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How to manage diabetes, BP, and CKD in an elderly woman?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother's present complaint is weakness. She is also suffering from diabetes, high blood pressure, chronic kidney disease, and a heart problem. We have done the CT scan. The CT scan shows shortness of breath in the lungs. I am sending the report of a CT scan and other prescriptions.

Please advise.
Answered by Dr. Amol Kumar Wasudeorao Diwan

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

I have read all the reports attached here (attachment removed to protect patient identity). Your mother is a known case of diabetes mellitus, chronic kidney disease, and high blood pressure. Her CT chest is suggestive of left upper lobe density. Here, the question is whether it is an infection or malignant. As per the report, all tests for TB are negative. Markers for autoimmune diseases like Sjogren's disease are positive with antinuclear antibody (ANA). So, the best idea would be to go ahead with computed tomography (CT) guided biopsy of the lesion.

It will tell us more about the mass, whether it is an infection or malignant. Let us wait and see the biopsy report. By now, all the reports are pointing to lung cancer. But as I said, it can also be infectious or some autoimmune problem. Once the biopsy report is ready, we can say the diagnosis for sure. I hope the biopsy turns out to be benign. About the treatment, the current treatment is standard according to her problem of diabetes mellitus (DM) and chronic kidney disease (CKD).

I hope this helps.

Feel free to reach out in case of any further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 1, 2016
Reviewed At March 11, 2026

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Amol Kumar Wasudeorao Diwan
Dr. Amol Kumar Wasudeorao Diwan

Allergy Specialist

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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