hydrochlorothiazide and diabetes

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wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/19/2010 1:49 AM (GMT -6)   
 
Back in 2006 my husband's physician added a  water pill
 hydrochlorothiazide to his blood pressure medication
(lisinopril) and about four months later, his blood sugar tested high.  His doctor sent him to have a  two hour glucose tolerence test which turned out okay.  The next year when he had a blood test, his blood sugar tested
high again and this year it was in the diabetes range
so the doctor told my husband that he had diabetes
and said it could be controlled with diet at this point. 
Later I happened to read online that hydrochlorathiazide
raises blood sugar levels and can actually cause diabetes.
 
Would appreciate any input.  Thank you
 
Wiggyann

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3746
   Posted 2/19/2010 7:57 AM (GMT -6)   
Welcome wiggyann, yes, it's well-known that hydrocholorthiazide will cause high blood sugar.  Maybe there's another med he can take in place of it.  I would speak to his doctor.  Controlling diabetes by diet and exercise would mean he should cut way down on carbs but since it's possible that the only reason his blood sugar is high is because of the drug, I'd see if it can be changed.  Good luck.
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Marburg
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Date Joined Mar 2006
Total Posts : 486
   Posted 2/19/2010 1:13 PM (GMT -6)   
Wow. I didn't know lisinopril can cause high blood sugar. Going to have to ask my doctor about it. I've been taking lisinopril for years and now that I look back on it, my onset of diabetes appears to coincide with when I started taking lisinopril.

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/19/2010 3:58 PM (GMT -6)   
Hi Marburg,

The problem with my husband's high blood sugar began when his doctor added the water pill (hydrocholorthiazide)
to the lisinopril he had been taking for several years.
He did not have a rise in his blood sugar with just the plain
lisinopril.

Wiggyann

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3746
   Posted 2/19/2010 5:18 PM (GMT -6)   
Right, it's the hydrocholorthiazide that raises blood sugar. 
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6053
   Posted 2/25/2010 1:46 PM (GMT -6)   
In my humble opinion, although the hydrochlorothiazide can increase the risk of high blood sugars and diabetes, I believe it more or less just tips the scales. I was hypoglycemic for most of my life and started my hydrodiuril in my 20's. Wasn't diagnosed with diabetes until my 40's. I take the med to prevent the formation of kidney stones and it has done that for me for over 35 years. If I have to choose between kidney stones and diabetes I'll take the diabetes. My stones and the surgeries were life threatening. Diabetes I can do every day...
~ Jeannie


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/25/2010 10:19 PM (GMT -6)   
Dear Jeannie,
 
I think in your situation, I would take the hydrodiuril
too, instead of suffering with the kidney stones.
However, I wish my husband's physician would  give him the plain lisinopril and stop adding the hydrochlorothiazide
since it has raised his blood sugar up to the diabetes
level in several years.  His blood sugar was normal
before he added the hydrochlorothiazide.
 
Thank you for posting  :-)
Wiggyann   
 
 
 
 


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6053
   Posted 2/26/2010 12:55 PM (GMT -6)   
Wiggyann,
Does he have good results with following a food plan? Just my 2¢, but it's possible he'd be diabetic eventually anyway. This was the case with me. I know it's frustrating to get the dx of diabetes but for myself it's actually made me more cognizant of the way I care for myself and partner with my doctor in my own health care. In a way, it's been a blessing.
~ Jeannie


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/27/2010 12:29 AM (GMT -6)   
 
