It is a progressive kidney disease that damages the capillaries in the kidney’ glomemeruli because of the long-lasting diabetes mellitus. People with diabetes and microalbuminuria have high cardiovascular disease risk, and should be treated with multifactorial interventions (refer to the section on CVD cardiovascular risk).
Signs and symptoms
• There are no symptoms in early stage
• In later stage, there is body swelling, most often feet and legs
• Perform regular urine tests to check the albumin
- Reduce salt intake (< 2g/day) and restrict proteins (<1g/kg/day)–explore options from patient’s dietary history.
- • Losartan: Initial dose: 50 mg orally once a day.
• Maintenance dose: 25–100 mg orally per day in 1 or 2 divided doses