Concluded Case

Diabetic nephropathy

A 52 yr male patient suffering from DM2 since 1 year, he has complaints of swelling & tingling, numbness in both lower limbs,,, Plz suggest DX & treatment,..... Follow up after 15 days of treatment- pitting type of oedema present on both the legs ++ ,

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Concluded answer

Diabetes, Neuritis, Diabetic Nephritis, Syzygium, Q,Thlepsi B P, Q Ginseng tb Ard, Alb 1m weekly

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? UNCONTROLLED DIABETES WITH .. BL .. PEDAL OEDEMA .. AND .. CREATININE ..1.6 .. URIC ACID .. 8.4 .. GLOBULIN .. 2.04 .. NEED'S .. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH .. INSULIN .. OHA .. DIABETIC DIET PLAN .. REGULAR EXERCISE .. DIURETICS .. ETEROCOXIB .. SALT RESTRICTIONS .. LEGS ELEVATION .. INVESTIGATE WITH..SOS.. ANEMIA PROFILE .. SR .. PROTEINS .. ECG STUDY .. USG..ABDOMEN PELVIS..

UNCONTROLLABLE DIABETES MELLITUS ? NEEDS INSULIN . HIGH FBS And PP . ANTIDIABETIC MEDICATION GIVE. Rx, Tab - tegliptin -M 500 mg BD . Tab - Zerodol-p BD. Tab - glazulin 2.5 mg BD. Cap - pantocid DSR BD.

Diabetes, Neuritis, Diabetic Nephritis, Syzygium, Q,Thlepsi B P, Q Ginseng tb Ard, Alb 1m weekly

Thank you sir
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Eal serum 6c tds

Thank you doctor
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Reduce sugar, creatinine and uric acid and cycling exercise and water intake must reduce can help to pt revive. Medicine can give according to symptoms similarity.

Syzygium jambo can help

Diabetes mellitus with CkD with peripheral neuritis

Lycopodium eal serum apis m

Report first: CBC, rft, uric acid, urine culture

CBC-WNL ,RFT- UREA-36 ,CREAT-1.6 ,URIC ACID-8.4
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Laxis tab 1TAB B D

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