Background: Hypertension is known to be risk factor for the development of proteinuria in patients with uncontrolled diabetes mellitus type2, leads to progression of end stage renal disease Aims & Objective: To study the effect of hypertension on diabetic nephropathy in type 2 diabetic patients. Material and Methods: We investigated, progression of diabetic nephropathy by measuring arterial blood pressure , serum creatinine and glomerular filtration rate(GFR) level in 60 (35 men and 25 women) type 2 uncontrolled diabetes mellitus patients on antihypertensive treatment. Results: The survey was done for 6 months during which 30 (group 1)-uncontrolled diabetes mellitus patients with normal blood pressure were compared with 30 (group 2)-Uncontrolled diabetes mellitus patients with hypertension who had mean systolic blood pressure (SBP) was 148.86 ± 5.12 mmHg. In group 2 the mean level of serum creatinine (1.71 ± 0.46 mg/dl) was significantly higher and mean GFR (54.57 ± 35.26 ml/min) was significantly lower than group 1 (P < 0.05). Conclusion: Uncontrolled hypertension leads to progression of diabetic nephropathy with decline in GFR earlier than normotensive uncontrolled diabetic patients.

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As suggested by the National Medical Commission (NMC) of India recently, the elective module was implemented in our medical college for MBBS admission batch 2019. Since, this was the first of its kind implementation in our institute and across the country, we planned this study to know the perception of medical students regarding the implementation of elective module. We conducted a cross-sectional survey among MBBS students of 2019 batch. A pre-validated questionnaire was prepared by the Medical Education Unit (MEU) members of our institute using online Google form and was circulated to all via WhatsApp group and email. A total of 63 responses from medical students were included for data analysis. Majority students said that objectives of the elective module were largely met and the faculty members were very helpful and responsive, and that they actively participated in the electives. Majority of them agreed that it was a very good academic activity, the time duration was appropriate, and it provided an opportunity to show creativity and for teamwork. Most students rated the overall experience of electives as "good" and above, however they were worried about getting faculty signatures in the logbooks.