  type  1  dm    
presented with  proteinuria 


she is on  apidra 
nexium 
lantus 
  

she  was referred fro the proteinuria 





   21/9 
   2/11  
   creatinine   was  0.6  
she had   proteinuria        148  mg/mg 
next  time it was   9,9     mg/dl 

c3  nroal 
c4  noral 
pcr   9.9 
esr  36


today
she came  for  follow up 
creatinine  0.6
protein/creatinine  ratio      20
urine analysis showed  no  protein     and  no  rbc 

plan 
if  she is  welling  to fast   then  to    hold  atacsnd 
if  she is not   welling to fast then  to  continue  a tacand 

plan 
hyperfiltration   of  DM 
plan continue atacand   fo  remains the same   then   well stop the  drug 