I'm 76 years old person and having HTN & TYPE 2 DIABETES. But presently under control by medicines. I am passing proteins+++ in urine. My creatinine level is 1.77 and my TSH is 8.6. Please advise suitable medicines for controlling the above 3 ailments. I will be thankful.
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Thank you for the query. I will answer questions one by one 1. You are suffering from Type 2 Diabetes mellitus and having 3+ protein in urine, along with a creatinine of 1.77 mg%. This implies that in all probabilities you are suffering from Diabetic Nephropathy. You are already on Temikind H (Telmisartan+hydrochlorthiazide), so there is nothing else to add. You need to restrict your protein intake to 0.6-0.8 gm/kg body weight/day. Please check your electrolyte (Na+, K+) levels checked. There is no specific medication which can cure diabetic nephropathy, but you need to cut down on the protein intake. 2. I need to know your blood pressure levels to suggest you medications, since you are already on Amlokind-AT and Temikind-H. 3. Your TSH level is 8.6, but i need to know your complete thyroid profile (FT4 and FT3). Usually medications are not given till TSH is more than 10, unless a patient is symptomatic (tiredness, lethargy etc) 4. Please do not take pain-killers like Nice, they are harmful for your body. 5. I would like to know, as to why you are having reduced sensation in the left arm and leg, did you have any CVA (stroke)? 6. Since you are diabetic please get your eye-check up one to rule out diabetic retinopathy. Regards
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Mr. lybrate-user, Creatinine and protein excretion increase occurs when kidney function is affected. In long standing diabetes, filtering membrane of the nephron is damaged leading to proteinuria and also increase in creatinine. Consistent excellent blood glucose control over the years is needed to prevent damage to kidney. Apart from strict blood glucose control, protein intake also has to be reduced to 0.6 g per kg per day. Reduce excess physical activity, plus avoid foods more in creatinine. BP should be maintained at normal level. TSH 8.6 mU/L is high, but still falls in sub-clinical stage, so no treatment is advised. You should avoid soy beans, soy containing products, radish, cabbage, cauliflower, broccoli, mustard, peanuts and coffee. But it very important to maintain a very strict blood glucose control like FBS closer to 100 mg, PP 170 to 180 mg & HbA1c%<7. Thanks.
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