Re: Re: Decrease in Blood Pressure for airlinerg after increasing Inspra dose 50%

[Guest guest]

It is becoming too expensive to cure people…so medical organizations are redefining their standards for bp values J 120/80 was based on keeping the populations at healthy levels of living…130/80 is for diabetic patients…and greater then 140/80 is for patients who don’t care about their own health but place hefty expenses on medicare or public healthcare J another such reduction in standards is the change to measuring bp…it was average of 6 readings…became average of 3 readings…then it is now only one reading L at doctors office ! With day to day updates of standards very soon my original bp of 175/90 will be called “Normal BP” and it is found that I even did not need any medications in the past 15 years !!!...and I will receive a hefty bill from medicare to return all their costs of last 15 years on my health L Max. Why should my blood pressure goal be <135/85 instead of 120/80?

[Guest guest]

My nephro also has the same parameters. 130/85.

Sent from my Verizon Wireless Phone

airlinerg <airlinerg@...> wrote:

>Dr. Grim:

>So 25% increase would be 125 in the AM and 125 in the PM = 250 mg per

>day instead of 150 AM and 150 PM = 300 mg per day.

>What dose of Norvasc do you recommend decreasing to? I am currently on

>5 mg in the PM (which is the minimum tablet.)

>Why should my blood pressure goal be <135/85 instead of 120/80?

>At 100 mg Inspra in the AM and 100 mg Inspra in the PM = 200 mg, my

>blood pressure was 140/90.

>Please reply.

>

>

>>

>> > Subject: Decrease in Blood Pressure for airlinerg after increasing

>Inspra dose 50%

>> >

>> > Diagnosis: Hyperaldosteronism, Metabolic Syndrome, Obesity, Sleep

>Apnea

>> >

>> > I made an error by averaging all my blood pressure readings for the

>last 3 weeks from May 30, 2012 when I had increased Inspra 50% to June

>20, 2012 instead of averaging my blood pressure readings from the last

>few days June 17, 2012 to June 20, 2012 after having been on Inspra for

>3 weeks in order to compare my starting blood pressure to my current

>blood pressure. There has been a drop in blood pressure in the last 3

>weeks since I increased my Inspra dose by 50%.

>> >

>> > Note: I have also taken 5 mg of Norvasc (amlodipine) for a long

>time, and I did not change this.

>> >

>> > After 3 weeks of increasing Inspra 50% from 100 mg twice a day

>(total of 200 mg) to 150 mg twice a day (total of 300 mg,) my blood

>pressure has decreased from 140/90 to 127/85 if you just take the

>readings from the last few days from June 18, 2012 to June 20, 2012.

>That is a decrease of 9% on the systolic pressure and 5 1/2% on the

>diastolic pressure.

>> >

>> > Also, after 3 weeks of increasing Inspra 50% my Renin has increased

>from 0.29 to 0.47 with Aldosterone steady at about 91. Therefore my

>ratio of Aldosterone divided by Renin has decreased from 313 to 194

>which is a 119 point drop.

>> >

>> > CONCLUSION:

>> >

>> > I will continue the higher dose of Inspra for another 3 weeks to see

>if my blood pressure readings at the larger dose of Inspra are

>consistent over the next 3 weeks or there is a change.

>> >

>> > SUMMARY OF TEST RESULTS:

>> >

>> > Here are some readings:

>> >

>> > 6/6/08 Aldosterone 35 Renin 0.1 (Ratio of Aldosterone divided

>by Renin (A/R) = 350)

>> >

>> > 4/2/12 Aldosterone 93 Renin 0.29 with Inspra at previous dose

>(Ratio (A/R) = 313)

>> >

>> > 6/14/12 Aldosterone 89 Renin 0.47 with Inspra at 50% higher dose

>started 5/30/12 (Ratio (A/R) = 194)

>> >

>> > Blood Pressure May 30, 2012 140/90 began Inspra at 50% higher dose

>> >

>> > Blood Pressure June 20, 2012 127/85 after 3 weeks of Inspra at 50%

>higher dose

>> >

>> > SIGNIFICANT MEDICATION CHANGE:

>> >

>> > On June 8, 2012 I began injecting Victoza in an attempt to achieve

>weight loss since my BMI is 31 at 191 pounds. My BMI would be 25 at 155

>pounds. Unfortunately at 1.2 mg I had intolerable side effects of sulfur

>burping and diarrhea. I will try to restart Victoza at 0.6.

>> >

>> > QUESTION:

>> >

>> > Is the decrease in Aldosterone to Renin ratio and decrease in blood

>pressure significant?

>> >

>> > Do you have any recommendations?

>> >

>> > I would like your feedback on this matter since decreasing my weight

>and blood pressure has been a concern.

