Is my sister, 37, having kidney issues due to her diabetes?

Question

Hi doctor,

This is about my elder sister, who is 37 years old. She has been diabetic for 4 years. I have attached the report and prescription of the same. Please check and give a suggestion. Now she is suffering from a swollen face. Is there any problem with kidneys due to high sugar levels? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thanks for the query on this platform. Your sister is a known case of hypothyroidism with uncontrolled type 2 diabetes mellitus. Her sugar has been constantly raised throughout the last five to six months, as shown in the reports. She is on oral diabetic drugs, and her blood sugar is not controlled.

According to me, she needs to be started on insulin. Insulin is just the replacement for the insulin in the body which our body is unable to make. She is overweight, which needs to be looked into. She needs to reduce her weight gradually by going for a walk, avoiding lifts, fatty foods, rice, and chicken or mutton.

As far as her kidneys are concerned, her creatinine and urea are within normal range. Her urine microalbumin is raised, which points towards heart and kidney function. She needs to be started on statins after consulting her physician. Kidneys are affected in diabetic patients. Keep repeating her creatinine regularly, which will show her kidney function. For now, she is on diuretics, which will subdue her swelling in the face.

Investigations to be done:

Do high-density lipoprotein (HDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), Cholesterol, fundus examination, and two-dimensional echocardiogram (2D echo).

I hope this information helps you.

Thank you.