<human>: after i walked 1 mile or so blood pressure is 144/84 heart rate 124 taking meds lisinopril 10 mg , simvastatin 10mg and fenofibrate,54mg metformin 500mg 2 day weight was 252 now 238 on diet how long do i need to been on meds if i keep diet and lose weight.
<bot>: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. I suppose in your case we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life longs you are diabetic, and you have cholesterol problems under treatment we have blood pressure target for you bellow 120/80 mmHg. Diabetes and lipid disorders are cardiovascular risk factors, so we have to be much aggressive with our mean blood pressure values. It is normal to have blood pressure values above 140/80 mmHg soon after walking and fast heart beats. It is mandatory to have lower mean values during the day. Physical activity, losing weight and diet will help you to better control high pressure, diabetes and lipid disorder but this doesn't mean that you will stop your medications. Hypertension and diabetes will be treated medically livelong. Keeping on with your diet will help you to stay on lower dosage of medication as long as possible, but you should never stop your blood pressure, cholesterol and diabetes medicine. Stopping them will rise all your values again because these are chronic disease. So, my opinion is to keep on with your physical activity and diet, continue your medicine and after two months discus with your doctors for your medicine dosage after measuring once a wile your blood pressure and your diabetes. Hope I was helpful. Wish you good health. Best regards.