I am 67 years old. I have undergone angioplasty and by pass operations 7 years back and 5 years back respectively. I am still having problem of breathing. I also have diabetes range 325 post lunch. I am having thyroid for last more than 30 years. I am also having bp problem. My bp for the last more than two months is not in control. It is 90-100 low and 140-160 high. Recently, on 23.06.18 thyroid was checked it was found. T3 77.69. T4 6.9 and TSH 27.775. I am taking thyrox 100 tablet early morning. I am also taking following medicines daily. Morning Gliclazide & metformin HCI tablet of Jan Ausadhi 1 tablet for diabetes. Amlip 2.5 1 tablet. Metaprol xl 25 1 tablet. I take following medicines in the late evening. Clopidogrel Tablet IP 75 one tablet. Ecosprin 75 one tablet. And Atorvastatin tablet Ip 10 mg. Kindly advise to control bp, diabetes thyroid etc.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

94% (13742 ratings)

Ask Free Question

Mr. lybrate-user, Thanks for the query. I have gone through the details given and notice that you do have multiple issues. In addition your BMI is 29 kgs/Sq Meter, which is very close to grade 1 obesity. This itself is a major contributor for improper control of diabetes and high BP. Plus it is possible that due uncontrolled hypothyroidism there is excess weight gain. Your ideal weight should be around 59 kgs, as against that you are now 79 kgs (20 kgs excess). When one is on adequate dosage of levothyroxine TSH is usually maintained around 3 to 4 mU/L, at that all the symptoms are well in check. Since there is no mention of details of glucose levels like fasting, PP & HbA1c%, it is difficult to comment. A level in the range of 325 mg is too high, suggestive of totally uncontrolled diabetes. Which means there is an urgent need at updating the drug treatment, plus giving a serious look at diet and exercise and weight control. Even BP will be well controlled when there is weight reduction, plus initially there is again a need for adding some suitable drug. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. In case you are looking at online help, then please come in a private conversation (paid consultation) with following details: fasting, PP glucose levels, HbA1c%, present dietary pattern in detail, extent of daily exercise being done, BP readings, lipid profile, serum creatinine and urea levels, then I will be able to give specific guidance and even prescribe the necessary drugs if required. Otherwise, please get in touch with your physician or diabetologist and get the treatment upgraded. A stricter control of all the conditions is essential to postpone or prevent long term complications of these underlying conditions. Thanks. 

1 person found this helpful