A 65-year-old man presents with increased urination and thirst for the past 3 months. His medical history includes
A 65-year-old man presents with increased urination and thirst for the past 3 months. His medical history includes hypertension treated with a calcium channel blocker. He is a businessman and drinks alcohol socially. His physical examination findings are unremarkable. Laboratory test results are HbA1c of 7.4%, BUN 30 mg/dL, Cr 1.1 mg/dL, and LDL 200 mg/dl. He is educated about his illness and medications are started. What monitoring for kidney disease is recommended? A. Annual urine microalbumin and serum creatinine. B. Urinalysis, urine microalbumin, and serum creatinine at least twice a year. C. Annual urine microalbumin, serum creatinine, and renal ultrasound. D. Urinalysis, urine microalbumin, and serum creatinine every 5 years.
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