A 57-year-old man with type 2 diabetes which was diagnosed 2 years ago was attending routine follow-up. His other medical problems include obesity (110kg) and hypothyroidism. He has a history of heavy alcohol use but he quit after diabetes diagnosis. Examination Blood pressure 168/100 mmHg, Pulse 84 beats/min No retinopathy or thyromegaly. No clinical evidence of congestive heart failure or peripheral vascular disease. Laboratory Evaluation Trace protein on urinalysis.
But a 24-h urine collection reveals a urinary albumin excretion rate of 250 mg/day. Blood urea nitrogen: 14 mg/dl Serum creatinine : 1.2 mg/dl Serum glucose: 169 mg/dl Electrolytes and thyroid-stimulating hormone levels are normal. What is the treatment strategy should be used? *This case is from Docplexus editorial team for educative purpose only. Source: Clinical Diabetes Stay Connected, the answer will be posted in the…
