AboutDomenic Sica Expertise All aspects of hypertension as well as any consideration in drug therapy for the management
of hypertension.
Experience Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension
Organizations Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.
Publications Over 250 publications (see PubMed)
Education/Credentials Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension
Awards and Honors Multiple awards as clinical and/or teacher of the year.
I am from India having BP taking Atenolol 100 Losartan 100 Indapamide 1.5 Amlodepine 10 mg. Dose of Atenolol is due to problem of tachycardia and missing beats which is under control with the atenolol.
I have normal lipid profile, normal thyroid function Creatinine 0.98 Blood urea/uric acid/homocystein/Lp(a)/PSA X Ray chest normal. 2D echo is normal with 65 EF Dystolic dysfunction and sever concentric LVH TMT normal with 9 METS and negative for IHD Renal doppler normal. Abdominal sonography normal with Grade 1 fatty liver ...
I am obese. I am having impaired glucose Fasting blood glucose remains 110 around whereas post prandial is 100. my HbA1c is 7.1.
My dr suggested metformin 500 mg once daily after lunch. My mother died at the age of 59 because of diabetes and BP ( Diabetic coma) My query is I have started walking for 6 kilometers for 70 minutes in the early morning. I am a vagan, non alchoholic non tobacco chewer non smoker. Can my walking will improve the HbA1c level and fasting glucose or should I start metformin ? Why fasting is little higher than post blood sugar whether walking will improve the glucose tolerance I am male-51 years Two brothers have HBP Sister has BP+DM Can U explain me my problem for my education I shall be very much obliged to receive your guidance I am encouraged to ask because of your quality repsonse and humane approach Thanx in advance
Answer It is probably advisable to start the metformin and continue with the exercise as well. The exercise may serve to reduce the amount of metformin needed. Of note, the atenolol that you are taking (out of necessity) may be a factor in your having impaired glucose values.
