The big news announced yesterday was that people older than 60 can now have higher blood pressure before their doctors will tell them to take drugs to bring it down. But the guidelines for those of us who have diabetes remain the same.
An expert panel says in its new guidelines that people over 60 need to keep their blood pressure below 150/90 rather than the 140/90 level as previously recommended. And people with diabetes of any age still need to keep it below 140/90.
The expert panel of 17 academics reported its findings in JAMA , the Journal of the American Medical Association after reviewing the evidence for the last five years. The full-text of its report, “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults,” is free online .
The goal for people with diabetes, 140/90, means a systolic blood pressure of no more than 140 millimeters of mercury, abbreviated as mmHG. This systolic pressure shows the pressure on our blood vessels whe...
There are times it is normal for the heart to beat harder, such as if you are out hiking and encounter a bear. Your blood pressure will jump so larger levels of oxygenated, nutrient rich blood is sent through your system and you are able to react. All part of the flight or fight response.
When you are diagnosed for high blood pressure your blood pressure is not just high for limited periods of time. It is consistently elevated. This means the heart is constantly working harder than it should.
Here are 7 reasons your heart may be dealing with this increased workload:
1. Atherosclerosis (narrowing of the arteries) - This may be caused by cholesterol deposits along arterial walls resulting in plaque buildup. Fibrosis or endothelial dysfunction may also result in narrower arteries. When arteries narrow the heart has to pump harder (exert more force) to move blood throughout the system.
2. Overweight and obesity - Fat is a tissue that requires a constant blood s...
I was diagnosed with Diabetes Type II in 1999. Prior to that date my blood pressure readings were averaging 147/91. In January of 2000 my doctor put me on Lipitor . Could my HBP be considered a secondary condition that is likely to be caused in part and/or aggravated by the diabetes mellitus? Multiple readers have noted that they have one combination or another of hypertension , type 2 diabetes mellitus and hyperlipidemia (elevated cholesterol, or triglycerides , or low HDL cholesterol) and asked which came first and whether one is secondary to the other. The relationship is often complex as each can not only worsen the other but also increases the effect upon the adverse problems that can lead to heart disease. In the question that I am answering, the blood pressures were already elevated and we would at least call them " pre hypertensive " before. The reason that we use the term "pre hypertensive" is that people who run high pressure early in...
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