Diabetic Nephropathy
Protocols
Clinical Features:
- Worsening blood pressure
control
- Protein in the urine
- Swelling of feet,
ankles, hands or eyes
- Increased need to
urinate
- Reduced need for insulin
or diabetes medicine
- Confusion or difficulty
concentrating
- Shortness of breath
- Loss of appetite
- Nausea and vomiting
- Persistent itching
- Fatigue
Pathophysiology:
Investigations:
- Renal Function Test
- RBS/FBS
- Serum Electrolye
- Fasting Lipid Profile
- Urine RME
Rx:
- Low sweet intake
1.Tab. Empamet (5+500mg) OR
Tab.Amaryl- M(1mg+500mg) OR
Tab.Sitagil-M (50mg+500mg) OR
...1+0+1...(after meal).......continue
iF HTN
2. Tab. Valsartil (40/80mg)..0+0+1....continue