I am a male of 59 years. Diabetic for 7 years and hypertensive for 19 years. My HbA1c always will be below 7 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.
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As you said your HbA1c is below 7, 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.
Uncontrolled diabetes.Investigations to be done:
Renal profile and HbA1c.Differential diagnosis:
Early renal involvement.Probable diagnosis:
Type II diabetes mellitus.Treatment plan:
Continue with the same medicines you are taking. It can only be changed once we get the tests done.Preventive measures:
Increase your physical activity. Do walking about 3 to 5 km per day. Avoid all type of sweets. Learn to say no when visiting your relatives or friends when they offer any sweet.Regarding follow up:
Please consult once tests done.
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