I am 53 years old and obese… known diabetic and on metformin and now I checked 140/90….what medication I should start in the beginning….can I take t. Fimsartan 30 mg or t. telmisartan 40 mg?

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. You have just mentioned the bp reading. There is no information on weight, height, dietary pattern, extent of daily exercise, lipid profile and blood glucose levels as well as hba1c%. Since you have said that you are diabetic & obese, it is essential to know all the above information. Another aspect in this communication we are supposed to give only general guidelines, no drugs can be either prescribed or recommended. For any prescription you have to come in a private conversation. I hope it is clear. In both these conditions lifestyle is very important. Thanks.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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It’s not very high. U can control it with lifestyle changes which will help in diabetes also. Moreover keep an eye on bp, you should not start medicine with one reading. If it’s constantly high, then go ahead with medication. Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. Https://www.youtube.com/watch? V=wmhmazurgvsandfeature=youtu. Be for this homeopathy offers good results. Consult online.  

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