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Ask Dr. Dan B. Your Own Question
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3334
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I am a 74 year old woman with Type 2 diabetes, hypertension,

Customer Question

I am a 74 year old woman with Type 2 diabetes, hypertension, take medicine for my thyroid and cholesterol. My doctor just conducted blood work & said my A1C is 6.7; liver & kidneys are fine; my eyes are healthy (was recently checked by an ophthalmologist); but doctor said my sodium levels are low and that I should not drink more than two or three glasses of water a day (if 8 oz. glasses - he didn't specify quantity) this would be 18 oz. per day.

Also, I had been taking thyroid medicine (levothyroxine) of 75 mcg, but the previous doctor had (and I don't know why she did so) reduced it to 50 mcg. My new doctor upped the dosage back to 75.

My blood pressure readings - and I have a monitor at home - can range anywhere from sometimes 150/84 with heart rate of 69 or 61, or 59, to 103/51 with h.rate of 52. I understand the heart rate shouldn't be below 55.

He has also put me on calcium pills & I take Actonel once a week.

Mostly I feel well and since being diagnosed with hypertension & diabetes in the late 1980's (don't know when my thyroid began needing medicine) and I don't appear to have any complications from these conditions (no neuropathy). I usually sleep well, though my balance is somewhat off & mental "competence" has lessened a little - this could be due to low sodium plus too low dose of thyroid med.

I know I get forgetful when busy and distracted, searching something I just had in my hand a moment ago" - but this is par for the course when getting a bit older. I stay busy & active, enjoy reading, computer socializing with friends, active in my church community.
My question is I just read online 'New studies show risk of heart disease & stroke begins to increase at lower blood pressure than previously believed. Health experts (have) lowered acceptable normal range to promote aggressive & earlier treatment of high blood press." Huh?? I thought the risk was greater the higher one's B.P.!

Final information: I watch what I eat & try to keep (for the most part, occasionally go "off the rails"). Have never smoked (but my husband who died in 1999 was a two pack a day smoker & his father smoked when we spent holidays/weekends with them a few times a year). My father smoked - he rolled his own cigarettes - & developed adult onset type 2 diabetes later in life. My lungs seem to be healthy though it bothers me to be around smokers, therefore I avoid them. Don't exercise enough but am making it a point to increase aerobic exercise.

Sorry this is long but would like your feedback.
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.
Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.

Where did you read this information?

Do you have any other medical problems or take any medication?

This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.