does propel raise blood sugar

This article takes a look at the science behind these claims. It just has a bit. Tamez-Prez HE, Quintanilla-Flores DL, Rodrguez-Gutirrez R, Gonzlez-Gonzlez JG, Tamez-Pea AL. Angela Ryan Lee, MD, is board-certified in cardiovascular diseases and internal medicine. Reduced water intake deteriorates glucose regulation in patients with type 2 diabetes. Now, lets cover another question about the electrolytes in Propel, You May Like: Whats The Normal Diabetes Level. 2020;31(3):192-204. doi:10.1016/j.tem.2019.11.011. We have tightly controlled mechanisms to keep our blood sugar levels stable (2, 3, 4). Here's what you need to know about diabetes and sucralose. 2017;70(1):103-110. doi:10.1161/HYPERTENSIONAHA.117.09259, Zhang X, Zhao Q. Drinking juice alone can lead to a blood sugar spike, but consuming it with other foods, particularly protein or a healthful fat can help to prevent this. This can save you from spiking blood sugar levels, as well as helping you avoid excessive extra calories as . This means that a person can easily drink a lot of them. Interestingly, beta-blockers can also increase the risk of low blood sugar events (hypoglycemia), and decrease the typical warning signs of low blood sugar, which may mask the warning signs. Do you know all these blood sugar triggers? Keep carbohydrate levels consistent from day to day and spread evenly throughout. Check with your doctor immediately if any of the following side effects occur while taking mometasone nasal: One of the reasons people choose zero-calorie drinks like Propel is to avoid extra calories. This leads some people to reach for soft drinks and juices. But the evidence shows that consuming artificial sweeteners is surprisingly ineffective for weight loss. Artificial sweeteners have been declared safe by regulatory bodies in the US and Europe. Personally, I would rather drink Propel than Gatorade from a health perspective. Drinking enough water can help your body eliminate excess glucose through urine. People taking antipsychotics, like Abilify (aripiprazole), Seroquel (quetiapine), and Zyprexa (olanzapine), should closely monitor their blood sugar levels, even if they are normal before starting treatment. We Recommend Nutrition Lightheaded and Shaky After Eating Sugar Health What's the Difference Between Alpha and Beta Glucose? Glucose- for energy source- use as per instructions in the pack. Artificial sweeteners have been the subject of much debate and controversy over the years, and many studies have proven that they can be detrimental to your health. Insulin is a hormone that acts like a key. While most 100 percent fruit juice is 100 percent sugar, you can try tomato juice or a vegetable juice alternative. All rights reserved. Top it off with some ice and your choice of sugar-free sweetener, such as stevia. For people who already have diabetes, this type of drink provides large amounts of sugar and requires little digestion. Although gastroparesis doesn't cause diabetes, frequent changes in the rate and amount of food passing into the small bowel can cause erratic changes in blood sugar levels. Sugar-sweetened beverages, such as fruit punch, may taste like fruit juice, but they often contain high levels of sugar or corn syrup and contain little to no real fruit juice. Resist the urge to pair something sweet or high in calories with that no-calorie beverage. Last medically reviewed on April 8, 2019. Artificial sweeteners induce glucose intolerance by altering gut microbiota. (2019). Alternatives. 2004;4:3. doi:10.1186/1472-6904-4-3, Garaulet M, Qian J, Florez JC, Arendt J, Saxena R, Scheer FAJL. If plain water doesnt appeal to you, create some variety by: Seltzer water is a great fizzy, sugar-free alternative to other carbonated beverages, such as soda. This information is essential to know when managing blood sugar. However, fruit juices do provide some nutrients. This includes the commonly prescribed blood-pressuring lowering medications HCTZ (hydrochlorothiazide) and chlorthalidone. Propel Electrolyte Water has 160mg of sodium and 40mg of potassium per 12-oz serving. When digested, carbohydrates are broken down into sugar and absorbed into the bloodstream, leading to an increase in blood sugar levels. Here is a list of the best and worst drinks for diabetics. care.diabetesjournals.org/content/43/Supplement_1/S48, ncbi.nlm.nih.gov/pmc/articles/PMC2855614/, ncbi.nlm.nih.gov/pmc/articles/PMC6174262/, ncbi.nlm.nih.gov/pmc/articles/PMC4446768/, diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/food-groups/dairy-and-diabetes, care.diabetesjournals.org/content/42/5/731, sciencedirect.com/science/article/pii/S0278691517305252?via%3Dihub, ncbi.nlm.nih.gov/pmc/articles/PMC5877089/, ncbi.nlm.nih.gov/pmc/articles/PMC6544578/, main.diabetes.org/dforg/pdfs/Collabs/sodastream-what-can-i-drink-tips.pdf, 