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Doctor's Answer
by JDRF-VOL-SG, Sep 25, 2007 12:00AM
While I am not sure if the number you are quoting is being measured in the same way as the numbers in the info below, I will post the following info from the Mayo Clinic's web page:
'Recommended results
Results of the urine microalbumin test are measured as milligrams (mg) of protein leakage. Typically, here's what your results will mean:
* Less than 30 mg is normal.
* 30 to 299 mg indicates early-stage kidney disease (microalbuminuria).
* 300 mg or more indicates advanced kidney disease (macroalbuminuria).
Without appropriate treatment, your kidneys are likely to fail within a few years of developing macroalbuminuria.'
That info is from the web page mentioned above... so I would call my doctor and ask him or her what kind of treatment he or she wants to offer you. Are you on an ace inhibitor now? Most doctors nowadays put all of their diabetic patients on an ace inhibitor even if blood pressure is normal, for studies have shown that these medications protect the kidneys. So this is certainly something to ask your doctor about. The best thing you can do to protect your kidneys is to keep your glucose levels as normal as possible. I have also read that if a person is dehydrated when a blood test is drawn, the microalbumin level can be falsely high, so this is something also to consider if your numbers have been normal up until now. It may be worth having further testing done to make sure that this number is correct.
If the 5.6 number you wrote is your a1c number, then your control of glucose levels is great.
'Recommended results
Results of the urine microalbumin test are measured as milligrams (mg) of protein leakage. Typically, here's what your results will mean:
* Less than 30 mg is normal.
* 30 to 299 mg indicates early-stage kidney disease (microalbuminuria).
* 300 mg or more indicates advanced kidney disease (macroalbuminuria).
Without appropriate treatment, your kidneys are likely to fail within a few years of developing macroalbuminuria.'
That info is from the web page mentioned above... so I would call my doctor and ask him or her what kind of treatment he or she wants to offer you. Are you on an ace inhibitor now? Most doctors nowadays put all of their diabetic patients on an ace inhibitor even if blood pressure is normal, for studies have shown that these medications protect the kidneys. So this is certainly something to ask your doctor about. The best thing you can do to protect your kidneys is to keep your glucose levels as normal as possible. I have also read that if a person is dehydrated when a blood test is drawn, the microalbumin level can be falsely high, so this is something also to consider if your numbers have been normal up until now. It may be worth having further testing done to make sure that this number is correct.
If the 5.6 number you wrote is your a1c number, then your control of glucose levels is great.
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