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Q. As I am diabetic and hypertensive, I am concerned about my albumin-creatinine ratio. Please help.

Answered by
Dr. Tarek Algamal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 05, 2019

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.

#

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.

Thank you doctor,

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

#

Hello,

Welcome back to icliniq.com.

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

No need to be tense.

Thank you doctor,

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

#

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.


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