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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the causes,symptoms and treatment for diabetic nephropathy?

My father is a hear and diabetic patient. He has developed diabetic nephropathy as his diabetes is almost 17 years old now...He is 59 years old...in his last Urine Examination, there were some Dead Sperms coming in the urine...I am wonder what is this, what are the causes, symptoms and treatment of this issue??
Tue, 25 Mar 2014
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Diabetologist 's  Response
Diabetes nephropathy is one of the microvascular complications of diabetes which happens in long standing diabetes or uncontrolled diabetes.

Secondly In the earlier stages of diabetes, there wont be any signs of diabetic nephropathy because clinical signs develop after decline in the glomerrular filtration rate.

The earliest marker of nephropathy is urine microalbumin and creatinine ratio which needs to be checked in every diabetes patient once in 6 months.

The earliest way to prevent the diabetic nephropathy is to start ACE inhibitors at low doses and gradually titrate it to maximum tolerating doses. If ACE inhibitors are not tolerated then ARB group of drugs can be started. Irrespective of the blood pressure recordings.

It will slow down the progression of the protienuria.

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