A 25-year-old woman has been suffering from diabetes mellitus since she was 9. She was admitted into the nephrology unit with significant edemas of the face, arms, and legs. Blood pressure – 200/110 mm Hg. Hb- 90 g/L, blood creatinine – 850 mcmol/L, urine proteins – 10 g/L, leukocytes – 10-15 in the vision field. Glomerular filtration rate – 10 mL/min. What tactics should the doctor choose

Answer options

1. Active conservative therapy for diabetic nephropathy
2. Renal transplantation
3. Transfer into the hemodialysis unit
4. Transfer into the endocrinology Clinic
5. Dietotherapy

Explanation

A 25-year-old woman has been suffering from diabetes mellitus since she was 9. She was admitted into the nephrology unit with significant edemas of the face, arms, and legs. Blood pressure – 200/110 mm Hg. Hb- 90 g/L, blood creatinine – 850 mcmol/L, urine proteins – 10 g/L, leukocytes – 10-15 in the vision field. Glomerular filtration rate – 10 mL/min. What tactics should the doctor choose?Anasarca, diabetes history, excess creatinine in blood, elevated bp, and all above-highlighted signs indicate renal failureAccording to the National Kidney Foundation, normal results range from 90 to 120 mL/min/1.73 m2.In adults, the normal GFR number is 90 or higher. Having a GFR between 60 and 89 may be normal for some people, including those over age 60. GFR tends to decline as we age even in people without kidney disease.