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Microalbuminuria
Mother age 50, since 2019 diabetic, since Oct 2021 -hypertensive 130/90.last checked diabetes was in march 2024 with fasting 159 & Hba1c 7.2(during this test, had chosen diabetic profile which had microalbumin -showed 30.3 mg/L (spot urine was given), creatinine 0.50 mg/dL , microalbumin test here was an incidental finding & d 1st time ever test.. within 2 days from the test, had checked for GFR showed 126.6 mL/min, ACR ratio- 51.06 mg/g, cystatin C - 0.74 mg/L, repeat microalbumin showed 36.1 mg/L (again spot urine was given )within 2 days it increased from 30.3 to 36.1.
Showed it to physician who is an also diabetologist, they said it's normal & suggested fundoscopy to be done when free.. got it done, they said it's mild NPDR &needs no treatment just control the sugar & suggested every 4 months follow up. Does microalbuminuriq increase everyday, so much elevation in 2 days? Even though sugar is in control nw, protein keeps increasing? Is this Diabetic nephro? Does DN causes DR?
Answers (2)
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Dr. Harsha M V
Nephrologist
8 yrs exp
Bangalore
Hi
Your mother probably has early diabetic nephropathy.
I’m early stages creatinine can normal and eGFR can be normal or high.
She needs to be on protein leak reducing medications for slowing down kidney disease progression.
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Dr. Lakshmi Krishnan
Nephrologist/Renal Specialist
7 yrs exp
Alappuzha
1. Long duration of diabetes will cause gradual worsening microalbuminuria esp if it was poorly controlled in the initial years. Even though it was detected in 2019, she was probably having uncontrolled sugars even before that but mayb tests were not done and hence it was not detected.
2. Yes she probably has DN
3. DN does not cause DR...both are microvascular changes that appear almost at the same time, due to diabetes
4. There are few drugs which help to control microalbuminuria..physician may hav already started these drugs
5. With good control of sugar from now and with these drugs, we can control the microalbuminuria
6. As the microalbuminuria is below 300, it is still in the initial stages, and may even be reversible
Next Steps
consult for further opinion
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.