instruction: recent blood tests revealed that proteins in urine is 486 against 130 in the 24 hour unit test I am diabetic however it is under control fasting sugar is 106 and after break fast it 120 I am using diapride 5 for blood sugar and citanil 40 for be I consulted nephrologist and he told me that for my age of 62 and being diabetic the said protein loss is not unusual and the tablet citanil 40 will take care of the problem of protein loss my present problem is I am feeling terribly weak should I need to change the tablet or take medicines for weakness
output: dear thanks for the query as per the records you have diabetes hypertension and related complications such as retinopathy nephropathy your blood sugar control is good and other investigations also look fair your doctor has rightly prescribed you cetanil which contains telmisartan which is used to treat proteinuria the proteinuria can not explain the weakness two main reasons for weakness in your case may be low blood pressure or low blood sugar so monitor thess check your blood pressure in lying down position and after that stand up and after minutes check it again if there is a fall of more than 20 my he in systolic blood pressure or 10 my he in diastolic blood pressure then we need to reduce your antihypertensive medications diabetes related complications monitor be as advised postural hypotension to rule out may require antihypertensive reduction after checking