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Hypertension & Diabetes

Blood pressure is the force of blood against your blood vessels as it circulates. This force is necessary to make the blood flow, delivering nutrients and oxygen throughout your body. High blood pressure, also called hypertension, means there is too much pressure in your blood vessels. It may precede the onset of diabetes mellitus (DM). In many of the cases, both hypertension and diabetes mellitus may be diagnosed together. Diabetic population has almost doubled occurrence of hypertension as compared to non-diabetic general population.

Diabetes and high blood pressure are considered as major cardiovascular risk factors, which mean these can lead to coronary artery disease, stroke, left ventricular hypertrophy, and nephropathy. Patients suffering from both diabetes and high blood pressure have greater risk of atherosclerosis.

What are causes of high blood pressure?2

Are you diagnosed with blood pressure & diabetes?

If yes, then monitor yourself regularly

Learn how to measure blood pressure & blood sugar at home, keep record of these.

What are the recommendations for starting anti-hypertensives?

British Hypertension Society, British Hyperlipidaemia Association and British Cardiac Society have jointly suggested the initiations of treatment of hypertension in diabetics when BP is equal to or more than 140/90 mm Hg. According to the WHO Expert Committee Recommendation in Hypertension Control treatment may be instituted at BP 130/85 mm Hg in a patient with diabetic nephropathy

Are lifestyle modifications recommended for Diabetic hypertensives?

Lifestyle modifications are must for diabetic hypertensive patients. These modifications also correct obesity, hyperglycaemia, hyperinsulinaemia, and act as primary prevention against cardiovascular risks. These will reduce blood pressure and control blood glucose levels.

Regular physical activity

It has been observed that regular physical activity has an independent cardioprotective effect.  Regular aerobic exercise can reduce systolic BP by an average of 4 mmHg and diastolic BP by an average of 2.5 mmHg. It is advised to all patients to become physically active, as part of a comprehensive plan to control hypertension and diabetes, regardless of drug treatment. Aim for 30 minutes of moderate-intensity physical activity on most, if not all, days of the week.

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Quitting smoking

Quitting smoking may not directly reduce BP, but markedly reduces overall cardiovascular risk. The risk of myocardial infarction is 2–6 times higher and the risk of stroke is 3 times higher in people who smoke than in non-smokers.

Quitting smoking also helps in better management of blood glucose and HbA1c levels.4

Dietary Modification

Adequate intake of dietary-fibre, and K+, Ca++, Mg++ from fresh fruit, green vegetables, and dairy products should be ensured. Mg++ is provided by chlorophyll of green leafy vegetables. Anti-obesity diet should not contain more than 1/3rd of total calories from fat. Of the fat calories, 1/3rd should be derived from saturated fat and 2/3 from poly- or monounsaturated fat.

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Weight reduction

Every 1% reduction in body weight lowers systolic BP by an average of 1 mmHg. Weight reduction by as little as 4.5 kg reduces BP and/or prevents hypertension in a large proportion of overweight people. Weight loss of 10 kg can reduce systolic BP by 6–10 mmHg.

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Reducing Alcohol Intake

Reducing alcohol intake may reduce BP in many patients and also contributes in better management of blood sugar levels.

Co-existence of diabetes mellitus and hypertension increases the risk of macro – and micro-vascular complications. Blood pressure should be measured in supine, sitting, and standing postures in a diabetic patient to detect existence of autonomic neuropathy and drug induced postural hypotension. A good BP control (130/80 or below) prevents or retards the progress of both micro and macro-vascular complications. Tight control of blood glucose levels prevents or delays the progress of micro-vascular complications.

It is very important and must of diabetic hypertensive patients to modify their lifestyle to lead a healthy and happy life.

FenfuroTM is a clinically evaluated dietary supplement for effective management of blood glucose levels. It is supported by 6 international patents.

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References

 

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Pre-Diabetics: Ditch the diabetes Or Have a family history of Diabetes? You may be Pre-Diabetic!

 

 

Diabetes in India has reached an endemic stage with about 62 million people suffering with this debilitating disease. This often chronic and deadly disease is fast spreading its tentacles and is expected to affect over 100 million people in India by 2030.

While a lot has been spoken about Diabetes, Pre-diabetes is an area which has not got required attention. According to a report of “The Hindu” – “There were an estimated 77.2 million pre-diabetics in India in 2014 (http://www.thehindu.com/news/national/tamil-nadu/more-than-77-million-people-in-india-have-prediabetes-expert/article5620842.

Pre-diabetes condition, the blood sugar level of a person falls in the range of 100-125 in the fasting plasma glucose test. If you have a family history of Diabetes, your chances of developing diabetes are quite high unless you make some important changes in your lifestyle.

While weight control, regular exercise and other lifestyle interventions can be the saviors; nutrition plays a significant role in delaying the incidence of Diabetes.

Load up on less starchy food, vegetables, whole grains, and high- fiber and protein rich food. You can ditch the diabetes with the use of nutraceuticals extracted from fenugreek seeds, which are a rich source of Fiber along with other active ingredients, effective in diabetes control.

FENFUROTM is first of its kind nutraceutical derived from fenugreek seeds through a patented process. Through this unique scientific process, FENFUROTM concentrates the bioactive part of plants into a manageable dose, while removing the inert parts such as cellulose. FenfuroTM corrects Insulin Resistance and normalizes Hyperinsulinemia, the two main factors which are responsible for progression of Diabetes. Therefore if these two factors are corrected, progression is prevented in pre-diabetes. FenfuroTM has no side effects too. So if you are a Pre-Diabetic, you can safely use Fenfuro to avoid the debilitating disease- Diabetes.