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

Answered by
Dr. Pranaw Kumar Jha
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Mar 30, 2020 and last reviewed on: Apr 10, 2020
Recent blood tests revealed that proteins in urine is 486 against 130 in the 24 hour unit test. I am diabetic, however it is under control. Fasting sugar is 106 and after break fast it 120. I am using Diapride M 0.5 for Blood Sugar and Citanil T 40 for BP. I consulted nephrologist and he told me that for my age of 62 and being diabetic, the said protein loss is not unusual and the tablet Citanil T 40 will take care of the problem of protein loss. My present problem is I am feeling terribly weak . Should I need to change the tablet or take medicines for weakness.

Dear, Thanks for the query

As per the records you have diabetes, hypertension and related complications such as retinopathy, nephropathy Your blood sugar control is good and other investigations also look fair

Your doctor has rightly prescribed you Cetanil-T which contains Telmisartan which is used to treat proteinuria The proteinuria can not explain the weakness

Two main reasons for weakness in your case may be low blood pressure or low blood sugar- so monitor thess.

Check your blood pressure in lying down position and after that stand up and after 3 minutes check it again. if there is a fall of more than 20 mm Hg in systolic blood pressure or > 10 mm Hg in diastolic blood pressure then we need to reduce your antihypertensive medications.

The Probable causes:

Diabetes related complications

Investigations to be done:

Monitor BP as advised

Probable diagnosis:

Postural hypotension to rule out

Treatment plan:

May require antihypertensive reduction after checking BP

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