Chronic Kidney Injury and Diabetes Mellitus Type 2 in a 57-year-old Woman With Holistic Management of Family Medicine

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia. The criteria for chronic kidney disease are albuminuria, urine sediment abnormalities, electrolyte abnormalities, abnormalities of histology and imaging of the kidneys, history of kidney transplantation and decreased renal filtration rate (GFR <60ml/min/1.73m2). Identify risk factors, clinical problems, holistic and comprehensive patient management with patient-centered principles and a family approach based on Evidence Based Medicine.This study is a case report. The primary data were obtained through history taking, physical examination, and home visit while the secondary data were obtained from the patient's medical record. Assessment based on a holistic diagnosis from the beginning, process, and end of the study, qualitatively and quantitatively. Mrs. L, 57 years old, working as a housewife, has complaints of shortness of breath, abdominal pain, not urinating, decreased vision and smog and tingling legs and numbness in the past 3 years. Based on the examination GDS 268mg/dl. The patient has an irregular diet and lack of physical activity. The holistic diagnosis and management with the principle of patient centered and family approach to patients has been done. Changes in knowledge and behavior occur after the intervention.