5 Food and Drink Types to Limit If You Have Prediabetes or Diabetes, 8 Delicious Diabetes-Friendly Office Snacks, Diet for People Living with Diabetes: The Best Foods to Choose and More, Understanding Borderline Diabetes: Signs, Symptoms, and More, Mediterranean Diet May Reduce Type 2 Diabetes Risk More Than Previously Thought. Non-caloric artificial sweeteners and the microbiome: Findings and challenges. Knowing the number of carbohydrates that you ingest and how they may affect your blood sugar is crucial. 2016;7:11-18. doi:10.2147/OAJC.S56348, Holt RIG. Kim, H. M., & Kim, J. Red wine and type 2 diabetes dont go very well together because of sugar, but red wine might reduce heart disease risk. Losing sleepeven just one night of too little sleep can make your body use insulin less well. For this reason, corticosteroids are often prescribed at the lowest necessary dose and for the shortest time possible, tapering them when necessary. See additional information. Therefore, theyre often added to foods that are then marketed as health foods or diet products. This is a detailed review of sucralose, the artificial sweetener in Splenda. You May Like: Number Of Grams Of Sugar Per Day For Diabetic. Inflammation is a natural response within our body to protect us from germs and bacteria. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. This sugary drink has also been linked to weight gain and tooth decay, so its best to leave it on the store shelf. Question: What Is Propel Sweetened With - BikeHike Discuss your concerns about managing blood sugar while on statins with your healthcare provider. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Propel water has the same electrolytes as Gatorade, without the sugar or artificial colors. If, on the other hand, you are someone who has an extreme workout routine, then Propel water would be a good option for you, but only during the workout sessions. However, the effect of acesulfame-K on insulin levels in humans is unknown. An animal study from 2007 found that glucose levels fell in rats with diabetes after they consumed licorice extract. In 2004, scientists who carried out a review concluded that coffee consumption may have undesired short-term effects, yet long-term coffee drinking shows some benefits. Keep in mind that even low sugar options, such as vegetable juice, should be consumed in moderation. Powerade Zero: Similar to Gatorade Zero, Powerade Zero contains important electrolytes such as sodium and potassium without added sugar. The drinks have low or no calories and contain zero sugar and fat. Health Conditions and Diets. Drinking sodas without healthful food can lead to large spikes in blood sugar levels. For an individuals specific carbohydrate intake needs, they can consult with a registered dietitian. What ingredients are good for smoothies when a person has diabetes? Suebsamran P, et al. Drinking tap water, coconut water, or unsweetened tea would usually be a healthier choice. A number of teas might be healthful options for people with diabetes. Curr Diab Rep. 2019;19(10):96. doi:10.1007/s11892-019-1220-8. However, sugar, calories and fiber can still be consumed if you eat the fruit itself. In this article, we describe some of the best foods to eat and which types to, People with diabetes may find it challenging to find sweets and desserts that are safe to enjoy. 6% carbohydrates: 6 percent describes the amount of sugar versus water in the beverage. Safety announcement: FDA reinforces safety information about serious low blood sugar levels and mental health side effects with fluoroquinolone antibiotics; requires label changes. Contribution of red wine consumption to human health protection. Its generally considered to be safe, but some new studies disagree. This can lead to health . Corticosteroids. However, when something disrupts this balance, you may have either too little water, leading to dehydration, or too much water, otherwise known as overhydration. Instead, the person should limit alcohol and take it in addition to the normal diet. Eur J Endocrinol. Youll even find them in non-food items, such as chewing gum and toothpaste. It has no calories, no carbs and goes with just about any meal. Depending on the specific formulation, birth control can raise blood sugar. This is especially important in patients that have diabetes. You can learn more about how we ensure our content is accurate and current by reading our. However, if youre concerned, then you can use other, 8 Healthy Sugars and Sweeteners That May Be Harmful, What You Should Know About Sucralose and Diabetes, Mediterranean Diet May Reduce Type 2 Diabetes Risk More Than Previously Thought. The foods you eat can have a major impact on diabetes and blood sugar levels. The following recipe ideas are healthful options for people with diabetes. High blood sugar levels can cause dehydration. Association between alcohol consumption and pre-diabetes among 383,442 Thai population aged 15 years and older in Ubon Ratchathani: Analytical cross-sectional study. They likely took this step to cut their calorie intake. Melatonin effects on glucose metabolism: Time to unlock the controversy. If you have diabetes, doctors may recommend drinks without calories, such as water or tea, and those with a low number of calories, including milk alternatives or sugar-free lemonade. If this craving occurs, it is best to drink a glass of water first and then see how the body reacts. The symptoms can include muscle weakness, restlessness, extreme thirst, confusion, seizure, and in rare cases, coma. Eggs are a terrific source of protein, but if you live with diabetes, you want to be mindful of how much you consume. It was also this physician who patiently described to Scott about the real root cause of type 2 diabetes and exactly how to resolve it utilizing an unique tea formula. Drinking heavily without eating can also block your . consuming alcoholic drinks with food, to reduce the risk of low blood sugar, not exceeding the limit the doctor recommends, accounting for carbohydrates in a daily record, consuming only the amounts health advisers recommend, checking with a doctor how alcohol may interact with medications, using mixers, such as sparkling water, instead of regular soda or diet drinks, wear a medical ID, as hypoglycemia can look similar to being drunk, check the calories and alcohol content of beers, as these can vary, do not drive after consuming any alcohol until the alcohol has left the system. 4. Here are 8 healthy sugars and sweeteners. This suggests that licorice may have the potential to help reduce blood sugar in people with diabetes. Soda takes the top spot on the list of drinks to avoid. Potatoes, bread, pasta, cakes and sweets are some foods that are high in carbohydrates. What Is the First-Line Treatment for Type 2 Diabetes? For a cucumber-mint cocktail, mix the following ingredients in a blender: For people with diabetes, healthful dietary choices can affect their chances of managing their condition and reducing the risk of complications. This ingredient can deplete your body of vitamins and metals, cause headaches and stomach pain and lower your blood sugar just in the short-term. Topo Chico Mineral Water, Grapefruit. in Biology, medical school at Jefferson Medical College, and internal medicine residency and cardiovascular diseases fellowship at the George Washington University Hospital. Artificial sweeteners are synthetic chemicals that stimulate the sweet taste receptors on the tongue. is propel water good for diabetics. Coffeeeven without sweetener. Time of dayblood sugar can be harder to control the later it gets. Additionally, okras are both low in calories and a great source of fiber. Artificial sweetenersmore research is needed, but some studies show they can raise blood sugar. Propel does not contain sugar or carbs. This is more common in people with abnormal blood sugar levels or risk factors for diabetes. A mouse study appearing in 2013 suggests that if people combine green tea extracts with other substances, it might help to prevent and treat type 2 diabetes. It is naturally low in sugar, but its a very healthy alternative provided that you have access to fresh or unsweetened coconut water in the market. Kombucha is a fermented beverage typically made from black or green tea. Wimalawansa SJ, et al. Sodas and other sugar-sweetened beverages can increase the risk of type 2 diabetes, weight gain, and metabolic syndrome. Acesulfame potassium (acesulfame-K) can increase insulin levels in rats (17, 18). When Scott Hansen was faced with the raw opportunity of shedding his better half to Type 2 Diabetes, he was desperate to discover a solution for her. Choose water whenever possible. BMC Clin Pharmacol. New research links a global increase in cases of type 2 diabetes with eating excess amounts of processed meats and refined carbs. When exercising or doing outdoor activities, this takes some proper planning. Tiderencel KA, et al. Instead, reach for sugar-free, fruit-infused water or tea. Neither Propel nor Gatorade are really healthy, natural drinks. Some studies have shown a beneficial effect of red wine on diabetes, though the evidence remains uncertain. Thank you, {{form.email}}, for signing up. Read Also: When Do You Start Taking Insulin For Diabetes. Smoothies containing real fruit, are nutritious, and can curb a sweet craving. So you still get cravings for sweets, and you end up eating more calories from something else. Whether you need, propel water or not will most likely depend on your workout routine. