糖尿病合并肾脏损害,可能是糖尿病肾病,也可能是非糖尿病肾脏疾病。本文报告1例糖尿病、高血压合并大量蛋白尿、血尿、肾功能不全的患者,最后诊断为糖尿病、高血压、冷球蛋白血症肾损害,现报告如下。病例资料患者,男,64岁,因“发现血糖升高7年、双下肢进行性水肿4个月”于2009年7月住院。患者2002年体检发现血糖高,当时空腹血糖8.3 mmol/L,未系统治疗,入院前半年开始服用拜糖平。2009年6月出现双下肢进行 Diabetes combined with kidney damage, may be diabetic nephropathy, may also be non-diabetic kidney disease. This article reports 1 cases of diabetes, hypertension associated with a large number of proteinuria, hematuria, renal insufficiency, and finally diagnosed as diabetes, hypertension, cryoglobulinemic renal damage, are as follows. Case data Patient, male, 64 years old, hospitalized in July 2009 for “7 years of elevated blood glucose and 4 months of progressive edema of both lower extremities”. Patients in 2002 physical examination found that high blood sugar, when fasting blood glucose 8.3 mmol / L, no systematic treatment, taking the first half of admission to take sugar level. June 2009 appeared in both lower extremities