Treatment of hypertension associated with diabetes mellitus


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Other information regarding outpatient care Based on appointments the outpatient clinic in block A covers the following areas: general medicine, diabetology, gastroenterology, endocrinology, hypertension management, cardiology, lipid management, nephrology, obesity care and rheumatology. The general medicine outpatient clinic sees patients of the catchment area, who arrive for a general medical check-up.

Nephrology specialist consultation: Comprehensive check-up and care of primary kidney diseases or kidney problems protein and or blood in the urine, rapidly or significantly reduced GFR, difficult to manage hypertension, recurrent kidney stone disease or urinary tract infection or kidney diseases associated with other diseases such as, immunological diseases, diabetes are treated by the unit.

Emergency kidney cases such as, acute kidney failure, nephrosis or challenging cases for example, pregnancy or complications such as, calcium metabolism disorder are also handled and medical second opinions are provided.

Special treatments such as, erythropoietin, immuno-suppressive treatments, dilation of the renal arterypreparation of kidney replacement treatments transplantation, peritoneal dialysis, hemodialysiscontinuing care and treatment of these patients such as, insertion of a permanent large vein cannula or a percutaneously placed PD catheter are offered and background inpatient care is available if needed.

Renal replacement therapy dialysishemodialysis for patients treatment of hypertension associated with diabetes mellitus chronic kidney failure takes place three times a week in three shifts per day Monday, Wednesday, Friday or Tuesday, Thursday, Saturday.

Patients receiving continuous ambulatory peritoneal dialysis CAPD are monitored monthly in an ambulatory room reserved for them alone.

Principal inclusion criteria 1. If subjects are female of childbearing potential, subjects must be negative on the urine pregnancy test and agree to abstain from coitus or use contraception during the entire study 3. Subjects who are willing and able to return for all clinic visits and to complete all study-required procedures, including SMBG measurements Prior to randomization, all subjects must: 8. Adhere to the investigational product administration requirements as evidenced by missing no more than 1 day of run-in medications. If run-in medication doses are missed for reasons that, in the judgement of the investigator, are appropriate, this requirement may be waived 1.

Selective LDL apheresis treatment of patients suffering from familial hypercholesterolemia is done in cooperation with the Department of Metabolic Diseases. Endocrinology specialist consultation: Check-up and treatment of endocrine diseases hypophysis gland, thyroid gland, parathyroid gland, and adrenal gland recognized or suspected by the family doctor.

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Care of patients in progressive care referred from other partner medical institutions. Planning diagnostic panels and evaluation of results. Care of patients with gestational diabetes in cooperation with the Obstetrics and Gynecology Clinic.

The correlation between cardiovascular disease and psychosocial factors including concomitant mental disorders as well as personality traits or the effect of social environment has been established in numerous studies aimed at investigating pathogenesis or various clinical endpoints. The Guidelines of the European Society of Cardiology include the assessment and the management of psychosocial problems with behavioral medicine interventions as a I. A level recommendation.

Switching the therapeutic regimen if the patient does not show an adequate response to the previous regimen. Lipid specialist consultation: Check-up of hyperlipidemia patients referred by family doctors to define the type of hyperlipidemia. Obesitology specialist consultation: Exploring the reason for the obesity.

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Initiation of a life-style therapy and medicinal therapy, if necessary. If the obesity is severe and other cardiovascular risk factors are also present, recommendation for surgery may also be given. Gastroenterology specialist consultation: Patients are seen every day of the week by appointment to perform gastroscopies and colonoscopies.

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On Tuesdays, Wednesdays, Thursdays and Fridays patients with referrals from family doctors or internists are seen to set up a diagnosis and begin the appropriate treatment. Updated: