Your blood pressure medication lowers the pressure or the T2DM keeps things stable. That’s helpful.

But if you have insulin resistance, it doesn’t stop the silent damage that could be occurring.

In rare cases, hypertension can have other causes – learn about exceptions here – but for the vast majority of people with high blood pressure, especially over age 50, insulin resistance is the driving force.

Your heart – atherosclerosis, structural changes, electrical dysfunction
Your metabolism – progressing toward diabetes and fatty liver disease
Your brain – vascular dementia, Alzheimer’s risk, cognitive decline
Your kidneys – chronic damage through mechanisms BP meds don’t address
System-wide – chronic inflammation driving cancer risk, joint degeneration, hormonal imbalances

Research papers for these issues are here.

Blood pressure medication manages ONE downstream consequence. The root cause – insulin resistance – continues damaging organs.

For those who feel “relatively okay”

If you have a heavier build, prefer routine, and generally feel stable and grounded—what Ayurveda calls Kapha constitution—your natural resilience can mask severity. You could feel stable while extensive damage could be accumulating silently. By the time you “feel bad,” significant harm could have already occurred.

Still wondering if this applies to you? While most hypertension is driven by insulin resistance, there are specific exceptions. However, given that research using conservative diagnostic criteria found at least 50% of people with high blood pressure have measurable insulin resistance – and most never get tested – the real question is: can you afford not to find out?”

The question isn’t “Should I test?”

The question is: How much potential damage are you willing to risk before finding out what’s actually happening?