Hi Jeannie,
 
There is a cardiologist on allexperts.com whose son is an endroctrinologist.  I asked him a question about my husband's blood sugar going up when his doctor added the water pill to his blood pressure medication.  He did tell me that that the thiazide diuretics will raise blood sugar and he suggested asking the doctor to stop adding the water pill to the lisinopril and see if his blood sugar returned to normal.  My husband's blood pressure is low when he takes it at home, but as soon as they put the band on his arm in the doctor's office, he told me that he can actually feel it going up.  I think they call what he has white coat syndrome.  He has been this way for years.  His blood pressure is always high when he has it taken at the doctor's office.  His  doctor had him on two different blood pressure medications and then added a water pill.  I know my husband would like to leave out the water pill for awhile and see if his blood sugar goes back to normal.  But when he phoned and talked to
the nurse about it, she told him that the diuretic could not cause his blood sugar to go up.  She wanted to make him an appointment to have more blood tests done and
this upset my husband because he had just had
blood tests done a few weeks before and he told her
to just forget it.  so, it  ended up being a source of contention between my husband and the nurse.  sad  
 
Thank you,
Wiggyann  
 
 

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3746
   Posted 2/27/2010 8:23 AM (GMT -6)   
Ugh. what a pain dealing with a nurse who's not helpful.  My BP is also higher in the doctor's office.  How about if your husband keeps a record of his BP at home on his own cuff and then takes those pages and the cuff to his next app't to show the doctor.  The doctor would want to make sure his cuff is accurate to theirs.  This way the doctor would see what his BP really is on a daily basis.
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6053
   Posted 2/27/2010 11:15 AM (GMT -6)   
Good idea, Lanie! I do this myself. I got a cuff and stethescope on eBay for about $15.00 and it works well.
~ Jeannie
Moderator for Fibromyalgia and Diabetes


tutorgirl
Regular Member


Date Joined Aug 2007
Total Posts : 235
   Posted 2/27/2010 4:48 PM (GMT -6)   
I have taken my cuff with me when I go to the doc's to make sure it reads approximately the same. First the nurse does her thing and then I do mine. That way I ca make sure I am getting fairly accurate readings at home. My BP also runs high at the doc's.
Karen

"If you are going through hell, keep going."---Winston Churchill


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/27/2010 7:22 PM (GMT -6)   
Thanks so much, Lainie, Jeannie and Tutorgirl :-)
 
I so appreciate your help and suggestions plus 
It's nice to find out that there are others whose
blood pressure goes up in the doctor's office.
I think my husband has always felt bad about
 having this problem. sad
 
Wiggyann
 
 
 
 

Judy2
Forum Moderator


Date Joined Mar 2003
Total Posts : 9474
   Posted 3/10/2010 6:21 PM (GMT -6)   
Wiggyann, have your husband try this: While he's waiting to have his blood pressure taken in the doctor's office, take several really deep breaths, then blow each one out as slowly as possible. Sometimes this will help when the BP is elevated due to stress or nerves.

My last PCP taught me that, because I used to always be stressed from the traffic when I got to her office.

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 3/10/2010 9:26 PM (GMT -6)   
JUDY,

THANKS FOR THE VERY GOOD TIP :-) I noticed that you are a co-moderator for the thyroid forum too. My husband
also takes levothyroxine for his thyroid. His thyroid
tested hypo on a blood test and this same doctor started
him on 100 mcg of levothyroxine. He specifically wanted
him to take the synthroid, but our insurance would not pay for it. My husband's sister tested for hypothyroid around the same time at her doctor's but he only put her on 75 mcg
of levothyroxine and her thyroid went back into the normal
range. My husbands went into the hyper range in six months time and when I phoned and mentioned
to his one of his helpers that I thought my husband needed a lesser dose of levothyroxine. I didn't get anywhere.
This doctor does give a lot of medication. One lady I talked
to told me that when she started going to him, she was taking two perscriptions and now she is taking twelve.
My husband has been thinking of changing doctors.

Thanks again,
Wiggyann

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6053
   Posted 3/10/2010 10:16 PM (GMT -6)   
Wiggyann,
Don't mess with the level of the thyroid med. Let the doctor set it where he wants it. Believe me. It's a tightrope act for them to figure out and has nothing to do with his sister anymore than it has to do with me. Mine has been fine tuned several times over the years and it has something to do with some kind of sliding scale. I've been on several different doses as my thyroid changes and I trust my doctor to be more knowledgeable about this than I.

