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I am diabetic, feel weak, and proteins in urine are high. Should I change my tablets?

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

Patient's Query

Hi doctor,

Recently, I took my blood test. I took a 24-hour urine test. I had a protein of 486 mg/g in my urine. I am diabetic and it is under control. I have a fasting blood sugar of 106 mg/dL and post-prandial blood sugar of 120 mg/dL. I am taking Diapride M 0.5 mg for diabetes and Cetanil T 40 for blood pressure. I consulted a nephrologist and he told me that protein loss is not usual at the age of 62 with diabetes. After that, he advised me to take tablet Cetanil 40 mg. Now, I feel extremely weak. Do I need to change the tablet or medicines for weakness?

Answered by Dr. Pranaw Kumar Jha

Education:

MD General Medicine

Professional Bio:

Dr. Pranaw Kumar Jha is a Nephrologist who completed his MD in General Medicine at KMC, Mangalore, and DNB in Nephrology at Manipal Hospital, Bangalore. He works as a senior consultant in Nephrology and Transplant medicine at various hospitals, including Medanta, Manipal Hospitals, and Fortis. His expertise is in renal transplantation, especially ABO-incompatible transplants and paired kidney exchanges with vast experience. He also has a keen interest in hemodialysis, peritoneal dialysis, chronic kidney disease, acute kidney injury, and glomerulonephritis. He has 16 years of clinical experience and is currently practicing at Arihant Hospital, Nagpur, Maharashtra.

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

Hi,

Welcome to icliniq.com.

As per your description, you have diabetes, hypertension, and other complications such as retinopathy and nephropathy. Your blood sugar level is good and other investigations look fair. Your doctor has prescribed you the right medicine. Cetanil-T (Cilnidipine with Telmisartan) and it is used to treat proteinuria. It does not cause weakness. The two reasons that cause weakness in you are low blood pressure or low blood sugar. Check your blood pressure in a lying-down position and after standing up for three minutes. If there is a fall of more than 20 mmHg in systolic blood pressure or more than 10 mmHg in diastolic blood pressure, then it is necessary to reduce your anti-hypertensive medications.

Investigations to be done

Monitor your blood pressure as suggested.

Probable diagnosis

You need to rule out postural hypotension.

Treatment plan

You need to reduce your anti-hypertensive medication after checking your blood pressure.
Medically reviewed by Dr. Sneha Kannan
Published At March 30, 2020
Reviewed At July 17, 2023

Education:

MD General Medicine

Professional Bio:

Dr. Pranaw Kumar Jha is a Nephrologist who completed his MD in General Medicine at KMC, Mangalore, and DNB in Nephrology at Manipal Hospital, Bangalore. He works as a senior consultant in Nephrology and Transplant medicine at various hospitals, including Medanta, Manipal Hospitals, and Fortis. His expertise is in renal transplantation, especially ABO-incompatible transplants and paired kidney exchanges with vast experience. He also has a keen interest in hemodialysis, peritoneal dialysis, chronic kidney disease, acute kidney injury, and glomerulonephritis. He has 16 years of clinical experience and is currently practicing at Arihant Hospital, Nagpur, Maharashtra.

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

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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

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

Education:

MD General Medicine

Professional Bio:

Dr. Pranaw Kumar Jha is a Nephrologist who completed his MD in General Medicine at KMC, Mangalore, and DNB in Nephrology at Manipal Hospital, Bangalore. He works as a senior consultant in Nephrology and Transplant medicine at various hospitals, including Medanta, Manipal Hospitals, and Fortis. His expertise is in renal transplantation, especially ABO-incompatible transplants and paired kidney exchanges with vast experience. He also has a keen interest in hemodialysis, peritoneal dialysis, chronic kidney disease, acute kidney injury, and glomerulonephritis. He has 16 years of clinical experience and is currently practicing at Arihant Hospital, Nagpur, Maharashtra.

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

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