Type 1 Diabetes by Charles Fox & Anne Kilvert

Author:Charles Fox & Anne Kilvert
Language: eng
Format: epub
Publisher: Class Publishing
Published: 2008-05-13T04:00:00+00:00

I have been on insulin for diabetes for seven years. I was recently found to have raised blood pressure and was given tablets, called beta-blockers, by my doctor. Since then I have had a bad hypo in which I collapsed without the normal warning signs of sweating, shaking, etc. Could the blood pressure tablets have caused this severe hypo?

Beta-blockers are widely used for the treatment of high blood pressure and certain heart conditions. They have an ‘anti-adrenaline’ effect, which theoretically could damp down the normal ‘adrenaline’ response to a hypo (see the section Hypos in Chapter 3). However, research has shown that beta-blockers do not reduce the adrenaline warning of a hypo. Some beta-blockers have been designed to have their effect mainly on the heart without blocking the general adrenaline reaction. These selective beta-blockers, such as atenolol or bisoprolol, are theoretically safer for people taking insulin.

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