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Very high hba1c levels
Hello doc.
My dad is suffering from dm,htn , and coronary artery disease.
We checked his hba1c levels 2 months back it was 8.6.
Before 2 years back a doc had prescribed us a sglt2 inhibitors for which my dad had sudden fall in bp ie 90/60 and the emergency doc had asked to stop taking that medicine and changed the dose..
But now recently today ,he had been prescribed sglt2 inhibitors and when we told about the complications.that doc asked us to change the blood pressure medication instead...
Is it better to change the bp medication or take newly prescribed drug without worrying about complications?
SGLT 2 inhibitor show better cardioprotective benefit apart from blood sugar controlled it improve heart pumping capacity and decreases blood pressure upto 8-10 mmhg. Also have beneficial kidney protective action
Next Steps
Advice to continue with SGLT-2 inhibitor, ( if no risk of recurrent urine infection) gradualy decreases other blood pressure medicine to main tained blood 120-130/70-80 mmhg - for further advice connect with doctor book appointment at https://docmd.in/
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1) U have not mentioned what is the BP currently , to comment on if you should continue BP medication or Change it.
2) if you had a complication with a medication better avoid the medication, especially when many alternatives are available.
3) as you have mentioned HBAIC 2 months back was 8.6 , how much is it now ? What steps has been taken in this duration?
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Sglt2 inhibitor drug will protect both kidney and heart so better to continue drug and modify anti HTN medication
Next Steps
Clinical examination essential
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