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Suggest Treatment For Diabetes With Hypertensive Nephropathy
Posted on
Wed, 27 Aug 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 27 Aug 2014
Answered on
Mon, 15 Sep 2014
Last reviewed on
Question : I am XXXXX professor of biochemistry. diabetic and HTN 32 years. yesterday I checked urinary alb/creat ration it is 65. wethere it is reversible or not.line of treatment
Brief Answer:
I need further details.
Detailed Answer:
Dear Sir.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
I would like to know a few details before I can help you better :
1. Since when are you hypertensive?
2. What are your blood pressure levels ?
3. Any history of diabetes?
4. Any history of pedal edema?
5. Any visual problems?
6. Attach your reports including Ultrasound and Kidney function if already done.
If you have any further query please ask me.
Stay Healthy.
I need further details.
Detailed Answer:
Dear Sir.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
I would like to know a few details before I can help you better :
1. Since when are you hypertensive?
2. What are your blood pressure levels ?
3. Any history of diabetes?
4. Any history of pedal edema?
5. Any visual problems?
6. Attach your reports including Ultrasound and Kidney function if already done.
If you have any further query please ask me.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear sir, details required by you is as under:
1. diabetes 32 years 2.HTN almost same 32 years 3.my sister has diabetes.
4. no but during journey period I will get dependent edema.
5. no visual problem retinal scanning normal checked 2 months back.
FBS 127, urea 27 creatinine 1.1, HbA1c 7.1, cholesterol 165 Hdl 44, ldl 85,
urine protein 1+ albumin creatine ratio 65 checked 2 days back normally it should be less than 30 also taking 1500ug methylcobalamine.
1. diabetes 32 years 2.HTN almost same 32 years 3.my sister has diabetes.
4. no but during journey period I will get dependent edema.
5. no visual problem retinal scanning normal checked 2 months back.
FBS 127, urea 27 creatinine 1.1, HbA1c 7.1, cholesterol 165 Hdl 44, ldl 85,
urine protein 1+ albumin creatine ratio 65 checked 2 days back normally it should be less than 30 also taking 1500ug methylcobalamine.
Brief Answer:
Detail Follows.
Detailed Answer:
Dear Sir.
Welcome back.
It seems you have developed diabetic/hypertensive nephropathy.
In such situations an important investigation is Ultrasound of Kidney and Urinary Bladder.
Discuss with your doctor about starting you on ACE inhibitors like Ramipril.
Also you have to take low protein diet.
As far as your query is concerned I must say its not perfectly reversible but can be controlled.
Get an Ultrasound done first of all and get back to me.
Stay Healthy.
Detail Follows.
Detailed Answer:
Dear Sir.
Welcome back.
It seems you have developed diabetic/hypertensive nephropathy.
In such situations an important investigation is Ultrasound of Kidney and Urinary Bladder.
Discuss with your doctor about starting you on ACE inhibitors like Ramipril.
Also you have to take low protein diet.
As far as your query is concerned I must say its not perfectly reversible but can be controlled.
Get an Ultrasound done first of all and get back to me.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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