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Microalbuminia
My mother is diabetic since mid of 2019.. & hypertensive since mid of 2021 bp is normal 130/90
. Age: 50 years
Every 3 months we get hb1ac along with FBS and ppbs.. before oct 2023 that is from July 2023 to oct 2023 period it was uncontrolled.. when checked she had hb1ac of 9.8 and fasting 248 . Later medicines were changed in Oct 2023 and since Oct 2023 to present(last checked in may 2024) it's in 7.2 hb1ac & fasting was 142 PPPBS 213 in the same time there was diabetic profile test chosen in tat creatinine shows 0.50 mg/dL and microalbumin 30.3 mg/l but normal shows less than 20. Hence I got her complete health checkup within 2 days including GFR which shows 126.6 mL/l and cystatin c which shows 0.74 mg/L & ACR . This was an incidental finding .. within 2 days microalhminia showed 36.1 mg/l doctor said it's normal nothing to worry.. is this start of ckd? She has no symptoms of urine issues or any.In Oct 2023 her usg abdomen pelvis was normal blood Reports attached pls guide.
Answers (3)
Yes, this is the beginning stage of diabetic kidney disease..there are few drugs to slow down its progression
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Urine albumincreatinine ratio is more.specific.
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Hi
History and reports noted.
In early diabetic nephropathy creatinine and GFR maybe normal or even high normal. Your mother’s Urine ACR is 51.06.. it is early diabetic nephropathy..
Please continue regular follow up and repeat Urine ACR after a month
Meanwhile test her eye (retina) for diabetic retinopathy changes. (To see ophthalmologist and ask for the same)
Continue diabetic control
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Consult for further information
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