Author Question: Protein restriction helps slow the progression of albuminuria, glomerular filtration rate, decline, ... (Read 13 times)

robinn137 · **on:** Jul 24, 2018

Protein restriction helps slow the progression of albuminuria, glomerular filtration rate, decline, and end stage renal disease in some patients with diabetes. It is useful for patients who:

1. Cannot tolerate angiotensin converting enzyme inhibitors or angiotensin receptor blockers
2. Have uncontrolled hypertension
3. Have HbA1C levels above 7
4. Show progression of diabetic nephropathy despite optimal glucose and blood pressure control

Question 2

Diabetic autonomic neuropathy (DAN) is the earliest and most common complication of diabetes. Symptoms associated with DAN include:

1. Resting tachycardia, exercise intolerance, and orthostatic hypotension
2. Gastroparesis, cold intolerance, and moist skin
3. Hyperglycemia, erectile dysfunction, and deficiency of free fatty acids
4. Pain, loss of sensation, and muscle weakness