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A Patient Story of Stage 5 Diabetic Nephropathy

2014-02-27 19:48| Font Size A A A

A Patient Story of Stage 5 Diabetic NephropathyA patient named Charles, 48 years old. He was born in Jaffna Lka, Libya. And the main clinical performances are look pale, mild pitting edema in both the lower limbs, polydipsia, polyphagia, polyuria, proteinuria and so on.

Condition before treatment:

After hospitalization, the experienced nephrologists here prepared him with a series tests, and the results are shown below:

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%.

Primary diagnosis:

Type 2 Diabetes, Stage 5 Diabetic Nephropathy, Renal Anemia, Renal Hypertension and Hyperuricemia.

Treatment of our hospital:

During the treatment, he was recommended to adopt hot compress therapy, oral Chinese medicine and enema therapy. At the same time, recombinant human EPO is applied to correct anemia, blood glucose-lowering drugs are used to control blood sugar, anti-hypertensive medicines are prescribed to reduce blood pressure and tripterygium glycosides tablets are suggested to restrain the immune inflammatory response.

Condition after treatment:

After about 33 days, his condition has been effectively controlled. And the review results are as follows:

Blood pressure 120/80mm Hg, swelling in both the lower limbs disappeared, hemoglobin 110g/L, red blood cell count 3.69×1012/L, urinary protein +, occult blood -, uric acid 114umol/L.

Doctor’s advice:

Before he left our hospital the experts advice him repeatedly to take moderate physical activities regularly, avoid strenuous exercises, colds and infections; follow a low-salt, low-fat, high-quality protein, low-purine diet, keep away from spicy foods and eat more fresh fruits; reasonable use of drugs.


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