I have been a diabetic patient for 25 years. My recent tests show an HbA1c of 10.6% and severe protein in my urine (albumin/creatinine ratio of 2551.24). What medications should I take to manage my blood sugar and protect my kidneys from diabetic nephropathy?
With your history, your high HbA1c and protein levels indicate your kidneys need immediate support. To protect them, doctors typically prescribe an ACE inhibitor (such as lisinopril) or an ARB (such as losartan), which lowers protein in the urine. For blood sugar control and excellent kidney protection, an SGLT2 inhibitor (such as dapagliflozin or empagliflozin) is highly effective. Given your HbA1c, insulin therapy may also be needed to safely lower your blood sugar. Please consult your doctor or a nephrologist promptly to check your kidney function (eGFR) and prescribe the safest, most effective plan for you. This is highly manageable with the right treatment.
