Asked by dokinawa
How Do You Control High Diastolic Blood Pressure?
I have been on several medications for the past 2 years and have yet to determine a way to lower my diastolic b.p. I am 36 years old, no family history of high blood pressure, kidney ultrasounds are fine, all blood tests are normal, good HDL/LDL levels and do not have a thyroid problem. I work out on average 1 - 1 1/2 hours a day, 3-5 days a week. Even on the days my bp is manageable, my diastolic number rarely gets below 97, even when the systolic number is at 129. Any suggestions or recommendations?
Thanks for your question.
It sounds like you are doing as much as possible on your side of the treatment plan. I do have a few suggestions that might already be following, but for completeness I'll mention them. Diet is a very important part of treatment for high blood pressure. Limiting salt intake is vital, so remove the salt shaker from the table, avoid processed foods, canned foods (especially soups) that usually contain high levels, and fast food restaurants. Be sure you are doing everything possible to keep your weight at the right level. And continue to minimize all other risk factors for heart disease, which in your case only leaves smoking.
Getting control of high blood pressure (hypertension) can be challenging for both the patient and the physician. In many cases, it is a long process of trial and error, and your doctor may have to use multiple drugs simultaneously. In some cases, a consultation with a hypertension specialist, a nephrologist (kidney specialist) is necessary.
So continue your exercise program, healthy eating, and weight control. Be sure to discuss your concerns with your physician, and if success is still not obtained, ask about the need for a consultation with a nephrologist.
I hope this has been helpful. Be sure to review this website for more tips about lifestyle changes that can help in controlling your pressure.
Martin Cane, M.D.