Dr. Nitin Dongre
General Practitioner
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Patient's Query
Hi doctor,
I am a male of 59 years. Diabetic for seven years and hypertensive for 19 years. My HbA1c always will be below seven and creatinine at 0.9 that is minimum. Recently, I undergone microalbuminuria spot urine test which showed 141 mg/L, and 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.
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 is having the power to excrete the sugar. But, you stated there are traces of sugar in your urine. If you had done your HbA1c more then 60 days back then please get it done again and check what is your mean glucose level. It is always mentioned below your HbA1c reading and if less then 180 nothing to worry. But, if it is more then 180 then you need to control your sugar level. Please go through as advised below. Thank you and take care.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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General Practitioner
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