A 48-year-old woman with a 10-year history of type 2 diabetes visited her primary physician for a regular checkup. The results of all the clinical tests were as follows: Body Mass Index (BMI) 27.2 kg/m2 Waist-To-Hip Ratio 0.82 Blood Pressure 168/101 mm Hg Total Serum Cholesterol 180 mg/dL High-Density Lipoprotein Cholesterol 58 mg/dL Low-Density Lipoprotein Cholesterol 93 mg/dL Albumin-To-Creatinine Ratio 61 mg Sodium 134 mEq/L Potassium 4.2 mEq/L Chloride 99 mEq/L Bicarbonate 24 mEq/L Glucose 225 mg/dL Calcium 9.5 mg/dL Vitamin D 42 ng/mL Hemoglobin 13.9 g/dL Hematocrit 40.4% Glycated Hemoglobin 6.7% Current treatment regimen: Metformin 1000 mg twice daily Glipizide 10 mg daily Lisinopril 10 mg Vitamin D3 1000 units daily Hydrochlorothiazide (hctz) 25 mg The physician observed a drop in estimated glomerular filtration rate (eGFR) from 60 mL/min/1.73 m2 (Last tested in March 2018) to 43…
What Led to the Deterioration of Kidney Function?