Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
Not surprising given this: https://jamanetwork.com/journals/jam...rticle/1791497 Conflict of Interest Disclosures: All authors have completed and submitted the development of educational presentations from ASH/AHSR (Daiichi Sankyo); and individual and institutional payment from Amarin Pharma Inc, Daiichi Sankyo, and LipoScience Inc for educational grant(s) for the Annual UAB Vascular Biology & ...
You can be skeptical. Me? I'm going to follow the instructions and recommendations of the guy I pay to be my physician and will follow guidelines put out periodically /evidence based studies. I plan on staying below the latest numbers. Good luck to anyone who is happy with over 130/80. I wish you a long, happy, strokeless, MI-less, HF, CRF-less lives.
• In the general population, pharmacologic treatment should be initiated when blood pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults younger than 60 years.
• In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood pressure is 140/90 mm Hg or higher, regardless of age.
• Initial antihypertensive treatment should include a thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB in the general nonblack population or a thiazide diuretic or calcium channel blocker in the general black population.
• If the target blood pressure is not reached within one month after initiating therapy, the dosage of the initial medication should be increased, or a second medication should be added.
From the AFP Editors"
Note that life mod is NOT mentioned. Read the whole article. Not mentioned. You won't find it. Because they are citing the JNC 8 RECOMMENDATIONS. Which do not include life mod.
Good GAWD ALMIGHTY. /facepalm/ times 100.
The American Family Physician article was concerned with medication treatment. It is not a comprehensive discussion of JNC 8. It does, however, link to the JAMA article you previously cited, which does discuss lifestyle changes.
"For all persons with hypertension, the potential benefits of a healthy diet, weight control, and regular exercise cannot be overemphasized. These lifestyle treatments have the potential to improve BP control and even reduce medication needs. Although the authors of this hypertension guideline did not conduct an evidence review of lifestyle treatments in patients taking and not taking antihypertensive medication, we support the recommendations of the 2013 Lifestyle Work Group."
Link to the Lifestyle Work Group report is in my previous post. It lists diet and exercise recommendations.
Moderator cut: edited out rude remark
Last edited by in_newengland; 11-15-2017 at 07:15 PM..
You can be skeptical. Me? I'm going to follow the instructions and recommendations of the guy I pay to be my physician and will follow guidelines put out periodically /evidence based studies. I plan on staying below the latest numbers. Good luck to anyone who is happy with over 130/80. I wish you a long, happy, strokeless, MI-less, HF, CRF-less lives.
I never said that I'm "happy with over 130/80." Personally, I believe that, for most, lifestyle modification, including a plant-based diet, is the best approach for preventing and treating HTN. Sure, some people have to continue to take BP meds, but not everyone.
I never said that I'm "happy with over 130/80." Personally, I believe that lifestyle modification, including a plant-based diet, is the best approach for treating and preventing HTN. Sure, some people have to take BP meds, but not everyone.
BTW, my beliefs are evidence-based.
I bet physicians love to hear when patients give it their all, when patients tell them they are doing their best with lifestyle modifications as you have.
I bet physicians love to hear when patients give it their all, when patients tell them they are doing their best with lifestyle modifications as you have.
I don't understand what you are saying. You don't know me, or my medical history.
I don't understand what you are saying. You don't know me, or my medical history.
I'm not specifically commenting about your history other than your diet. So many physicians have to jump to rxing meds because there is no way in hell that some, probably the majority, or their patients are willing to have the discipline to improve diet, limit sodium, improve fitness, stress reduction, etc. Patients who are compliant must make doctors very happy...
I'm not specifically commenting about your history other than your diet. So many physicians have to jump to rxing meds because there is no way in hell that some, probably the majority, or their patients are willing to have the discipline to improve diet, limit sodium, improve fitness, stress reduction, etc. Patients who are compliant must make doctors very happy...
No, you did make a comment about me:
Quote:
Originally Posted by BucFan
I bet physicians love to hear when patients give it their all, when patients tell them they are doing their best with lifestyle modifications as you have.
You don't know me, my medical history, or my physician. So, who are you to judge my diet????
It was a compliment, pacific. He's saying physicians love it when patients like you do make lifestyle changes.
Quote:
Originally Posted by BucFan
Plant based diets are very good for ones heart.
Thanks, and my apologies to BucFan.
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
