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- One type of beta blockers may be good for diabetics. They are called vasodilating beta blockers. Examples include carvedilol and nebivolol. If you do take one of these, you have to carefully watch your blood sugar levels. This is especially true if you are on insulin or oral diabetes medicine.
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Jan 1, 2009 · National guidelines recommend β-blockers among preferred therapies for control of blood pressure in patients with diabetes. 5,6 When more than one drug is necessary to reach blood pressure goals, combinations of antihypertensives of different classes (e.g., a β-blocker and an ACE inhibitor or diuretic) provide complementary actions.
- Overview
- Treating high blood pressure
- Beta-blockers and blood glucose
- Other things you should know about beta-blockers
- Recognizing beta-blockers
- The importance of partnering with your doctor
Overview
People with diabetes tend to develop heart disease or stroke at an earlier age than the general population. One reason for this is that high glucose levels increase your risk of high blood pressure (hypertension).
According to the American Diabetes Association (ADA), almost 1 in 3 American adults has high blood pressure. For people living with diabetes, 2 out of 3 have high blood pressure.
High blood pressure doesn’t necessarily cause symptoms. You may feel fine. However, don’t let that fool you. Your heart is working harder than it should. It’s a serious condition, especially for people with diabetes.
If you have high blood pressure, your doctor may want to try other methods of treating it before prescribing beta-blockers. Other treatment methods may include lifestyle changes and taking better control of blood glucose levels.
The decision to use medication, including beta-blockers, will depend on your personal medical history. A 2015 systemic review recommends drug therapy to lower your systolic blood pressure (top number) if it’s above 130 mm Hg.
If you have diabetes, you already know how important it is to be aware of the warning signs of low blood sugar so you can take appropriate action. If you’re also taking beta-blockers, it might be a little more difficult to read the signs.
One of the symptoms of low blood sugar is rapid heartbeat. Since beta-blockers slow your heartbeat, your heart’s response to low blood sugar may not be as obvious.
Beta-blockers can have other side effects, too. Some of the more common ones include:
•fatigue
•cold hands and feet
•headache
•dizziness
•upset stomach
Beta-blockers are available under a variety of names. Examples include:
•acebutolol (Sectral)
•atenolol (Tenormin)
•betaxolol (Kerlone)
•bisoprolol (Zebeta)
•metoprolol (Lopressor, Toprol-XL)
If you have diabetes, it’s important to get regular checkups. Just as you monitor your blood glucose levels, you should also keep track of your blood pressure.
Since high blood pressure doesn’t generally cause symptoms, be sure to have your blood pressure checked often. Ask your doctor about using a home blood pressure monitor.
If your blood pressure is elevated, catching it early may help you delay or avoid the need for medications to control it.
Limit your alcohol consumption. If you smoke, consider quitting. Work with your doctor and dietitian to maintain a healthy diet and exercise program.
Feb 3, 2019 · Mixed Alpha and Beta-blocker. Labetalol. Treatment of HTN. HTN: Initial: 100 mg twice daily, may increase as needed every 2-3 days. Usual dose range (JNC 7): 200-800 mg/day in 2 divided doses. Not removed by dialysis; no need for additional dose post-dialysis. Dosage reduction may be necessary in hepatically impaired patients. Absorption: complete.
Aug 22, 2023 · If you have diabetes, beta blockers may block signs of low blood sugar, such as a rapid heartbeat. It's important to check your blood sugar regularly if you have diabetes and you're taking a beta blocker. Some beta blockers can affect cholesterol and triglyceride levels.
Feb 28, 2020 · Last Updated 2/28/2020. Treatment. You can take beta blockers if you have diabetes, but talk to your doctor. It is very important to control your blood pressure if you have diabetes. Try to lower your systolic (top number) blood pressure by 10 mm Hg. This can lower your risk of death due to diabetes.
Beta blockers may interfere with daily diabetes management in the following ways: Symptoms of having low blood sugar is a rapid heart beat, however, beta blockers actively work to lower the heart rate, potentially masking a key tell of dropping blood glucose levels. Beta blockers may be made less effective by certain foods or drinks, like ...
Jan 18, 2022 · Hypoglycemia (low blood sugar). Beta-blockers can delay feeling most of the effects of low blood sugar. For people with conditions that cause low blood sugar like diabetes (especially Type 1), this can delay taking action to stabilize blood sugar levels.
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