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Blood pressure

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Spireite72

Spireite72

Well-Known Member
Relationship to Diabetes
Type 2
I’m on 2.5mg of ramipril for my blood pressure after the heart attack. We have a BP monitor(mother in law’s) so been monitoring it for the last few days as I’ve been having dizziness if I stand up to quickly. 117/78 just looked the figures up and it says perfect unless on medication for BP it’s to low now. I’m on the lowest dose as it is.
 
Spireite72 said:
I’m on 2.5mg of ramipril for my blood pressure after the heart attack. We have a BP monitor(mother in law’s) so been monitoring it for the last few days as I’ve been having dizziness if I stand up to quickly. 117/78 just looked the figures up and it says perfect unless on medication for BP it’s to low now. I’m on the lowest dose as it is.
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Spiriete a single lower than normal reading shouldn't really be cause for alarm... but with other symptoms such as nausea or light headedness & your history you need to be especially careful...are you drinking enough...could you be dehydrated...I would suggest that you double check and maybe give the 111 service a call...I don't want to worry you but if your blood pressure gets too low the heart can struggle to circulate the blood...keep a close eye on it...why not give the service a call for reassurance.
 
Bubbsie said:
Spiriete a single lower than normal reading shouldn't really be cause for alarm... but with other symptoms such as nausea or light headedness & your history you need to be especially careful...are you drinking enough...could you be dehydrated...I would suggest that you double check and maybe give the 111 service a call...I don't want to worry you but if your blood pressure gets too low the heart can struggle to circulate the blood...keep a close eye on it...why not give the service a call for reassurance.
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I’m drinking lots of water through the day (not through high BGL). I’ll keep an eye on it if it’s still low or drops anymore I’ll phone 111
 
My blood pressure is on the low side too. For months I think. (Trouble getting the readings out of HCP, as always.) A couple of readings lower than yours I think. I didn't pick up on a BIG rush from doctors. I'm on several tablets for high blood pressure. I was taken off one six months ago. Another consultant (not a heart one, however had some training in that area, as well as diabetes) is writing to my GP to suggest coming off another.
Not necessary urgent. Do make a not to talk to your doctor (possibly both GP and consultant, depending how it all works for you) about it at least.
My heart finds it harder to pump. I have a genetic heart condition that affects it as well as a heart attach though. I can't speak for you.

As diabetics on hight blood pressure tables, GP may want us on the lower side.
 
103/77 now 😳
 
Be very careful. When we moved to Spain my OH was on BP meds. We didn't have a monitor then.

Out of the blue one day he collapsed, in the bathroom, against the door. I had a right job getting in, then once in I couldn't get out. I threw cold water on him and after a few minutes he came round. The hospital could find no reason for his collapse.

The same thing happened again a few weeks later. Major panic in the middle of the night. He was worse this time. He wouldn't come round.

It turned out he was taking the BP meds unnecessarily as his diet and lifestyle had improved so much in Spain that he didn't need them and they sent his BP too low.
We now have our own monitor.

You take care.
 
No dizziness this morning and 117/79
 
My heart team said I could have some dizziness.Reading up on it because i’m Pretty much in my weight range now massive improvements in weight and lifestyle the medications i’m On can cause low BP think I need to get in touch with my GP ASAP to see if I need all of my meds anymore. No way I dare stop any without been told too.
 
Spireite72 said:
My heart team said I could have some dizziness.Reading up on it because i’m Pretty much in my weight range now massive improvements in weight and lifestyle the medications i’m On can cause low BP think I need to get in touch with my GP ASAP to see if I need all of my meds anymore. No way I dare stop any without been told too.
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Just keep an eye on it Spireite… speak to your surgery as soon as you can...I used Ramipril for roughly six months...exactly the same dose & managed to come off it (with GP's approval) about a year ago.
 
Spireite72 said:
I’m on 2.5mg of ramipril for my blood pressure after the heart attack. We have a BP monitor(mother in law’s) so been monitoring it for the last few days as I’ve been having dizziness if I stand up to quickly. 117/78 just looked the figures up and it says perfect unless on medication for BP it’s to low now. I’m on the lowest dose as it is.
Click to expand...

