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Suggest Treatment For Appetite Loss And UTI

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Posted on Fri, 14 Mar 2014
Question: Good Evening - This is with regards to my mothers medical report , she is 70 year old and diabetic since 20 odd years . Insulin dependent . Dosage is lantus - 20 units (once a day) and Novo Rapid 12 units pre meal . She is also on diuretic (Frusenex 100 mg) twice a day . Since last 20 days , she is been complaining of swelling , plus lethargy plus lack of appetite . I am attaching her medical report for your guidance and consultancy. Last evening she had an instance of Hyperglycemia and her sugar hovered at around 400 ...Better part of the day she was feeling sleepy and not willing to eat anything . Please advice .
doctor
Answered by Dr. Minal Mohit (31 minutes later)
Brief Answer: Sugar control is acceptable. Detailed Answer: Dear sir , as per the reports her diabetes is presently acceptably well controlled. problem is entirely with her kidneys. though it is diabetes that has caused the nephropathy. her creatinine is high, she is losing proteins in urine. she also ha significant urinary tract infection. what you need is to get her urine culture done and put her on renal safe antibiotics as per the culture reports. meanwhile give her 40 mg of proteins per day. see a good nephrologist with the culture reports. continue insulin as advised. monitor 4 times a day fasting/ pre lunch, / pre dinner/ bed time. and keep me informed all the sugars. hyperglycemia is because of infection and loss of appetite because of uremia. Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Minal Mohit (32 hours later)
Dear Doctor - Protein should be 40 Mg or 40 g on a daily basis , correct ? Please do specify . Also is there a kidney safe , diabetic patient protein powder that can be given to her ? Please advice . Thanks Doctor
doctor
Answered by Dr. Minal Mohit (10 hours later)
Brief Answer: It is 40 g / d. Detailed Answer: dear user, protein required per day is 40 g , if I wrote mg sorry for that. resource high protein diabetic powder can be used. Regards!
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Suggest Treatment For Appetite Loss And UTI

Brief Answer: Sugar control is acceptable. Detailed Answer: Dear sir , as per the reports her diabetes is presently acceptably well controlled. problem is entirely with her kidneys. though it is diabetes that has caused the nephropathy. her creatinine is high, she is losing proteins in urine. she also ha significant urinary tract infection. what you need is to get her urine culture done and put her on renal safe antibiotics as per the culture reports. meanwhile give her 40 mg of proteins per day. see a good nephrologist with the culture reports. continue insulin as advised. monitor 4 times a day fasting/ pre lunch, / pre dinner/ bed time. and keep me informed all the sugars. hyperglycemia is because of infection and loss of appetite because of uremia. Regards!