Is hydrochlorothiazide safe in diabetes?
While thiazide diuretics are still a recommended medication of hypertension therapy for type 2 diabetes, treatment with low-dose HCTZ should be attempted to evaluate the effectiveness and adverse metabolic effects.
Does hydrochlorothiazide effect blood sugar?
Hydrochlorothiazide (HCTZ) and chlorthalidone are diuretics used to lower blood pressure but may increase your risk for high blood sugar and diabetes.
Can HCTZ worsen diabetes?
Benefits attributed to thiazide diuretics in terms of cardiovascular event reduction outweigh the risk of worsening glucose control in type 2 diabetes and of new-onset diabetes in non-diabetic patients.
What is the best diuretic for diabetics?
We conclude that Indapamide is safe and effective in lowering blood pressure and contributes to better control of blood glucose and lipid levels in diabetic and dyslipidemic patients, compared to standard diuretics.
What antihypertensive is best for diabetics?
ACE inhibitors and ARBs are preferred agents in the management of patients with hypertension and diabetes. If target blood pressure is not achieved with an ACE inhibitor or ARB, addition of a thiazide diuretic is the preferred second-line therapy for most patients with diabetes.
Can a diabetic take a diuretic?
Diuretics (water pills) work better than newer and more costly medicines in the treatment of high blood pressure and prevention of some forms of heart disease in people with type 2 diabetes, according to results from the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT).
Can I take metFORMIN and hydrochlorothiazide together?
Interactions between your drugs Talk to your doctor before using hydroCHLOROthiazide together with metFORMIN. HydroCHLOROthiazide can increase blood sugar levels and interfere with diabetic control. You may need a dose adjustment or more frequent monitoring of your blood sugar to safely use both medications.
Can sertraline cause high blood sugar?
This medicine may affect blood sugar levels. If you are diabetic and notice a change in the results of your blood or urine sugar tests, talk with your doctor.
Why does hydrochlorothiazide cause diabetes?
It is possible that hydrochlorothiazide increases the production of glucose from the liver, and because beta-blockers limit the absorption of glucose into cells, the use of these medicines in tandem can raise glucose levels significantly enough to cause diabetes.
Can hydrochlorothiazide cause insulin resistance?
Hydrochlorothiazide, but not Candesartan, aggravates insulin resistance and causes visceral and hepatic fat accumulation: the mechanisms for the diabetes preventing effect of Candesartan (MEDICA) Study. Hypertension.
Which blood pressure medication is best for diabetics?
Is diuretic safe for diabetics?
“Diuretics are the appropriate first choice, not only for people who don’t have any indication of diabetes, but for people with diabetes or prediabetes.”
Is hydrochlorothiazide safe for diabetics?
The use of hydrochlorothiazide is limited due to the risk of diabetes and hyperglycemia that may develop later. Studies have shown a 25-30 percent increase in diabetes when hydrochlorothiazide is used.
Do Thiazides cause metabolic disturbances in type 2 diabetes?
Type 2 Diabetes and Thiazide Diuretics These metabolic disturbances are less marked with low-dose thiazides and, in most but not all studies, with thiazide-like diuretics (chlorthalidone, indapamide) than with thiazide-type diuretics (hydrochlorothiazide). In post hoc analyses of subgroups of patients with hypertension and type 2 diabete …
Is hydrochlorothiazide a thiazide diuretic?
Hydrochlorothiazide is a type of diuretic that treats water retention by reducing the body’s ability to absorb sodium. Thus, hydrochlorothiazide is regarded as a thiazide diuretic. This medication is prescribed in cases of high blood pressure, kidney disease, and congestive failure.
Can hydrochlorothiazide cause elevated glucose?
Here’s what we know: Individuals who are taking thiazide diuretics, of which hydrochlorothiazide is one, can develop a mild case of elevated glucose, usually if their potassium levels are also low. When the potassium level normalizes, the glucose level goes back to normal.