>> >

>> >

>> >

>>

>

[Guest guest]

Ah in the old days it was considered healthy as long as your systolic was less that 120 + your age.Indeed when I grad from medical school a major debate was: is it ethical to try to lower BP?CE Grim MDOn Jun 21, 2012, at 9:18 PM, Study Circle wrote: It is becoming too expensive to cure people…so medical organizations are redefining their standards for bp values J 120/80 was based on keeping the populations at healthy levels of living…130/80 is for diabetic patients…and greater then 140/80 is for patients who don’t care about their own health but place hefty expenses on medicare or public healthcare J another such reduction in standards is the change to measuring bp…it was average of 6 readings…became average of 3 readings…then it is now only one reading L at doctors office ! With day to day updates of standards very soon my original bp of 175/90 will be called “Normal BP” and it is found that I even did not need any medications in the past 15 years !!!...and I will receive a hefty bill from medicare to return all their costs of last 15 years on my health L Max. Why should my blood pressure goal be <135/85 instead of 120/80?

[Guest guest]

At home or in the office?On Jun 21, 2012, at 9:53 PM, Cybil wrote: My nephro also has the same parameters. 130/85. Sent from my Verizon Wireless Phone airlinerg <airlinerg@...> wrote: >Dr. Grim: >So 25% increase would be 125 in the AM and 125 in the PM = 250 mg per >day instead of 150 AM and 150 PM = 300 mg per day. >What dose of Norvasc do you recommend decreasing to? I am currently on >5 mg in the PM (which is the minimum tablet.) >Why should my blood pressure goal be <135/85 instead of 120/80? >At 100 mg Inspra in the AM and 100 mg Inspra in the PM = 200 mg, my >blood pressure was 140/90. >Please reply. > > >> >> > Subject: Decrease in Blood Pressure for airlinerg after increasing >Inspra dose 50% >> > >> > Diagnosis: Hyperaldosteronism, Metabolic Syndrome, Obesity, Sleep >Apnea >> > >> > I made an error by averaging all my blood pressure readings for the >last 3 weeks from May 30, 2012 when I had increased Inspra 50% to June >20, 2012 instead of averaging my blood pressure readings from the last >few days June 17, 2012 to June 20, 2012 after having been on Inspra for >3 weeks in order to compare my starting blood pressure to my current >blood pressure. There has been a drop in blood pressure in the last 3 >weeks since I increased my Inspra dose by 50%. >> > >> > Note: I have also taken 5 mg of Norvasc (amlodipine) for a long >time, and I did not change this. >> > >> > After 3 weeks of increasing Inspra 50% from 100 mg twice a day >(total of 200 mg) to 150 mg twice a day (total of 300 mg,) my blood >pressure has decreased from 140/90 to 127/85 if you just take the >readings from the last few days from June 18, 2012 to June 20, 2012. >That is a decrease of 9% on the systolic pressure and 5 1/2% on the >diastolic pressure. >> > >> > Also, after 3 weeks of increasing Inspra 50% my Renin has increased >from 0.29 to 0.47 with Aldosterone steady at about 91. Therefore my >ratio of Aldosterone divided by Renin has decreased from 313 to 194 >which is a 119 point drop. >> > >> > CONCLUSION: >> > >> > I will continue the higher dose of Inspra for another 3 weeks to see >if my blood pressure readings at the larger dose of Inspra are >consistent over the next 3 weeks or there is a change. >> > >> > SUMMARY OF TEST RESULTS: >> > >> > Here are some readings: >> > >> > 6/6/08 Aldosterone 35 Renin 0.1 (Ratio of Aldosterone divided >by Renin (A/R) = 350) >> > >> > 4/2/12 Aldosterone 93 Renin 0.29 with Inspra at previous dose >(Ratio (A/R) = 313) >> > >> > 6/14/12 Aldosterone 89 Renin 0.47 with Inspra at 50% higher dose >started 5/30/12 (Ratio (A/R) = 194) >> > >> > Blood Pressure May 30, 2012 140/90 began Inspra at 50% higher dose >> > >> > Blood Pressure June 20, 2012 127/85 after 3 weeks of Inspra at 50% >higher dose >> > >> > SIGNIFICANT MEDICATION CHANGE: >> > >> > On June 8, 2012 I began injecting Victoza in an attempt to achieve >weight loss since my BMI is 31 at 191 pounds. My BMI would be 25 at 155 >pounds. Unfortunately at 1.2 mg I had intolerable side effects of sulfur >burping and diarrhea. I will try to restart Victoza at 0.6. >> > >> > QUESTION: >> > >> > Is the decrease in Aldosterone to Renin ratio and decrease in blood >pressure significant? >> > >> > Do you have any recommendations? >> > >> > I would like your feedback on this matter since decreasing my weight >and blood pressure has been a concern. >> > >> > >> > >> >