Exam questionKROK 2Medicine ยท 2010
A 52-year-old male patient has an 18 year history of diabetes mellitus. One year ago he had cystitis. The patient takes 0,005 g of maninil thrice a day. Objectively: height - 176 cm, weight - 82 kg. Glycemia variability on an empy stomach is at the rate of 10,3-12,4 millimole/l. Analyses revealed proteinuria at the rate of 0,033 g/l. The most efficient way to prevent diabetic nephropathy progress will be:
Answer options
- To decrease daily caloric content
- To increase maninil dosage
- To supplement the present therapy with insulin
- To replace maninil with insulin
- To administer antibacterial therapy
Correct answer
To replace maninil with insulin
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