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. They are often called low-calorie or non-nutritive sweeteners. New research finds that previous studies may have underestimated how effective the Mediterranean diet is for lowering your risk of type 2 diabetes. Arterioscler Thromb Vasc Biol. For people with diabetes, blood sugar can spike. Sucralose may be a zero-calorie sugar substitute that can help you lose weight, but it may raise blood sugar levels and affect your gut health. If it helps you naturally manage an underlying condition, then that is even better! The effect of artificial sweeteners on insulin levels seems to be variable, depending on the type of sweetener. The sugar in Gatorade is just way too much for me personally. Inflammation can end up damaging blood vessels. A food product is given its glycemic load classification based upon factors such as its total carbohydrate content and how much of that becomes glucose, therefore assessing its effect on blood sugar levels. Propel Electrolyte Water has 160mg of sodium per serving of 12 fl oz . Assessment of single-dose benzodiazepines on insulin secretion, insulin sensitivity and glucose effectiveness in healthy volunteers: a double-blind, placebo-controlled, randomized cross-over trial. Milk may be a good option. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Read more:Negative Effects of Drinking Too Many Electrolytes, Also Check: Cheapest Insulin In The World. To make ginger green tea, use the following: Add the cinnamon and ginger to the water and bring it to a boil. Whelton PK, Carey RM, Aronow WS, et al. However, these results havent been tested or replicated in humans. In this article, learn tips and tricks to make, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Some distilled spirits are typically mixed with sugar-containing sodas or juices which can raise blood sugars. On the question of whether Propel water increases blood sugar, I couldn't find any direct studies. One 2016 study in more than 383,000 people found that alcohol intake was associated with a higher risk of prediabetes. Do Diabetics Experience Dizziness More Than Non-Diabetics? Sports Drinks Impact on Glucose (Blood Sugar) | ADA Both animal and human studies have suggested a link between sucralose ingestion and raised insulin levels. La Croix Berry Sparkling Water. Prescription-strength niacin (vitamin B3), sold under the brand names Niacor and Niaspan, is used to reduce cholesterol, though it's not as commonly prescribed as it used to be. To receive updates about diabetes topics, enter your email address: We take your privacy seriously. . This can raise or lower blood sugar levels. These minerals play a role in regulating blood pressure, muscle contraction and keep . They help us to know which pages are the most and least popular and see how visitors move around the site. What Are the Health Benefits of Drinking Propel Fitness Water? Plaques then cover the damaged blood vessels. This happens when we fast for prolonged periods, like overnight. Scientists use genetic rewiring to increase lifespan of cells, The best sweeteners for people with diabetes, What to know about diabetes and drinking wine. (2018). Her professional interests include preventive cardiology, medical journalism, and health policy. 2021;41(11):2786-2797. doi:10.1161/ATVBAHA.121.316159, Althaqafi A, Ali M, Alzahrani Y, Ming LC, Hussain Z. List of Foods That Do Not Cause Insulin Release | livestrong Niacin has significant side effects, like flushing, that make it difficult to tolerate for many people. Red Wine and Type 2 Diabetes: Is There a Link? Lets find out! Electrolytes are minerals found in your blood that help regulate and control the balance of fluids in the body. One study suggests that adding aloe vera pulp to water may benefit people with diabetes. By now, youve got it figured out for the most part. Borderline diabetes, or prediabetes, doesnt guarantee that youll develop diabetes. People with diabetes also need to avoid sugary additions when drinking cocktails. Birth Control. Whether youre at home or