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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Home monitors urged for all high blood pressure patients

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mine mine mine - 24 May 2008 11:42 GMT
http://www.cnn.com/2008/HEALTH/conditions/05/22/blood.pressure.monitors.ap/index
.html?eref=rss_health

High blood pressure is a leading cause of heart attacks, strokes and
death. Having it checked a few times a year in a doctor's office or at
the drugstore is not enough to keep tabs on it, and regular home
monitoring is more accurate, the new advice says
Andrew B. Chung, MD/PhD - 24 May 2008 12:05 GMT
mineminemine wrote:

> http://www.cnn.com/2008/HEALTH/conditions/05/22/blood.pressure.monitors.ap/index
.html?eref=rss_health

> High blood pressure is a leading cause of heart attacks, strokes and
> death. Having it checked a few times a year in a doctor's office or at
> the drugstore is not enough to keep tabs on it, and regular home
> monitoring is more accurate, the new advice says

Smarter to keep tabs on the amount one is eating in order to eat less,
down to the right amount, so that there would be no VAT (black fat) to
cause high blood pressure from the outset.

Be hungry... be healthy... be hungrier... be euglycemic...

Marana tha

Prayerfully in the awesome name of LORD Jesus Christ,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/3558812d72ab4e17?
guys@consolidated.net - 24 May 2008 20:59 GMT
>http://www.cnn.com/2008/HEALTH/conditions/05/22/blood.pressure.monitors.ap/index
.html?eref=rss_health

>High blood pressure is a leading cause of heart attacks, strokes and
>death. Having it checked a few times a year in a doctor's office or at
>the drugstore is not enough to keep tabs on it, and regular home
>monitoring is more accurate, the new advice says

It might help those that do not have a problem and diagnosis is based
on a single defective reading..  Too many pills prescribed for a
problem that does not exist.

Our greedy society is the cause of much of the alleged problem.

We need to learn to ignore the artifical panics and RELAX.

Frankly, we are killing people for economic advantage.

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Cheri - 24 May 2008 21:03 GMT
guys@consolidated.net wrote in message

Quoting from an article
>>"High blood pressure is a leading cause of heart attacks, strokes
and
>>death. Having it checked a few times a year in a doctor's office or at
>>the drugstore is not enough to keep tabs on it, and regular home
>>monitoring is more accurate, the new advice says"

>It might help those that do not have a problem and diagnosis is based
>on a single defective reading..  Too many pills prescribed for a
[quoted text clipped - 5 lines]
>
>Frankly, we are killing people for economic advantage.

Not too long ago, maybe 7-8 years ago, a heart doctor told my MIL to
throw hers out, that they're worthless, so you just don't know who to
believe anymore. I wonder who recommends them, the makers of the
monitors?

Cheri
Tiger_Lily - 24 May 2008 21:52 GMT
> guys@consolidated.net wrote in message
>
[quoted text clipped - 22 lines]
>
> Cheri

hubby has a very expensive, 'professional quality' blood pressure
monitor, complete with the stethoscope to listen to the blood/pulse, and
he was trained by his Dr to use it after a 24 hour holter test showed
that his BP ranges widely thru the day

the cheap BP wrist cuffs and the cheap arm BP monitors don't work very
well at all and give false readings all the time, i would not rely on
them at all

hubby had a double by-pass done last summer, he's dropped 2 meds
entirely and now takes a low dose ACE inhibitor :)

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Chris Malcolm - 25 May 2008 13:14 GMT
> hubby has a very expensive, 'professional quality' blood pressure
> monitor, complete with the stethoscope to listen to the blood/pulse, and
> he was trained by his Dr to use it after a 24 hour holter test showed
> that his BP ranges widely thru the day

I've been using one of those for twenty years.

> the cheap BP wrist cuffs and the cheap arm BP monitors don't work very
> well at all and give false readings all the time, i would not rely on
> them at all

I was recently tempted to buy a cheap automatic arm cuff monitor in a
sale which made it even cheaper. It doesn't give the same readings as
my manual cuff and stethoscope, but then my manual cuff and
stethoscope never gives the same readings twice anyway. That's why I
always take about five readings over the course of a couple of
minutes.

The range of the cheap auto meter readings well overlaps that of the
manual stethoscope method, and what for me is more important for
monitoring purposes, it is consistent in its differences, i.e. it is
clearly going to show me progressive differences as well as the old
method. Whether my BP is going down or up is a lot more important to
me than what the exact reading is. In fact, because it is so much
easier to use than the old method, I'll use it more often, so in
practice it will be better than the old method.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Trinkwasser - 26 May 2008 19:40 GMT
>> hubby has a very expensive, 'professional quality' blood pressure
>> monitor, complete with the stethoscope to listen to the blood/pulse, and
[quoted text clipped - 22 lines]
>easier to use than the old method, I'll use it more often, so in
>practice it will be better than the old method.

