Case Title:
56-Year-Old Hispanic Female With CKD Secondary to Diabetes Mellitus Type II

CLINICAL INFORMATION:

History of Present Illness

• 56-Year-Old Hispanic female with CKD secondary to diabetes mellitus Type II
• Started hemodialysis 2 weeks ago
• Has a basilic vein transposition AVF

Past Medical History

• Diabetes mellitus clinically recognized for 7 years, treated with oral hypoglycemic agents and insulin
• Hypertension for 10 years, well controlled

Medications

• Lisinopril 20 mg q day
• Amlodipine 5 mg q day
• Insulin 70/30 35 units q AM, 15 units q PM
• Pioglitazone 15 mg q day
• Temazepam 15 mg q hs PRN
• Ranitidine 20 mg q hs
• Simvastatin 20 mg q day
• Finished course of ergocalciferol 50,000 IU q month x 6 months