Is my microalbuminuria with diabetes a serious sign?

Question

Hi doctor,

I am a male of 59 years. Diabetic for seven years and hypertensive for 19 years. My HbA1c will always be below seven, and my creatinine is at 0.9, which is the minimum. Recently, I undergone microalbuminuria spot urine test, which showed 141 mg/L, and a complete urine analysis showed all the parameters negative, including protein in the urine, but traces of sugar.

From this, should I be worried about kidney disease? Please comment. I am currently taking the following medicines. Vog GM 2 morning and night, Zita Met plus morning, Olmezest beta 50 one in the morning, Olmesar 20 mg night, and Ecosprin AV 150 mg at night.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

As you said, your HbA1c is below seven, so it means your mean blood glucose level must be less than 180 mg. If it is so, then your kidney has the power to excrete the sugar. But you stated there are traces of sugar in your urine. If you had done your HbA1c more than 60 days back, then please get it done again and check what your mean glucose level is. It is always mentioned below your HbA1c reading, and if less than 180, nothing to worry about. But if it is more than 180, then you need to control your sugar level.

Based on the information provided, the most likely cause of your symptoms could be uncontrolled diabetes. To better understand your condition, it would be important to undergo a few investigations, particularly a renal profile to assess kidney function and an HbA1c test to evaluate long-term blood sugar control.

One possible differential diagnosis to consider is early kidney involvement, which can sometimes occur in people with poorly controlled diabetes. At this stage, the probable diagnosis appears to be type 2 diabetes mellitus, but this will be confirmed after reviewing the test results.

For now, it would be advisable to continue the medications you are currently taking, as any changes should only be made after evaluating the investigation reports. In addition, adopting certain lifestyle measures can help manage the condition better. Try to increase your physical activity by walking about two to three miles daily, and avoid sweets and sugary foods, even when offered during social visits. Learning to politely decline such foods can help you maintain better blood sugar control.

Once the recommended tests are completed, please follow up with your doctor for further evaluation and adjustment of the treatment plan if needed.

I hope this helps.

Please revert in case of further queries.

Thank you.