Abstract
Although the optimal time to initiate hemodialysis is not well defined, it is necessary to start extracorporeal ultrafiltration methods (ECUM) earlier in uremic diabetic patients to avoid life-threatening events, such as anasarca, heart failure, and lung congestion. These patients frequently manifest the poor response to the administration of high dosage of loop diuretics. To investigate the effectiveness of concomitant usage of synthetic human atrial natriuretic peptide (hANP) with loop diuretics, we administered carperitide (hANP) in a case with diabetic nephropathy and nephrotic syndrome. A 44-year-old woman with 10-year history of type 2 diabetes …
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