a sugar restricted diet anyway. I check my blood > sugar once a month (I have a reader) and my GP also checks my A1C > test, which is so far normal.
> Finally I’m wondering if it might be normal for blood pressure to sky > rocket after eating a large meal, after a stressful day (with > anxiety). Perhaps I don’t need any medication?
> Honestly the beta blocker has not helped with the PSVT issue, but I > only have a few of those each year - doesn't bother me much.
> What would you do? Continue taking the beta blocker, eat sensibly and > get regular blood tests? Or would you talk to your cardiologist to see > if you can get off the beta blocker?
> Thanks > Richard
Richard,
I think we all react in different ways to this disease. We all have different body chemistries and psyches.
I too take a beta blocker. It is called Coreg. I take the generic form to lower my cost.
I need this drug to prevent angina. This drug causes elevated BG levels. A bit of a sticky wicket. I have lowered my dose of this drug a couple of times. I keep close watch on my BP and whether I experience angina when trotting up flights of stairs. It is a tightrope walk.
I do not experience increased BP after eating. So it must not be all that common to be happening.
I also have started taking metformin. It has not yet had any effect. I must watch my carb intake very closely to keep in a safe range. I generally eat about 10 simple carbs per day. Sometimes it is as high as 20. This is what it takes to keep me comfortably below the 140 BG mark where cellular damage occurs.
Many others here are able to control their BG with a much less severe diet. I like decaffeinated black coffee. I cannot drink it because it elevates my BG. I have no idea why. Just different body chemistry.
The lesson I have learned here is to test, test, and test some more. Always eat to the meter. The foods that we can and cannot eat are different for everyone.
>> Sorry to intervene here, but this tread is becoming a collection of >> meaningless and inaccurate one-liners.
>> Type-2 diabetes is a serious condition that should not be ignored.
>> The level at which a patient is affected by type 2 depends on a number >> of performance indicators to be looked at by a health care professional.
>> Some patients with type-2 diabetes can be treated with just pills.
>> Other type two's do need insulin as I learned from the discussions here.
>> And some type two's can keep their diabetes under control with a diet.
>> Your mileage may vary.
>> But, usually the situation is, once you are diagnosed with type 2 it is >> something that will stay with you for the rest of your life.
>> Just following a diet with type 2, or losing weight, or whatever >> self-proclaimed idea you see, is not a good general advice for people >> with type 2.
> Should Type 2 diabetics not maintain healthy weight? That's what the 2PD > OMER is about.
Yes they should, but it may not be the only thing to do.
>> You will need to be tested once every year and sometimes more often, and >> a professional should be telling you this.
> Like a cardiologist? In Atlanta, would that be considered a > "professional"
What about the house doctor telling you where to go. The way it works here is that you need a letter from the house doctor anyways if you want the insurance company to pay for your expenses at the specialist.
>> Q, T2 1000 mg/day metformin since July 2009.
> How much do you weigh?
BMI 26,3 presently but originally it was 32,5. My target is 25 or less. Getting my blood glucose under control is not my only problem.
Q
-- Our Lady of Blessed Acceleration, don't fail me now!
MoSn wrote: > On Wed, 4 Nov 2009 08:01:26 -0600, MU wrote > (in article <hcs1fm$em...@news.eternal-september.org>):
>> Should Type 2 diabetics not maintain healthy weight? That's what the 2PD >> OMER is about.
> So two pounds of chocolate a day for a diabetic is good?
The answer to that question is no, as a type II you should moderate the intake of carbohydrates over the day. And chocolate contains a lot of fast carbs like sugar.
-- Our Lady of Blessed Acceleration, don't fail me now!
>>> Sorry to intervene here, but this tread is becoming a collection of >>> meaningless and inaccurate one-liners.
>>> Type-2 diabetes is a serious condition that should not be ignored.
>>> The level at which a patient is affected by type 2 depends on a number >>> of performance indicators to be looked at by a health care professional.
>>> Some patients with type-2 diabetes can be treated with just pills.
>>> Other type two's do need insulin as I learned from the discussions here.
>>> And some type two's can keep their diabetes under control with a diet.
>>> Your mileage may vary.
>>> But, usually the situation is, once you are diagnosed with type 2 it is >>> something that will stay with you for the rest of your life.
>>> Just following a diet with type 2, or losing weight, or whatever >>> self-proclaimed idea you see, is not a good general advice for people >>> with type 2.
>> Should Type 2 diabetics not maintain healthy weight? That's what the 2PD >> OMER is about.
> Yes they should, but it may not be the only thing to do.
>>> You will need to be tested once every year and sometimes more often, and >>> a professional should be telling you this.
>> Like a cardiologist? In Atlanta, would that be considered a >> "professional"
> What about the house doctor telling you where to go. The way it works > here is that you need a letter from the house doctor anyways if you want > the insurance company to pay for your expenses at the specialist.
>>> Q, T2 1000 mg/day metformin since July 2009.
>> How much do you weigh?
> BMI 26,3 presently but originally it was 32,5. My target is 25 or less. > Getting my blood glucose under control is not my only problem.
> Q
You have a tough time answering direct questions, why is that?
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