Patients with type 2 diabetes and chronic renal failure

Name: Yaslam

Sex: male

Age: 52a?os

Nationality: Yemen

The main cause polydipsia, polyphagia, polyuria, weight loss for 20 years, renal dysfunction and a half years. On 04.05.2012 22: 00, first came to our hospital.

Review came to hospital: BP: 180 / 90mmHg. Abnormal temperature both lower limbs feel sensitivity, moderate edema of both lower limbs. Auxiliary examination: Conventional Urine WBC 25.20 / ul, RBC 757.60 / ul, urine protein +++ +++ occult blood urine protein excretion 24 hours 1.03g / 24h.. Creatinine 639umol / L, total cholesterol 6.82mmol / L.Azúcar blood 14.3mmol / l, spirit of good, poor appetite, sleeplessness, urine output 200ml / 24h.

Diagnosis is "type 2 diabetes, diabetic nephropathy, chronic renal failure stage five CKD, renal hypertension, renal anemia, diabetes peripheral neuropathy.

Treatment given to control blood sugar, blood pressure, toxins and other treatments. Oral lipid-lowering medication, active control of the primary disease. Treatments Micro-Chinese medicine, improve blood circulation, slow progression of renal disease, repair damaged renal units, after treating patients with good mental health, pain relief with two feet. Condition better than before.

Before he came to hospital He left hospital comparison with prior After treatment

proteinuria +++

Occult blood +++

Hemoglobin 98g / L

Protein excretion in urine 24 hours 1.03g / 24h

Creatinine 639umol / L

Cystatin C6.29mg / L

4.48 Triglycerides mmol / l

Total cholesterol 6.82mmol / L

High sensitivity C-reactive protein 8.7 mg / L

D-dimer 4.19mg / l

Blood sugar 14.3mmol / l

proteinuria ++

Occult blood +

Hemoglobin 120g / L

Protein excretion in urine 24 hours 0.63g / 24h

Creatinine 462umol / L

Cystatin C2.20mg / L

Triglycerides 1.78mmol / l

Total cholesterol 4.78mmol / L
High sensitivity C-reactive protein 1.7mg / L

D-dimer 0.49mg / l

Blood sugar 7.0mmol / l

blurred vision

Lung moist rales

Moderate edema of both lower extremities

Under the limb pain

Diet, esue?o spirit are bad.

200 ml of urine

Improved vision

Lung breath sounds clear

Mild edema of the lower extremities

Improves pain in the lower extremities

Diet, spiritual, sleep well 500 ml of urine

Patient with lupus nephritis, chronic renal failure Stage 5 CKD, renal anemia

1. Medium patient

Name: Dilshad

Sex: female

Age: 48a?os

Nationality: India

2. Diagnosis: Lupus nephritis, chronic renal failure Stage 5 CKD, renal anemia

3. Introduction of disease: Patient a year ago due to fever rash miliary type of body, nausea, vomiting, fatigue, treatment in a local hospital, measurement of renal function occur: serum creatinine 11mg / dl, hemoglobin 72g / l , urine protein .Anticuerpos + + antinuclear, anti DNA antibodies double + chain, the diagnosis is "lupus nephritis, chronic renal failure stage 5 CKD, renal anemia, dialysis, step down, iron supplements, supplements blood and other treatments, patient for further treatment on 3/5/2012 first came to our hospital.

4. After you came to our hospital, did test: hemoglobin: 72g / l, serum creatinine: 538umol / l, uremic Nitrogen 25.7mmol / l after oral poison auxiliary exhaust and treatment of Micro-Chinese Medicine, hemoglobin maintained at 90g / l, creatinine controlled 300-350umol / l, antinuclear antibodies, antibody-dsDNA - now did dialysis patient.