Today and I see a successful medical diabetes2, please read on.
Age: 48 years
Born: JAFFNA LKA
proteinuria 10 years, adding two years to 08/20/2013 10: 40entra our hospital. Entrance examination: BP150 / 80mmHg, chronic tolerance, anemia, pale conjunctiva, lung breath sounds clear, and outrageous wet and dry rales. Heart rate 70 beats / min, law Qi, auscultation area of the valve does not smell and noise. It refers to the lower extremities with edema mild stings, the pulse of the dorsalis pedis artery feet weakened, temperature, pain, touch, weakened, and the results of hospital tests: blood: hemoglobin 82 g / l , red blood cell count 2.80 × 1.012 / L; six Renal: creatinine 513umol / L, 25.4 urea nitrogen / L, úrico732 umol / L acid; Fasting glucose 6.9 mmol / L; glycosylated hemoglobin: 4.56% .The initial diagnosis of type 2 diabetes, V diabetic nephropathy, renal anemia, renovascular hypertension, Hyperuricemia, diabetic retinopathy, diabetic peripheral neuropathy. Given the napkin area kidneys warm herbal suddenly improve renal microcirculation, oral topical herbal enema assisted detoxification, and given the injection of recombinant human erythropoietin 3000IU subcutaneously 3 times / week, capsules 0.15 polysaccharide iron complex 3 times / day, correction of anemia; linagliptin tablets 5mg tablets 1 times / night gliquidone 30mg 1x / early control of blood glucose; irbesartan / hydrochlorothiazide tablets at 1 time / day, propranolol hydrochloride tablets 10mg3 times / day, below the pressure; 5 mg tablets Rosuvastatin 1 times / night, lowering; Aspirin Tablets 81mg enteric coating 1 times / night, calcium Dobesilate 0.5 3 times / day, 50mcg tablets of vitamin B12 1 time / early anticoagulation improve micro-circulation, chewable calcium carbonate 1.25mg 2 times / day of calcium; Allopurinol 50mg tablets inhibition 1 times / day of uric acid synthesis; Tripterygium glycosides tablets 20 mg 3 times / day to suppress immune inflammatory response; trihexyphenidyl hydrochloride tablets 4 mg 3 times / day, Flunarizine Hydrochloride 5 mg Capsules 1 times / night 33 days of therapy, blood pressure was stable, 120 / 80mmHg, examination: lung breath sounds clear, odorless and moist rales and dry, heart rate of 76 beats / min, the area of auscultation valve odor and noise, soft abdomen, lower limb edema. Check hemoglobina110g / l, red blood cell count 3.69 × 1.012 / L, 1 + urine protein, occult blood serum creatinine - 470umol / L, acid úrico114umol / L.
The patient's condition improved. He has asked his attention to rest, regular exercise, avoid strenuous exercise, avoid colds, infections, high protein low salt diet low fat low purine, eat spicy, eat more vegetables and reduce the amount of staples. Disable nephrotoxic drugs.