Q: I am a 69 years old male, suffering from diabetes type 2 and hypertension for the past 25 years. I am getting tested regularly. Now my albuminuria is high but my lipid profile, renal function, creatinine, uric acid, BUN, LFT and glycosylated haemoglobin are completely within the normal range. The blood sugar remains 120 mg/dl fasting and 150 mg/dl PP and my blood pressure is 140/80 mm Hg. What should I do protect my kidneys?

A:You should continue the medications as advised by your doctor. Keep your blood pressure below 120/75 mm of Hg. Limit your salt intake to 4 grams per day. Monitor blood sugars and HbA1c every three months. Your diet should obviously avoid direct sugars and take 48 grams of proteins per day. Also, monitor three monthly 24 hours urine albumin.