Q: I am 64 years old and have diabetes for the past 16 years. I have been on insulin for the last 6 years. My S. Creatinine is 1.8 with HbA1c of 8. My microalbuminurea is 64. Doctors have prescribed the following tablets: Clavix - one tab per day; Losar H - one per day; Lorlip - one per day; Gabaneuron - one per day. I am also taking 25 units of insulin in the morning and 15 in the evening. I was also advised to avoid the green leafy vegetables in my diet. Are the above medicines good to use? Will they cause any side effects? What diet should I take to control my albumin in urine? I am a vegetarian. Is it possible to cure this microalbuminurea?

A:Based on the information provided, you have chronic kidney disease (CKD) probably secondary to long-standing diabetes (Diabetic nephropathy), which is associated with increased leakage of protein (albumin) in the urine. An elevated serum creatinine value of 1.8mg/dL reflects impaired kidney’s filtering function. While it is not possible to retrieve the lost kidney function, a lot can be done to delay the further progression of the kidney disease by focusing on the risk factors of CKD. These include