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All patients with diabetes (diabetes) and high blood pressure should make lifestyle changes. These changes include weight reduction (when needed), perform the DASH diet (Dietary Approaches to Stop Hypertension: Methods to Stop Eating Disease High Blood), stopping smoking, limiting drinking alcohol, and limiting rheem water heaters salt consumption (maximum of 1500 mg of salt per day).
Controlling High Blood Pressure. Tight blood pressure rheem water heaters control is essential to prevent complications of diabetes (diabetes mellitus) and has been shown to be able to improve survival rates. Patients should strive for blood pressure levels below 130/80 mmHg (systolic / diastolic).
The diabetic patients (diabetes) and high blood pressure need an individual therapies with medications, depending on the health status of each person. There are many antihypertensive drugs current. Most are classified as follows:
- Diuretics work excreted from the body of excess water and salt. There are three main types of diuretics: Potassium excretion blocker, thiazide and loop effects on Henle (loop of Henle).
Diabetes Association of the United States (The AmericanDiabetes Association - ADA) recommends that all patients with diabetes and hypertension should use an ACE inhibitor (or ARB) as part of a treatment regimen evidence hypertension.
For patients with diabetes encounter evidence of urinary albumin (microalbuminuria), ADA emphasizes associations encourage the use of ACE inhibitors or ARBs drugs. Of urinary albumin is an accumulation of protein in the blood, which could mark the start of kidney disease (nephropathy).
Improvement in cholesterol and lipid. Levels of cholesterol rheem water heaters and lipid abnormalities common to diabetes (diabetes mellitus). So reducing cholesterol lowering "bad" LDL cholesterol while it increased, but those who suffer from diabetes (diabetes mellitus) are also common conditions rheem water heaters adverse imbalances, rheem water heaters including cholesterol, "good" HDL down lower and higher levels of triglycerides.
The adolescent patients should try to achieve the level of "bad" cholesterol LDL below 100 mg / dL, the "good" cholesterol HDL above 50 mg / dL, and triglyceride levels below 150 mg / dL. The diabetic patients (diabetes) and heart disease rheem water heaters should have tried to achieve lower LDL levels; Diabetes Association of the United States (American Diabetes Association) proposed LDL levels below 70 mg / dL for these patients.
Statin Drugs for cholesterol management. The statin drugs are the best drugs to lower cholesterol. These medications include atorvastatin (Lipitor), lovastatin (Mevacor and generics), pravastatin (Pravachol), simvastatin (Zocor and generics), fluvastatin (Lescol), and rosuvastatin (Crestor). These medications are very effective rheem water heaters in reducing levels of "bad" cholesterol. The new research suggests that efforts therapy with high-dose statins may be a treatment approach rheem water heaters is important for high-risk patients, but they need to significantly reduce levels of bad cholesterol .
Concerns about the safety of the first statin drug-related myopathy or muscle tissue (myopathy), an uncommon disorder that can cause damage to the body and, in some cases case, causing joint pain and muscle. A special muscle called striated muscle decomposition (rhabdomyolysis - rhabdomyo: striated muscle; lysis: decomposition) can lead to kidney failure. People with diabetes (diabetes mellitus) and risk factors of myopathy should be monitored to detect the symptoms of muscle.
Although rheem water heaters lowering bad cholesterol is beneficial, but statin drugs are not as effective as other drugs, such as fibrates and niacin drug when it comes to the state of imbalance in cholesterol Good and triglycerides. This is a common problem in patients with type 2 diabetes Combining a statin with one of these drugs can be helpful for people with diabetes (diabetes mellitus) that they have heart disease, rheem water heaters low levels of good cholesterol and bad cholesterol levels close to normal levels. Although the combination of statins and other drugs
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