Is he overweight OP?

I had a GP years ago who had some tests run in response to some problems I was having with shortness of breath. Did not refer me to a cardiologist and we even asked if I needed to see one and were told no. A year later, heart attack. I was 37 at the time of the GP visits. Needless to say, I don’t see that GP anymore and have had a very good cardiologist for a number of years. I would see one to get their perspective.

Anonymous wrote:It seems your DH has high cholesterol too.

Probable, given the medications. Worth asking about specifically just to be clear.

Those prescriptions are quite normal for a GP to prescribe. No real need to go to a cardiologist just because of the prescriptions, but one could do it if one wanted.

Prior to this appointment, when was your DH’s last appointment?

Yes, he should see a cardiologist. If he starts feeling any leg cramps he should stop rosuvastatin immediately and call his cardiologist and notify his GP.

Anonymous wrote:Ask the GP if she thinks a cardiologist is really necessary.

How high was his BP? I believe it was close to 130 over something

Sometimes ACE inhibitors like lisinopril are prescribed for renal protection in patients with DM, not so much for elevated BP.

Questions he should ask GP:

How high was his A1C and cholesterol? Was he spilling any protein in his urine?

It sounds like the GP is very proactive which is good! Yes, well...she knows my family, which is helpful.[b]

Unfortunately, we are having issues with accessing his records online so don't recall exact results - hope to resolve next week when he goes back again for 3rd visit after being on meds for a week.

DH is a bit aloof and careless about his health - wouldn't have done a physical if I hadn't insisted. And refuses to do a colonoscopy.

So it's on me to push and ask questions.

Ask the GP if she thinks a cardiologist is really necessary.

How high was his BP?

Sometimes ACE inhibitors like lisinopril are prescribed for renal protection in patients with DM, not so much for elevated BP.

Questions he should ask GP:

How high was his A1C and cholesterol? Was he spilling any protein in his urine?

It sounds like the GP is very proactive which is good!

My pcp had me see a cardiologist with just high cholesterol and a family history of heart attack/heart disease. It wouldn't be a bad thing to establish care with one.

Jardiance and lisinopril have to be managed carefully to avoid dehydration, dizziness, heart issues. See for example https://www.drugs.com/drug-interactions/jardiance-with-lisinopril-3548-16721-1476-0.html

Did GP mention to watch out for this? If not definitely get a cardiologist now. If yes then have one in the wings at least.

But really having a cardiologist is no huge thing. I have had one ever Since I started palpitations of unknown origin (turned out to be vagus nerve) in my 50s I have had one who gradually also took care of hypertension.

At that point, I’d add a cardiologist.

Anonymous wrote:It seems your DH has high cholesterol too.

Not necessarily. Look up SUPD campaign. Statin use in persons with diabetes.

He should visit a cardiologist and endocrinologist. They can tell you if he's on track.

It seems your DH has high cholesterol too.

If he has three different problems....

He could ask for a referral to cardiologist so he is on their books if he ever needs an urgent appointment.

Our GP, based on physical/family history and bloodwork results, prescribed my DH (60 yrs old) three medications: Jardiance + Lisinopril + Rosuvastatin calcium.

High Blood Pressure/Heart Rate
Diabetes

Family history: Both his parents had geriatric diabetes, and his father had high blood pressure/heart issues but lived until 86.

He has to go back again next week. I am wondering...as she is just a GP...is it time to start seeing a cardiologist?? I'm concerned about these three medications all at once.