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Charles, Type 2 Diabetes, Stage 5 Diabetic Nephropathy

2014-02-10 21:41

Charles, Type 2 Diabetes, Stage 5 Diabetic NephropathyName: Charles

Gender: Male

Age: 48 years old

Martial status: Married

Birth place: Jaffna Lka

A patient from named Charles, he suffered from polydipsia, polyphagia, polyuria for 22 years and proteinuria for 10 years. On Aug, 20th, 2013, he came to our hospital for treatment.

Condition before the treatment:

Blood pressure 150/80mmHg, anaemic countenance, cadaverous eyelid conjunctiva, heart rate 70, mild pitting edema in both the lower limbs.

Inspection result of our hospital:

Hemoglobin 82g/L, red blood cell count 2.80×1012/L, serum creatinine 513umol/L, blood urea nitrogen 25.4mmol/L, uric acid 732umol/L, fasting blood glucose 6.9mmol/L, glycosylated hemoglobin 4.56%.

Diagnosis: Type 2 Diabetes, Stage 5 Diabetic Nephropathy, Renal Anemia, Renal Hypertension, Hyperuricemia, Diabetic Retinopathy, Diabetic Peripheral Neuropathy.

Treatments at our hospital:

Hot compress therapy, oral Chinese medicine, enema therapy to help excrete toxic pathological factors in kidney. Meanwhile, injection of recombinant human EPO to correct anemia, linagliptin and gliquidone tablets to control blood sugar, irbesartan and propranolol hydrochloride tablets to lower blood pressure, calcium dobesilate capsules and vitamin B12 tablets to improve microcirculation, calcium carbonate chewable tablets to supply calcium, allopurinol tablets to restrain the synthesis of uric acid and tripterygium glycosides tablets to suppress the immune inflammatory response.

Condition after the treatment:

After 33 days systematic treatment, his condition was well controlled. And blood pressure 120/80mmHg, heart rate 76, no edema in both lower limbs, hemoglobin 110g/L, red blood cell count 3.69×1012/L, urinary protein +, occult blood -, uric acid 114umol/L.

Meanwhile, our experienced nephrologists enjoin him to pay attention to rest, take moderate exercises, avoid strenuous exercises, prevent colds, infections; low-salt, low-fat, moderate high-quality protein, low-purine diet, avoid spicy foods, eat fresh fruits and vegetables; avoid nephrotoxic drugs.

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