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Doctor insights on: Beta Blockers Vs Ace Inhibitors With Diabetes

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Dr. Quang Nguyen
3,215 doctors shared insights

Diabetes (Definition)

Diabetes is a disease of increased blood glucose levels. Glucose is a type of sugar that comes from the intake of food. Insulin is a type of hormone that removes the glucose from the blood and moves it into the cells to provide them with energy. There are two different types of diabetes: type 1 and type 2. Type 1 diabetes is when the body does not make any insulin. Therefore, glucose stays inside the blood and does not move into the cells. Type 2 diabetes, which is commonly associated with obesity, is when the body is either resistant to the effects of insulin or when the body does not produce enough insulin. Increased levels of glucose in the body causes severe damage to the ...Read more


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Generally, how potent is clonidine when compared to other hypertensive medications, such as beta blockers and ACE inhibitors? Or, is it so individual?

Generally, how potent is clonidine when compared to other hypertensive medications, such as beta blockers and ACE inhibitors? Or, is it so individual?

Hypertension: Current 1st line medication for hypertension or high blood pressure is a thiazide diuretic (water pill) like hctz (hydrochlorothiazide) unless you have a compelling reason eg diabetes, heart disease, kidney disease, etc for something else. Clonidine is far down list. It works but all BP meds work. Down side of Clonidine is rebound hypertension if you forget to take dose. Some find it sedating. Potency depends upon dose. ...Read more

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What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.

What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.

Improved LV Function: The long term benefit of these medications in the treatment of CHF or Cardiomyopathy are well established highly beneficial and according to guidelines. It is all good. Prolong and improve life expectancy. ...Read more

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Are beta blockers alone effective in vasodilation around the heart or is combination therapy neccessary, i.e. ace-inhibitors, calcium blockers, etc?

Are beta blockers alone effective in vasodilation around the heart or is combination therapy neccessary, i.e. ace-inhibitors, calcium blockers, etc?

BB not vasodilators: The medicines you mention act in three different ways and depending in what you are trying to achieve they can be used separately or together for a variety of conditions, from hypertension to even heart failure (although cal antagonists not recommended for the latter). But beta blockers are not vasodilators ...Read more

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What are the benefits of ACE inhibitors with type 1 diabetes?

What are the benefits of ACE inhibitors with type 1 diabetes?

It help: Compared with placebo ace inhibitors (captopril, lisinopril, enalapril, perindopril, and ramipril) are more effective at reducing progression to macroalbuminuria, and at increasing regression to normoalbuminuria in normotensive people with type 1 diabetes and microalbuminuria. ...Read more

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What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?

What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?

Depends on co-morbid: Depends on other co-morbidities. That is, if hypertensive patient is also diabetic, then ACE inhibitor. If patient is hypertensive and has a history of coronary disease, then ACE inhib and beta-blocker given their secondary benefits, etc. Each patient is unique and the whole pic needs to be considered. ...Read more

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Into my 2nd day of switching from a beta blocker to an ACE inhibitor due to dizzy side effects from beta. Dizzy with the ace. Will this lessen at all?

Into my 2nd day of switching from a beta blocker to an ACE inhibitor due to dizzy side effects from beta. Dizzy with the ace. Will this lessen at all?

HTN meds: Dizziness may be due to how low your BP goes. It would be helpful to measure your BP when you develop this dizziness to see if that is the cause. If not your pmd will evaluate other potential causes of your symptoms. ...Read more

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Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while blacks with calcium channel blocker/diuretics?

Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while  blacks with calcium channel blocker/diuretics?

There's no rule: There's no rule that white patients need to be started on ACEI or Beta blocker and vice versa. It all depends on what is being treated HTN vs Coronary artery disease. ...Read more

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The beta blocker had too many side effects and did not reduce BP well enough. Ace inhibitor is now substituted. Could this reduce the pressure better?

The beta blocker had too many side effects and did not reduce BP well enough. Ace inhibitor is now substituted. Could this reduce the pressure better?

Depending on Pt: Each pt is different. People respond to different meds differently. Some pts ace inhibitor works very well. Some pts it does not. We have to try one med at a time and see if it works. If it doesnt will try next option. ...Read more

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