at a restaurant, here are the most diabetes-friendly beverage options. Weight Loss. Propel Side Effects: Common, Severe, Long Term - Drugs.com Does Propel Raise Blood Pressure? - TheLittleList Trends Endocrinol Metab. Learn more here about the benefits of drinking water. It is effective at lowering triglycerides, and it is now generally reserved for people with severely elevated triglyceride levels. Artificial sweeteners wont raise your blood sugar levels in the short-term. Its a great source of probiotics, which are a type of beneficial bacteria found in the gut that have been well studied for their ability to improve blood sugar control for people with type 2 diabetes. Is the ketogenic diet right for autoimmune conditions? These antibiotics can cause serious fluctuations in blood sugar (either increases or decreases). Alternatively, you can also use coconut water as it contains various electrolytes, including both sodium and potassium. (2020). Coffeeeven without sweetener. One such side effect is increased blood sugar, which is more notable with some beta-blockers, like Toprol XL (metoprolol) and Tenormin (atenolol), compared to newer beta-blockers with blood vesselwidening properties like Coreg (carvedilol). (2016). Suez J, et al. CDC twenty four seven. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Not only is herbal tea free of carbs, calories, and sugar, but its also rich in disease-fighting antioxidant compounds, including carotenoids, flavonoids, and phenolic acids. Click here to find out more. For example, one 248-gram (g) cup of fresh, unprocessed orange juice contains nearly 26 g of carbohydrate, of which almost 21 g is sugar. You can easily whip up your own sugar-free lemonade at home using just a few simple ingredients for a refreshing and delicious low carb beverage. Primitive Scientific Whole Food Electrolyte Powder. 2015;6(8):1073-1081. doi:10.4239/wjd.v6.i8.1073. Studies on artificial sweeteners and insulin levels have shown mixed results. This means you can get the same amount of electrolytes as Gatorade, but without the sugar of Gatorade. Chemically, they shouldnt affect a blood test. Because statins are so effective at reducing mortality in people at risk of heart disease, the benefits of taking statins often outweigh the risks of avoiding them due to the possibility of a modest increase in blood sugar. Niacin also raises blood sugar, and is associated with increased risk of developing diabetes. In the short-term, artificial sweeteners wont raise your blood sugar levels, unlike high intakes of sugar. Infused waters are flavorful and healthful. However, this study did not control for meals or physical activity or other variables before each round of testing was done. The amount of water taken in should equal the amount lost. This syndrome refers to a cluster of conditions, including: Upon further analysis, the study participants who had overweight or obesity, which are risk factors for metabolic syndrome, had likely been swapping no-calorie soda for the full-sugar versions. Eating fruit can be a good way to quench thirst, and it delivers more nutritional benefit than juice. Recommended Reading: Whats A Good A1c For A Type 2 Diabetes. The effects of green tea on obesity and type 2 diabetes. This does not have to be the case, however. This combination can wreak havoc on your blood sugar and increase your risk for weight gain. Dehydrationless water in your body means your blood sugar is more concentrated. Our website services, content, and products are for informational purposes only. People can enjoy fresh, 100 percent fruit juices in moderation, but they should be mindful of premade fruit cocktails that contain no real juice. (2014). Sucralose and saccharin may raise insulin levels in humans, but the results are mixed and some studies find no effects. Sucralose and Diabetes: Know the Facts - Healthline Many medications can increase blood sugar. There are many different flavors and varieties to choose from, or you can try adding some fresh fruit and herbs to give your drink a delicious twist. (2018). How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/alcohol.html, https://ndb.nal.usda.gov/ndb/foods/show/09206?fgcd=&manu=&format=&count=&max=25&offset=&sort=default&order=asc&qlookup=Orange+juice%2C+raw+%28Includes+foods+for+USDA%27s+Food+Distribution+Program%29&ds=SR&qt=&qp=&qa=&qn=&q=&ing=, https://www.sciencedirect.com/science/article/abs/pii/S1871402117300966?via%3Dihub, https://www.liebertpub.com/doi/10.1089/acm.2015.0122#, https://www.bmj.com/content/351/bmj.h3576, http://care.diabetesjournals.org/content/33/11/2477, http://journal.rums.ac.ir/article-1-390-en.html, http://care.diabetesjournals.org/content/27/12/2990, A safer blood thinner? Supplements can also interact with other medications, either increasing or decreasing their absorption and metabolism. No one rule fits all when it comes to choosing a sports drink. Crystal Light is a brand of beverages that come in a variety of flavors. One such class of medications is benzodiazepines like Valium (diazepam) and Klonopin (clonazepam). It can lead to. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. While Propel contains vitamins and metals you need, this one ingredient may be limiting how much you are actually absorbing. He stumbled on a possible service when he met an old friend Tom, who had apparently reversed his Type 2 Diabetes, shed 40lbs as well as now appeared like he was 10 years more youthful, as well as healthier. Protective effects of tea, red wine and cocoa in diabetes. For a high-fiber green smoothie recipe, try using the following ingredients: This smoothie is filling, and it can serve as a snack. Association of thiazide-type diuretics with glycemic changes in hypertensive patients: A systematic review and meta-analysis of randomized controlled clinical trials. Here are 16 foods to get you on your way to managing diabetes. The best drink for health is water. The effect of acute caffeine intake on insulin sensitivity and glycemic control in people with diabetes. American Diabetes Association. Hypertension. A specific class of diuretics, called thiazide-type diuretics, can raise blood sugar, especially when taken at higher doses. Knowledge is power! Sweeter tasting wines do have more sugar content. Suex J, et al. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. So if your goal is weight loss, consider tracking your calories as I describe in this postor else follow some of these 18 tips for weight loss without counting calories. Grundy SM, Stone NJ, Bailey AL, et al. A new study, published in The BMJ, has found that drinking sugar sweetened beverages increases the risk of death, including from cardiovascular, A meta-review published by The BMJ outlined how much is too much when it comes to added sugar. Some dosage forms listed on this page may not apply to the brand name Propel. Bezoars can cause nausea and vomiting and may be life-threatening if they prevent food from passing into your small intestine. However, the "natural flavors" in Hint Water do contain propylene glycol, a processed ingredient also used in antifreeze. Don't let the "pre" fool you. I wonder if they might trigger a physiological response. Green tea may be a good choice and is rich in polyphenols. Melatonin effects on glucose metabolism: Time to unlock the controversy. But milk also contains calories, carbohydrates, and sometimes saturated fat. Contact us: contact@diabetesprohelp.com, Propel: The Workout Water Taste Test & Review 7 Flavors, 80oz Flavored Water Chug | Propel Water Challenge, What Is Considered Low Blood Sugar For Type 2 Diabetes, What Happens When You Are First Diagnosed With Diabetes, Negative Effects of Drinking Too Many Electrolytes, Number Of Grams Of Sugar Per Day For Diabetic, How To Get Rid Of Type 2 Diabetes Naturally, When Do You Start Taking Insulin For Diabetes, 18 tips for weight loss without counting calories, Short Term Health Insurance For Diabetics, How Much Sugar Can A Type 2 Diabetic Have. Some claim that artificial sweeteners may interfere with this process. Niacin therapy and the risk of new-onset diabetes: a meta-analysis of randomised controlled trials. When it comes to hydration, water is the best option for people with diabetes. Can Intermittent Fasting Decrease Your Type 2 Diabetes Risk? But it does increase your chance of getting it. Ther Clin Risk Manag. Many sweeteners are marketed as healthy alternatives to regular sugar, but some may do more harm than good. Compared to stuff like canned soup or frozen TV dinners, Propel is not very high in sodium. Thats because it wont raise your blood sugar levels. It would take over 9 servings of Propel to reach the American Heart Associations ideal limit of 1,500 mg of sodium per day. Recommended Reading: How Long Does Insulin Take To Work, 2021-2022 DiabetesProHelp.com When it comes to selecting a drink, keep it simple. Thank you for taking the time to confirm your preferences. Check blood sugar levels regularly and speak to a doctor if there are any concerns. For many, these medications are essential in reducing the risk of heart attack, stroke, and death. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

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