Yes that's very much the conclusion I've reached: BP is very variable
over time anyway but the advantage of a home meter is that you can
take readings whenever you choose (and they don't cost money unlike BG
readings)

Although there's a certain amount of scatter, some of which is
undoubtedly real and some of which may be a function of the meter, the
trends are unmistakeable, a steady downward curve as my BG came under
control, a stepwise drop as my medication was changed, and recently a
small rise (but I know the reason(s) for that).

Be interesting to see what the "official" meter says on wednesday
bj - 24 May 2008 21:58 GMT
> Not too long ago, maybe 7-8 years ago, a heart doctor told my MIL to
> throw hers out, that they're worthless, so you just don't know who to
> believe anymore. I wonder who recommends them, the makers of the
> monitors?

Several of my doctors over the past 8+ years have either recommended that I
home-monitor bp or been pleased that I was already doing so.
I show them that log as well as the bg one.

Maybe that heart doctor was like a lot of other doctors that think
home-monitoring of bg is also worthless?
bj
guys@consolidated.net - 24 May 2008 22:01 GMT
>guys@consolidated.net wrote in message
>
[quoted text clipped - 22 lines]
>
>Cheri

Any well designed medical instrument has some good use.

Many docs prefer to depend on their experience and instincts.

IN my area,  The local gossip relates cases where  some
form of alarm alerted the docs of a problem and resulted is earlier
intervention.  

NOW,  There is concern over cost of new items.  Where does
the  bucks  go.     Equipment or to pay for the country club
membership.

It is interesting to watch the finger pointing by the medical
crews.

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Nick Cramer - 25 May 2008 01:19 GMT
> guys@consolidated.net wrote in message
> [ . . . ]
> Not too long ago, maybe 7-8 years ago, a heart doctor told my MIL to
> throw hers out, that they're worthless, so you just don't know who to
> believe anymore. I wonder who recommends them, the makers of the
> monitors?

I've had one for 25 years. My wife and I both use it. Now that my BP is
well under control, I don't use it that often. Wife checks once or twice a
day. Her BP is all over the place. Meter works fine, although the printer
died 10 or 15 years ago. I bring it in to my Diabetician for a calibration
check around once a year. Always within a few points.

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Alan S - 25 May 2008 02:34 GMT
>>It might help those that do not have a problem and diagnosis is based
>>on a single defective reading..  Too many pills prescribed for a
[quoted text clipped - 12 lines]
>
>Cheri

I found my home monitor very useful in several ways. It
certainly assisted in self-treating my wife's high BP with
low-dose aspirin, enabling us to discover the absolute
minimum dose which was effective for her; the standard
recommended 85mg was too much.

For myself it let me discover diurnal variations in my BP
which, by trial and error in diet, exercise and activities I
was able to improve.

These days I use it rarely, but it is still useful.

While I was travelling I happened on a diabetes assessment
clinic in the Irving Mall in Dallas, Texas. So, after
checking that foreigners were OK I stood in the queue. When
it came to my turn to see the initial nurse, who filled in a
form and checked BP, I was silly enough to mention my
differences of opinion with the ADA. From her reaction she
clearly didn't like that opinion. I was astounded when she
said my BP was 158/90 - I had not seen numbers like that
since pre-diagnosis, six years ago. Actually, I didn't see
them this time as she kept the face of the monitor towards
her. When I reacted she re-checked manually with the
stethoscope and said I was 162/95.

I then moved on to the glucose and cholesterol nurses.

I've put their photo up on flickr.
http://flickr.com/photos/alan_s/sets/72157604919289274/

The BP nurse was the one in white. She told the girl in
front of me, a lovely slim well-built young lady who didn't
carry an ounce of fat, that her BMI of 26 was too high and
she needed to lose 15lbs. Have another look at those photos,
click on them to get larger versions. Advice is easier to
accept from those who practice as they preach.

That BP reading concerned me. As soon as I got home a week
later I used the home meter and saw 125/65 and I've been
consistently that or better since. So I stopped being
concerned. It didn't occur to me until then that the nurse
was almost certainly teaching an Aussie "know-it-all" a
little lesson. Nice lady.

Cheers, Alan, T2, Australia.
--
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
http://loraldiabetes.blogspot.com

http://loraltravel.blogspot.com
Latest: Bangkok
Cheri - 25 May 2008 16:51 GMT
I did not write the top part of this post, Guy did. :-) I wrote the
part about the heart doctor saying they are useless.

Cheri

Alan S wrote in message ...

>>>It might help those that do not have a problem and diagnosis is based
>>>on a single defective reading..  Too many pills prescribed for a
[quoted text clipped - 65 lines]
>http://loraltravel.blogspot.com
>Latest: Bangkok
 
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