Mr. Nik Roubos is a 50-year-old patient of yours.

He emigrated from Greece 20 years ago and runs his own restaurant. His Type 2 diabetes was diagnosed 8 years ago. Although he lost some weight early on he remains obese with a BMI of 31kg/m2. He is currently treated with Metformin 500mg bd plus the sulphonylurea, gliclazide 80mg bd.

A routine early morning urine sample from earlier in the month showed a high albumin to creatinine ratio (ACR).

If you wish further information about this ratio click More