Objectives: Evaluate the therapeutic effects of Sevelamer to reduce blood sugar levels, HbA1c, blood lipids and hs-CRP in patients with diabetic nephropathy
Design: Of patients who have inclusion criteria, 30 patients had diabetic nephropathy at stage 2 to 4 and phosphorus in the range of 4 to 6.5 mg/dl of blood and blood sugar of 100 to 400 mg/dl and not receive treatment for hyperphosphatemia are selected.
Setting and conduct: At baseline, for all diseases, tests include CBC with diff, BS, BUN, Cr, hs-CRP, HbA1c, Ca, P, TG, Chol, LDL (c), HDL (c) is requested and the results in the questionnaire containing demographic and disease information is recorded. Then, Sevelamer tablets given 800 mg, twice daily, with a meal. After a month of beginning treatment with Sevelamer, CBC with diff, BS, BUN, Cr, Ca, P, hsCRP again requested. At the end of the second month after the beginning of treatment, in addition to the tests conducted in the first month TG, Chol, LDL (c) and HDL (c) is requested. In the third month, HbA1c test in addition to the tests conducted in the first month is requested for patient. The results of this study are analyzed. Before starting the study of all patients, informed consent is obtained.
Inclusion criteria: Treated patients due to diabetic nephropathy with 45 years
Exclusion criteria: Use of certain medications, presence of associated malignancy