Is Microalbuminuria Level Of 1,943 Mg/dl A Cause For Concern?
Question: What is the pharmacokinetic and pharmacodynamic consideration of drugs of a 50-year-old Caucasian female who is obese, has hypertension, diabetes? One year ago a spot urine test showed a microalbuminuria level of 1,943 mg/dl.
Brief Answer:
Medications prescribed appropriately
Detailed Answer:
Hello and welcome
I appreciate your concern
The ACE inhibitors would prevent progression of nephropathy related to diabetes by decreasing the proteinuria. The ACE inhibitors would also decrease the intra glomerular hypertension leading to a beneficial effect in the long term even though there may be an initial drop in the GFR. The metformin would address both the diabetes and obesity.
Let me know if you have any query
Wishing you best of health
Thanks
Medications prescribed appropriately
Detailed Answer:
Hello and welcome
I appreciate your concern
The ACE inhibitors would prevent progression of nephropathy related to diabetes by decreasing the proteinuria. The ACE inhibitors would also decrease the intra glomerular hypertension leading to a beneficial effect in the long term even though there may be an initial drop in the GFR. The metformin would address both the diabetes and obesity.
Let me know if you have any query
Wishing you best of health
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you, Dr. XXXXXXX I have another question but more on the academic side, I thought that the GRF would initially increase due to hyperfiltration in the glomerular. Then as kidney damage progresses, the GRF decreases. Am I thinking right about this?
Again, thank you for your time.
Again, thank you for your time.
Brief Answer:
Yes
Detailed Answer:
Hello again
Yes, GFR (Glomerular Filteration Rate) would increase initially due to hyperfilteration. You are correct.
Yes
Detailed Answer:
Hello again
Yes, GFR (Glomerular Filteration Rate) would increase initially due to hyperfilteration. You are correct.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar