Suggest treatment for diabetic nephropathy

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Posted on Mon, 6 Oct 2014 in Diabetes
Question: Sir i am dibetic from last 7 year.now my micro albumin is 281.6 ug/min.sir please tell me which medicine i use and what precaution i should take.
doctor
Answered by Dr. Anshul Varshney 25 minutes later
Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
See since you have developed diabetic nephropathy, this should be taken on a serious note.
I will help you with what to be done next. But provide me following details before that:
1. What are your blood sugar levels?
2. How are your Kidney function tests. I need to know the serum creatinine level.
3. What is your Blood Pressure ?
4. What is your hemoglobin level?
5. Attach all your reports including the Ultrasound report if done.
Revert with these details.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney 9 minutes later
Sir my blood suger level now controll.Fasting is 90 and PP IS 135.
My kidney function is good.
Serum Creatinine is 9.
Blood pressure is 120 /80
Hemoglobin is 94%.
Altrasound i have not done.sorry serum creatinine is 0.9
doctor
Answered by Dr. Anshul Varshney 50 minutes later
Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
If the kidney Functions are normal I advise following:
1. To take low protein diet.
2. To start on low dose ACE Inhibitors like Ramipril or Angiotensin receptor blocker like Olmesartan. These drugs help in controlling further proteinuria.
3. To get Kidney function test and Urine examination done every 2 months.
4. Strict control of diabetes.
5. To take an iron supplement for low hemoglobin level.
This is my best advice for you.
If you have any further query feel free to ask me.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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