What is consitered "agressive treatment" of high BP

KittysarusRex
on 5/14/15 5:40 pm

Hello!

 

My insurance just switched to paying for gastric bypass.  I qualify, from what I think, I have a BMI of 37-40 and high blood pressure controlled variably with medication (it's okay sometimes and out of whack others) over the past 10 years.  My question is what is considered "aggressive treatment".  I'm currently on a HCTZ which controls it and sometimes it doesn't.  I was on a beta blocker as well a while ago and I took another medication which dropped me too low and I had to come off of it.  My doctor believes it will be cured if I lose weight, but I'm nervous about insurance.  I kinda want to solve the problem and not mask it with medications anymore.

Shel25
on 5/14/15 5:52 pm

Hi, who is using the phrase "aggressive treatment?"  Is it the insurance company that is asking about this? 

For myself, I was on two blood pressure meds before surgery.  I dropped the beta blocker within the first month and my beloved diuretic the 3rd or 4th month.  My blood pressure is currently beautifully controlled with no meds.  Amazing! 

~Shel

HW:361 SW:304 (VSG 12/04/2014)Mo 1:-32  Mo 2:-13.5  Mo 3: -13.5  Mo 4 -9.5  Mo 5: -15  Mo 6: -15  Mo 7: -13.5  Mo 8: -17  Mo 9: -13  Mo 10: -12.5  11/3/2015 Healthy BMI Reached Mo 11: -9  Mo 12: -8    12/27/2015 Goal Weight Reached!

KittysarusRex
on 5/14/15 6:00 pm

The insurance company used it and that's what I'm worried about because I'm borderline with a BMI of 40, but with co-morbidity I could qualify, but it's also borderline I feel.  I'm currently not on the beta blocker anymore but it always stays slightly high just on HCTZ but everything else drops me too low.

Shel25
on 5/14/15 1:06 pm, edited 5/14/15 1:26 pm

I don't speak the insurance company's language.  

But, from a doctor's office perspective, "aggressive treatment of BP" is most commonly used when a doctor is treating a patient to a target blood pressure well under the usual

HW:361 SW:304 (VSG 12/04/2014)Mo 1:-32  Mo 2:-13.5  Mo 3: -13.5  Mo 4 -9.5  Mo 5: -15  Mo 6: -15  Mo 7: -13.5  Mo 8: -17  Mo 9: -13  Mo 10: -12.5  11/3/2015 Healthy BMI Reached Mo 11: -9  Mo 12: -8    12/27/2015 Goal Weight Reached!

Shel25
on 5/14/15 8:07 pm

Shoot, my reply was cut short.  I need to run an errand and I will finish in a bit.  

HW:361 SW:304 (VSG 12/04/2014)Mo 1:-32  Mo 2:-13.5  Mo 3: -13.5  Mo 4 -9.5  Mo 5: -15  Mo 6: -15  Mo 7: -13.5  Mo 8: -17  Mo 9: -13  Mo 10: -12.5  11/3/2015 Healthy BMI Reached Mo 11: -9  Mo 12: -8    12/27/2015 Goal Weight Reached!

Shel25
on 5/14/15 1:39 pm, edited 5/14/15 1:40 pm

ok, third time's a charm?  I have been unable to edit the other posts.

As I was saying, I don't speak the insurance company's language.  

But, from a doctor's office perspective, "aggressive treatment of BP" is most commonly used when a doctor is treating a patient to a target blood pressure well under the usual

HW:361 SW:304 (VSG 12/04/2014)Mo 1:-32  Mo 2:-13.5  Mo 3: -13.5  Mo 4 -9.5  Mo 5: -15  Mo 6: -15  Mo 7: -13.5  Mo 8: -17  Mo 9: -13  Mo 10: -12.5  11/3/2015 Healthy BMI Reached Mo 11: -9  Mo 12: -8    12/27/2015 Goal Weight Reached!

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