The complex Management of a 55-Year-Old Male with Long-Standing Type 2 Diabetes, Non-Proliferative Diabetic Retinopathy, and Diabetic Nephropathy: A Multi-disciplinary Approach

Ramavathi B; Devi V; Jaya Surya Bammidi

Authors

B. Ramavathi Assistant Professor, Department of Pharmacology Avanthi Institute of Pharmaceutical Sciences
V.Devi Assistant Professor, Department of Pharmacology,Emanuel College of Pharmacy
Jaya Surya Bammidi Doctor of Pharmacy, Avanthi Institute of Pharmaceutical Sciences, Cherukupally, Vizianagaram

Keywords:

diabetes type 2 mellitus, etiologies

Abstract

A 55-year-old male with diabetes type 2 mellitus, non-proliferative diabetic retinopathy, and recently diagnosed chronic renal failure related to diabetic nephropathy is the subject of this case. The patient approached with complaints of general weakness, tiredness, and a 15-day midnight fever. Laboratory tests revealed that the patient had high blood glucose levels, anemia, increased liver enzymes, and compromised renal function. Tight control of glucose, Managing of blood pressure, anemia correction, and treatment of etiologies are all part of the multidisciplinary care strategy.

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References

US Renal Data System: USRDS 2003 Annual Data Report: Atlas of End-Stage Renal Disease in the United States. Bethesda, MD, National Institute of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2003

Valmadrid CT, Klein R, Moss SE, Klein BE: The risk of cardiovascular disease mortality associated with microalbuminuria and gross proteinuria in persons with older-onset diabetes mellitus. Arch Intern Med 160:1093-1100, 2000

Mogensen CE, Christensen CK: Predicting diabetic nephropathy in insulin-dependent patients. N Engl J Med 311:89-93, 1984

Parving HH, Oxenboll B, Svendsen PA, Christiansen JS, Andersen AR: Early detection of patients at risk of developing diabetic nephropathy: a longitudinal study of urinary albumin excretion. Acta Endocrinol (Copenh) 100:550-555, 1982

Viberti GC, Hill RD, Jarrett RJ, Argyropoulos A, Mahmud U, Keen H: Microalbuminuria as a predictor of clinical nephropathy in insulin-dependent diabetes mellitus. Lancet 1:1430-1432, 1982

Mogensen CE: Microalbuminuria predicts clinical proteinuria and early mortality in maturity-onset diabetes. N Engl J Med 310:356-360, 1984

Saini, Deep C; Kochar, Anju; Poonia, Raunaq. Clinical correlation of diabetic retinopathy with nephropathy and neuropathy. Indian Journal of Ophthalmology 69(11):p 3364-3368, November 2021. | DOI: 10.4103/ijo.IJO_1237_21