Patient is a 39-year-old type 1 diabetic who was recently diagnosed with chronic kidney disease. She is meeting with her nephrologist to discuss the status of her condition. Her nephrologists told her that her GFR—glomerular filtration rate—is 25, putting her at stage 1 for the CKD. He advised her to control her blood sugar as much as possible and to take her blood pressure every day and

include the results in her diabetes log. Keeping her blood pressure under control is exceedingly important. She was also told to continue the ace inhibitor and that adjustments would be made if her BP goes up. She was also advised to limit her protein and salt intake and to avoid ibuprofen and aspirin.

Dx: Type 1 diabetes with CKD; hypertension
What will be an ideal response?

Answer: Type 1 diabetes with CKD—E10.22
Hypertensive CKD—I12.9
Stage 1 chronic kidney disease—N18.1

Health Professions

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