Doctor insights on:
Nifedipine Diabetes Related Agent
What do you find to be typical progression of drugs in type 2 diabetes (ie, start on metformin, but will need to add another agent after x months, etc?
Many possible: Although metformin is the typical starting medication for most type 2 diabetics, many times it is not adequate alone to control sugars. Additional medications are based on many factors including: how high is your hemoglobin a1c, your weight, your age, other factors like heart, liver, and kidney function, cost factors. A typical next class of drugs would be a dpp-iv inhibitor or glp-1 agonist. ...Read more
Presistent increased frequency of emptying bladder, urinating, as a symptom of a disease state. 2 types: Mellitus (high blood glucose) & Insipidus (inadequate anti-diuretic hormone). In Diabetes mellitus, the far more common, glucose concentrations are ↑ed due to combination of 8 organ system changes referred to as the "ominous octet" & aggravated by intake of sugars (simple & complex ...Read more
I was in vietnam and have heart/blood pressure/diabetes problems. What else is caused by agent orange?
Can my undifferentiated connective tissue disease be generated by my fathers severe exposure to agent orange? He has type 2 diabetes due to exposure.
Not likely.: The Institute of Medicine publishes a biennial report on the Agent Orange issue. There is limited but suggestive evidence of an association with diabetes (10% of the population has DM and very very few of them were ever exposed to AO) and no proposed evidence linking UCTD to paternal dioxin exposure. http://www.nap.edu/catalog.php?record_id=18395 ...Read more
Was in vietnam , have heart , high blood pressure, diabetes. It's sounding more like agent orange, can this be treated?
Approximately: 5 hours for Isosorbide Mononitrate used for prevention of angina pectoris due to coronary heart disease, HTN and MI. It is a vasodilatory agent that dilates the blood vessels. It lowers blood pressure and reduces the left ventricular preload and after load reducing the hearts oxygen requirement. Nifedipine 1/2 life 2 hours. Calcium channel blocker. Go to Medscape or Drugbank for more info. ...Read more
Sent to ED with BP 219/60. When on nifedipine, get dangerously low BP , Norvasc caused arrythmia. Whats left? Ckd stage 4, diabetic.
Depends: It comes as a long acting form and a short acting form. If you take a short acting capsule on an empty stomach, it will work within 1-2 hours. If you cut off the end and squeeze the medicine under your tongue (not recommended), it will work in 1-2 minutes but can cause excessive fall in BP so can be dangerous. ...Read more
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