Also, the person who should be talking to the doctor about the number of meds prescribed is your husband. Doctors don't just hand out medications indiscriminately. They prescribe meds for specific conditions. If you are worried about the numbers of meds he is taking then have a talk with his pharmacist. That way you will be clued in on all the side effects to watch for and which meds work best with others. Just my 2¢ but I'd trust the guys with the diploma on the wall.
~ Jeannie
Moderator for Fibromyalgia and Diabetes


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 3/10/2010 11:06 PM (GMT -6)   
Many Thanks, Judy :-)

I really appreicate your advice.

Wiggyann

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 3/11/2010 12:06 AM (GMT -6)   
Oops sad  I meant "Many Thanks Jeannie" in the above post, but wrote Judy instead.  Sorry 'bout that.
 
Thanks to Judy also :-)
 
Wiggyann
 
 

Noelle
New Member


Date Joined May 2010
Total Posts : 4
   Posted 5/7/2010 2:55 PM (GMT -6)   
  
   Hello,
   So glad I found this website. It so happens I just returned from my yearly physical. Been taking Atenolol and hydrothorthiazide 25 mg for 2 years. Well I had read that it could raise sugar levels. For the last few years my sugar has been creeping up, norm is 100. Well it was 101, then 104, and when I got tests back this week it was 105. I told my doctor I want to stop taking it, as it was a side effect, I never had trouble before. She said she didnt think it was medicine, but I could stop taking if I want. Now I am worried my sugar wont go down, am going back in 6 months, maybe before, my trigycerides were a little high also and I am wondering if could be from that. I hope I helped you out, I would get off this med ASAP. I will post whether or not my levels went down. Thanks again, your post confirmed to me what I already thought was happening.
 
Noelle

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3746
   Posted 5/7/2010 8:31 PM (GMT -6)   
Hi Noelle, I guessing you mean hydrochlorothiazide.  If your doctor told you that you could stop taking it, it seems to me that it would not affect your blood sugar once the drug is out of your system.  You can ask your pharmacist how long it would take.  If your blood sugar continues to elevate, I doubt it's because of the hydrochlorothiazide though.  Maybe you need to have some lab tests done after you've been off it for awhile.
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Noelle
New Member


Date Joined May 2010
Total Posts : 4
   Posted 5/8/2010 10:01 AM (GMT -6)   
 
 
   Thank you so much for your info, and yes, I did mean hydrochlorothiazide. It starting rising the first year I started taking it, but it could also be my eating habits,
I am going to see a nutritionist and keep working out and see if that brings it down. I will also ask pharmacist about
how long it takes  before it is out of my system.
I will post my results!!
 
    Thanks again,
    Noelle

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 5/10/2010 6:24 AM (GMT -6)   
 
Hello Noelle :-)
 
I am sorry but I just found the email letting me know
you had posted on the thread I started.
 
Your situation sounds  identical to what
happened to my husband after his doctor added
hydrochlorothiazide to one of his blood pressure
medications. 
 
Hydrochlorothiazide may cause high blood sugar levels
(hyperglycemia) in people with diabetes or, in some cases,
even cause diabetes in people without a history of the
condition. 
 
I took the above paragraph from the MEDTV site.
 
Wishing you all the best,
Wiggyann
 
 

Noelle
New Member


Date Joined May 2010
Total Posts : 4
   Posted 5/10/2010 4:34 PM (GMT -6)   
Hello Wiggyann,

Thank you for responding, I stopped taking the med, now I am searching for a natural diuretic. I am also researching Atenolol, the BPM I am taking, dont like what I am reading about it. Can raise triglycerides and mine were a little elevated. Did your husband stop taking med?


Wishing you all the best as well,

Noelle
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