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My doctor (head nurse) is asking me to take blood pressure medication which I don't need. What is the repercussion in regard to insurance if I refuse to take the medication from the pharmacy?

  • I have no blood pressure, but because I am a type 2 diabetic which is very controlled and at a very early stage. I work out and I am very careful about my diet and particularly sugar and sodium intake. My doctor (head nurse) is asking me to take blood pressure medication which I don't need. What is the repercussion in regards to insurance if I refuse to take the medication from pharmacy ? I refused the doctor (she is actually a head nurse) but she insists me on taking that low dose of blood pressure medication as insurance company wants her to do. I don't feel it is right so what should I do so that insurance companies won't penalize me in the future.

  • Answer:

    She's probably trying to get you to take one of the ACE or ARB drugs. These protect the vasculature of diabetics even with normal blood pressure, and you'd be well advised to take one. You should be able to find one with no side effects. Effect of angiotensin-converting enzyme inhibitors on systemic inflammation and myocardial sympathetic innervation in normotensive patients with type 2 diabetes mellitus.AuthorsMarketou ME, et al. Show allJournal J Hum Hypertens. 2008 Mar;22(3):191-6. Epub 2007 Nov 29.AffiliationAbstract Diabetes mellitus (DM) may cause an increase in the inflammatory status and oxidative stress as well as sympathetic nervous system overactivity, even in the absence of any other organic heart disease. We investigated the effect of perindopril, an angiotensin-converting enzyme inhibitor (ACE-i), on indexes of systemic inflammation and oxidative stress in normotensive patients with type 2 DM. We also examined the effect of the drug on the disturbances of left ventricular myocardial adrenergic innervation that may be seen in these patients. We studied 62 normotensive patients with type 2 DM, who were randomized to receive perindopril (n=32) or placebo (n=30). At the start of the study and after 6 months' therapy blood samples were taken to evaluate total peroxides (TP), interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-alpha), and the patients underwent a (123)I-metaiodobenzylguanidine myocardial scintigraphy study. ACE-i caused a significant reduction in levels of cytokines and TP (P<0.001 for IL-6 and TNF-alpha, P=0.001 for TP). There was also a reduction in total defect score (P<0.001) and the heart to mediastinum ratio at 10 min and 4 h was improved (P<0.001 for both). No significant alterations were observed in the placebo group. Our data indicate that the addition of ACE-i to the medication of normotensive diabetic type 2 patients may improve the disturbed myocardial adrenergic innervation, the systemic inflammatory status and oxidative stress. Our findings indicate the cardioprotective action of ACE-i and suggest that earlier treatment might be appropriate in those patients. PMID 18046434 [PubMed - indexed for MEDLINE] Full text: Nature Publishing Group

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Although I'm not sure where you live, it seems odd that you would be punished by a doctor, nurse or insurance company.   Although I don't know all the details of your age, gender health history and health status, it's possible for many people to overcome both type-2 diabetes and high blood pressure with lifestyle changes (which is what I do as a heatlh coach), which is where most chronic conditions originate anyway.   Here are some articles (with multiple source links) that will help you:   http://www.endsicknessnow.com/lower-blood-pressure-naturally   http://www.endsicknessnow.com/diabetes   http://www.endsicknessnow.com/telomeres-genes-and-aging   Those links and source materials will go a long way toward helping you. Feel free to ask me questions.

Steven Carney

What evidence do you have that you don't need it? Do you know your kidney function? Do you measure your blood pressure?   If you were paying an architect to design a building for you, and the architect said, "I don't think we should put that pillar there, it's not safe," would you insist that they do it anyway?    A doctor is the same way. They are trying to help you. Let them.

Michael Webb

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