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Urine ACR increased over 3 months
My father is diabetic having type 2 diabetes and taking meds for the same apart from others like for BP, diabetic neuropathy, etc. His urine ACR was around 385 in Dec 2023 but recently when we checked it came as 1300 something. I am worried whether it is related to kidney problem. In December, we did his complete health tests including lipid, KFT, LFT, eGFR, etc and almost everything was normal. In May last year, his whole abdomen USG also showed kidneys as normal except some cystic sac which when shown to our diabetician, she said everything is normal. So what can be the reason for sudden spike in the ACR in 3 months in spite of normal sugar and BP?
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Acr increase indicates early signs of kidney damage .. now it's macroalbuminuria from microalbuminuria ..his bp and sugars to be monitored .. connect or WhatsApp on 959798368zero.wil help u
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Dr. Lakshmi Krishnan
Nephrologist/Renal Specialist
7 yrs exp
Alappuzha
How much is the hba1c now
And were ther any recent events like fever, new drug Intake.
He will need close followup of proteinuria
And what r the current meds he is taking
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consult for further opinion
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Dr. Harsha M V
Nephrologist/Renal Specialist
7 yrs exp
Bangalore
Hi
Yes, one can have kidney disease even if creatinine and GFR are found to be normal, especially in your father who is a diabetic (duration to be mentioned). In early stages of diabetic kidney disease diabetic nephropathy) creatinine can be normal and GFR maybe normal or even high and he can have proteinuria. ACR is a measure of this proteinuria. There are amazing medications to reduce this proteinuria and slow down his kidney disease. And yes kidneys can get affected even if current sugars are well controlled.
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Please consult for further information
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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.