Aspirin has been touted a miracle drug because of its health benefits in protecting high risk patients like our diabetics from heart attack and stroke. The combination of illnesses including diabetes , hypertension and cholesterol increases a patients risk for stroke and heart attack.
In the recent American Society of Hypertension Annual Convention, a particular study was presented regarding the effect of aspirin on hypertension. The study is discussed in detail at the Diabetes in Control website...
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The subjects were randomized into three groups: lifestyle modification only, lifestyle modification plus aspirin 100 mg every morning, or lifestyle modification and aspirin 100 mg taken at bedtime. They underwent continuous blood pressure monitoring for 48 hours at baseline and after 3 months of intervention.
Ambulatory blood pressure was unchanged in the nonpharmacologic group and in the morning aspirin group, but the nighttime aspirin administration resulted in a mean decrease of 5.4 mm Hg in systolic blood pressure and 3.4 mm Hg in diastolic blood pressure compared to baseline values, without any change in heart rate or physical activity. Reductions in blood pressure were similar for both day and night._____________________________________________________________________________
This study will somehow affect the way we give aspirin. In clinical practice, it really doesnt matter when aspirin is taken as long as patients are taking it eveyday. But with this recent outcome…might as well give them at night until this study will be proven otherwise….
And as always…we continue to emphasize a low salt diet and more physical activity on top of medications to help curb the rising prevalence of complications arising from hypertension.
Another Wonderful News on Aspirin and Health!
June 25, 2008 at 8:29 am
Hopefully Doc, Bayer can launch an enteric coated aspirin this year here in the Philippines.
June 25, 2008 at 8:43 am
Happy happy birthday Doc! I wish you all the beautiful and invisible things that really mean to you.
August 12, 2008 at 10:39 am
I have always been unsure about taking aspirin daily. I am a 27 year- old, type 1 juvenile diabetic. Diagnosed at age 10. I recently had my cholesterol checked:
Total Cholesterol: 176
Triglycerides: 92
HDL: 63
VLDL: 18
LDL: 95
I am wondering if I should start such a regimen. What is your opinion? I will ask my doctor in the near future. I like to have many professional opinions.
Thankyou
Rebecca
August 12, 2008 at 12:16 pm
Rebecca..you’re still 27 and so far if you have no additional risk factor for heart disease, I will stay off aspirin for now.