Case Title:
40-Year-Old Caucasian Male With Living-Related Kidney Transplant

CLINICAL INFORMATION:

History of Present Illness (April 2007):

• 40-year-old Caucasian male with living-related kidney transplant April 2006 from his brother
• CKD secondary to chronic glomerulonephritis
• Excellent allograft function since April 2006
• 34 pound (15%) weight gain since transplant
• New onset diabetes after transplant (NODAT) with good glycemic control at this time. Has not required insulin since immediate post-transplant period; no oral medication for glucose control. Checks CBGs sporadically at this point

Past Medical and Surgical History:

• First kidney transplant (deceased donor transplant) received in 1984; failed in 1999 due to chronic rejection
• Returned to hemodialysis while awaiting second transplant
• Multiple squamous cell and basal cell carcinoma on both hands. Followed closely by dermatologist
• Hypertension under excellent control with triple therapy
• GERD stable on omeprazole

Medications:

• tacrolimus 2 mg bid
• mycophenolate mofetil 500 mg tid
• prednisone 10 mg qd
• omeprazole 20 mg qd
• metoprolol 125 mg bid
• candesartan cilexetil 16 mg qd
• nifedipine XL 9 mg qd
• calcium carbonate 600 mg tid
• MVI bid
• folic acid 5 mg qd