You may need your medication reviewing if it’s plunging your b/p very low Spireite. This is the price of success because diabetes can be very much part of metabolic syndrome which includes high b/p, excess fat round the middle and higher cholesterol levels.
You’ve shifted a fair bit of weight, stabilised your blood sugar and in doing so have probably stabilised your b/p. It’s all good!
See your GP but keep a running record of your blood pressure levels.

I’m on b/p medication and last night mine was lower than your 117/78 but I don’t have dizziness.
When it’s taken in the surgery, white coat syndrome pushes it through the roof but my doc factors that in now.
I have a proper upper cuff monitor too which is very accurate.

Thing is, you’re actually out running these previous health conditions now which is great! 🙂
 
I get similar readings to you @spireite and they are fine, although the dizziness does need to be investigated - it may be a side-effect of the medication rather than the actual BP. at or below 120/80 is what GPs like us to aim for, I believe - 'low' would be 90/60 🙂
 
Spireite speak to your GP about this...advice that we give can only ever be incidental /anecdotal...you appear to be doing really well...weight loss...good diabetes control...however given your history & the previous heart attack it is important to talk to your health care team about this...I hope as @Amigo says you are 'outrunning' your medical conditions and there's no longer a need for this medication...fingers crossed...but we should not make comparisons here...your GP can give you all the reassurance you need & may decide you no longer need the BP medication...speak to s/he about it...good luck.
 
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Bubbsie said:
Spireite speak to your GP about this...advice that we can only be incidental /anecdotal...you appear to be doing well...weight loss...good diabetes control...however given your history & the previous heart attack it is important to talk to your health care team about this...I hope as @Amigo says you are 'outrunning' your medical conditions and there's no longer a need for this medication...fingers crossed...but we should not make comparisons here...your GP can give you all the reassurance you need & may decide you no longer need the BP medication...speak to s/he about it...good luck.
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As I said Bubbsie, he should consult his doctor. There’s terrific progress being made but I’d never advocate anyone reduces or stops b/p medication without sound medical advice and Spireite has indicated he’d never do that anyway. I’d never reduce mine without advice but I’d be seeking a pretty swift GP appt if the meds were plunging levels too low.
I can recall my mum developing postural hypotension and falling to the floor when she stood up. She’d also suffered a heart attack but the meds she was on eventually needed adjusting because they were just too effective and her b/p became very low. However, every person is different and needs an individual medical assessment.
 
Amigo said:
As I said Bubbsie, he should consult his doctor. There’s terrific progress being made but I’d never advocate anyone reduces or stops b/p medication without sound medical advice and Spireite has indicated he’d never do that anyway. I’d never reduce mine without advice but I’d be seeking a pretty swift GP appt if the meds were plunging levels too low.
I can recall my mum developing postural hypotension and falling to the floor when she stood up. She’d also suffered a heart attack but the meds she was on eventually needed adjusting because they were just too effective and her b/p became very low. However, every person is different and needs an individual medical assessment.
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Agree unequivocally Amigo...absolutely spot on.
 
Jeandp said:
Out of the blue one day he collapsed, in the bathroom, against the door. I had a right job getting in, then once in I couldn't get out. I threw cold water on him and after a few minutes he came round. The hospital could find no reason for his collapse.
Click to expand...
I've not passed out. Generally for this sort of thing with the head, once it's passed the Dr aren't actually able to tell what happened. That's what the consultant told me. As there's no sign of anything else he think mine was temporary because of lower blood pressure.
 
Spireite72 said:
My heart team said I could have some dizziness.
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When I was first in as an emergency with my heart, they kept asking if I was light headed. I believe light headed/dizziness is a common symptom with heart patients. It's because the heart is having problems pumping blood round, and we aren't always getting as much blood to the brain as it likes.
Lower blood pressure can have the same effect.
 
101/73 this morning but no dizziness so far phoning my GP in the morning
 
Thank you for all the great advice
 
Just had my BP done 45 minutes ago.
101/60 sat
98(?)/61 stood.
No passing out or falling over. Dr has reduced my meds.
Have you seen your doctor about this Spireite? And I've just remembered, you'll still be under specialist nurse and physio. Mention it to them. Do they take your BP at your physio sessions?
 
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