**
1. going by the symptoms it is a case of type 2
diabetes mellitus with evidence of renal involvement [swelling, loss of kidney function] i.e. K.W. [ kimmelstiel wilson] syndrome [nephropathy] and
peripheral neuropathy [reduced circulation]
2. since in diabetes every system is involved [as complication] thus you need to have a thorough examination from Neuropathy to
diabetic foot [head to toe], as angiopathy [circulatory] problem, [heart attack] was one of them, check with an EKG for any IHD [ischemic heart disease]
3. since renal function loss is there thus resulting swelling and also because insulin causes water retention too, moreover low
hemoglobin in such cases can lead to swelling of the body, so check with the values.
4. check with
high blood pressure, urine for
microalbuminuria and if there then ACE inhibitors are the drug of choice.
5. Recommended investigations are:
.
Serum cholesterol and lipid profile
. Retinoscopy
. Glycosylated hemoglobin
. Surgical Opinion for peripheral pulses and feet examination
. Urine sugar, 2 hours after lunch, once a week
6. pain in diabetes could be due to autonomic neuropathy or due to vascular changes, thus prior to shifting to any Alternate system of medicine, have an appointment with your doctor for any clinical examination and tests, in the mean time follow diet which doesn't increase swelling and also doesn't affect remaining kidney function.
i. avoid salt and salt rich diet: like pickles, papads, pizza,sauce, cheese, salted butter, butter milk,salted biscuits, waffers, popcorn.
ii. avoid potassium rich diet: like potato, tomato, papaya, banana, fruit juice, coconut water, high protein diet, chocolates, cheese
iii. for calcium take milk, guava