Proteinuria

2025-12-01 09:37:50
Hi sir, Iam suffering with proteinuria ACR is 302 and RFT is normal , HBA1c is 9 on March 2025.. Iam on medications from past 6 months like Arbs, Sgl2 inhibitors and finerenone...but still iam observing foamy urine..whether I can reverse proteinuria or it's life time disease or it will aggressively progress to ESRD ..I don't know..kindly guide
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The doses of arb need to increased to max tolerated dose if you are already on maximum tolerated dose then we need to add glp 1 analogue for further protein reduction
Next Steps
bp 130/80,Hba1c target 7 45 mins of moderate intensity excercise

Answered2025-12-01 12:31:54

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