I've been dealing with high blood pressure for the past couple of weeks, and I've been measuring it every day. It's around 190/110, even though I'm taking Telmisartan 40mg. My blood pressure hasn't really improved. I also had some tests done, and my ...
Uncontrolled High Blood Pressure and Laboratory Results_Concerns and Recommendations_1. _Uncontrolled hypertension_: Despite taking Telmisartan 40mg, your blood pressure remains elevated (190/110). This requires immediate attention to prevent cardiovascular complications.2. _Kidney function_: Your creatinine level (1.8) is slightly elevated, indicating potential kidney impairment. The high potassium level in your urine and proteinuria (2484) also suggest kidney damage.3. _Albumin levels_: Your albumin level (3.3) is within the normal range, which is a positive sign.4. _Vitamin B12 deficiency_: Your vitamin B12 level (82) is below the normal range (200-900 pg/mL), which may contribute to fatigue, weakness, and neurological symptoms._Recommendations_1. _Consult a cardiologist or nephrologist_: Schedule an appointment with a specialist to reassess your hypertension management and kidney function.2. _Adjust medication regimen_: Your doctor may consider adding or adjusting medications to better control your blood pressure and protect your kidneys.3. _Lifestyle modifications_: Implement lifestyle changes, such as:- Reducing sodium intake- Increasing potassium-rich foods- Engaging in regular physical activity- Maintaining a healthy weight- Getting adequate sleep4. _Vitamin B12 supplementation_: Discuss vitamin B12 supplementation with your doctor to address the deficiency.