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Concerned creatinine in diabetes and hypertension: Advice?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's 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 worried about it. Please help.
Answered by Dr. Tarek Algamal

Education:

MSc

Professional Bio:

Dr. Tarek Algamal is a highly experienced Nephrologist with extensive expertise in diagnosing and managing a wide range of kidney-related conditions. Committed to delivering compassionate, evidence-based care, he focuses on improving patient outcomes through early detection, prevention, and advanced treatment strategies. Known for his clinical excellence and dedication, he plays a vital role in enhancing kidney health and overall patient well-being.    

This doctor is not available for online consultations on the platform anymore.

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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 mandatory to avoid deterioration.

Follow up of this test is recommended every three months as long as it is 30-300.

Patient's Query

Thank you doctor,

I am tensed as my ratio is high. Are any tests or medicines required?

Answered by Dr. Tarek Algamal

Education:

MSc

Professional Bio:

Dr. Tarek Algamal is a highly experienced Nephrologist with extensive expertise in diagnosing and managing a wide range of kidney-related conditions. Committed to delivering compassionate, evidence-based care, he focuses on improving patient outcomes through early detection, prevention, and advanced treatment strategies. Known for his clinical excellence and dedication, he plays a vital role in enhancing kidney health and overall patient well-being.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Tell me about HbA1c (glycated hemoglobin) and how much is your blood pressure?

No need to be tense.

Patient's Query

Thank you doctor,

My HbA1c is 6.9 and my blood pressure is 130/80 mmHg.

Answered by Dr. Tarek Algamal

Education:

MSc

Professional Bio:

Dr. Tarek Algamal is a highly experienced Nephrologist with extensive expertise in diagnosing and managing a wide range of kidney-related conditions. Committed to delivering compassionate, evidence-based care, he focuses on improving patient outcomes through early detection, prevention, and advanced treatment strategies. Known for his clinical excellence and dedication, he plays a vital role in enhancing kidney health and overall patient well-being.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Continue the same treatment and repeat the microalbuminuria test after three months. Do renal functions also.

Please avoid a high salt diet.

Make the protein content in your diet moderate, not high or not low.

Avoid smoking and alcohol consumption.

Medically reviewed by iCliniq medical review team
Published At November 6, 2019
Reviewed At May 17, 2024

Education:

MSc

Professional Bio:

Dr. Tarek Algamal is a highly experienced Nephrologist with extensive expertise in diagnosing and managing a wide range of kidney-related conditions. Committed to delivering compassionate, evidence-based care, he focuses on improving patient outcomes through early detection, prevention, and advanced treatment strategies. Known for his clinical excellence and dedication, he plays a vital role in enhancing kidney health and overall patient well-being.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Tarek Algamal
Dr. Tarek Algamal

Nephrology

Education:

MSc

Professional Bio:

Dr. Tarek Algamal is a highly experienced Nephrologist with extensive expertise in diagnosing and managing a wide range of kidney-related conditions. Committed to delivering compassionate, evidence-based care, he focuses on improving patient outcomes through early detection, prevention, and advanced treatment strategies. Known for his clinical excellence and dedication, he plays a vital role in enhancing kidney health and overall patient well-being.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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