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I want to seek advice on my kidney health. Please help.
Query: Hello doctor, I have diabetes type 2. I have had two out of three abnormal urinalyses in the last six months. Six months back results were albumin 332.0, creatinine 297, ratio 111.8, glucose 3+, gravity 1.039, protein 1+ and everything else within the normal range. Two months back results were creat... Read Full »
Answer: Hello,Welcome to icliniq.com.Relax and do not worry. You have uncontrolled diabetes mellitus. HbA1c should be less than 7. Regarding urine analysis, ACR (albumin-creatinine ratio) should be watched carefully. Less than 30 means normal. 30 to 300 means microalbuminuria means starting of CKD (chronic ... Read Full »
I need help evaluating my kidney function, urine, and blood panel. Please help.
Query: Hello doctor,I need help evaluating my kidney function, urine, and blood panel. I have the data from several exams.Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I went through your reports (the attachments removed to protect the patient's identity). Creatinine level and eGFR (estimated glomerular filtration rate) are not the correct representation of kidney functions for all cases. Someone with good... Read Full »
I recently underwent kidney function tests. Kindly interpret the results.
Query: Hi doctor, I recently blood-tested for kidney function and my results are as follows Urea 6.0 mmol/l 1.7-8.4 Creatinine 81 umol/l 62-115 eGFR >60 ml/min >60 Calcium 2.36 mmol/l 2.12-2.52 Inorganic phosphate 1.35 mmol/l 0.78-1.65 Uric acid 0.41 mmol/l 0.20-0.42 Sodium 140 mmol/... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I saw your reports and as per you, there are no issues related to urination. You have attached two reports (attachments removed to protect patient identity). There is variation in urine analysis in these two, one sh... Read Full »
I have foamy urine and the presence of protein in my urine. What should I do?
Query: Hello doctor, I have an issue with protein in the urine. I always remember having foamy urine from a young age, and I was told last year to see a nephrologist. I did some tests, and the doctor said there was a small amount of protein present in the urine and to come back to repeat the test. I came b... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw your history and tests. First thing I need to know about your medical history. Are you hypertensive or diabetic? Are you taking any medicines? Regarding your question: 1. No, urine albumin creatinine ratio takes care of dilute or concentrated urine. So dr... Read Full »
Is the treatment given for diabetes correct?
Query: Hi doctor, I am a 34-year-old male. My blood sugar level was 300 fasting and 423 postprandial two months back. But recently my sugar level is 96 fasting and 99 is postprandial and HbA1c is 6.8 at present. I am taking Janumet 50/500 once daily after breakfast and Pioz MF 15 before dinner. My creatini... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that your medications are right. However, regarding your kidney, I would suggest that you check your urinary ACR (albumin-creatinine ratio) and a repeat serum creatinine and get back for review. Also,... Read Full »
Is albumin-creatinie ratio of 67:93 a high reading?
Query: Hello doctor, I am a 30-year-old male. I have diabetes and hypertension. I am taking the following medicines. Telpres 40 twice a day, Zomelis 50 mg/1000 mg twice a day, and Etilaam S- 10 once in the night. Yesterday I did a microalbumin-creatinine ratio test which is 67:93. Is this ratio high? I am ... Read Full »
Answer: Hello, Welcome to icliniq.com. ACR (albumin to creatinine ratio) of 30-300 equals what is called microalbuminuria. It is an effect of diabetes on the kidney. Telmisartan is a good treatment for it. Good control of diabetes, and also good control of blood pressure (below 130/80 mmHg) are mandat... Read Full »