HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Urine Microalbumin Very High 73.5 But CREATININE AND CALCULATED GLOMERULAR

default
Posted on Sun, 21 Apr 2019
Question: urine microalbumin very high 73.5 but CREATININE AND CALCULATED GLOMERULAR FILTRATION RATE is 1.11
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Could be due to longstanding diabetes

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and understand your concerns. A raised urine microalbumin indicates that the glomerular filtering membranes of the nephrons of the kidneys are leaking protein as the pores have been damaged. Such pores are usually small enough not to let the proteins (microalbumin) out and are usually damaged by longstanding diabetes. Creatinine clearance is perhaps proper or slightly raised but the calculated glomerular filtration rate should be greater than 60 in normal conditions. I would insist you to visit a nephrologist and to get a thorough evaluation done.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Prof. Kunal Saha (42 minutes later)
here are my results: i am non XXXXXXX XXXXXXX by the way
Creatinine     1.11 mg/dL     
Glomerular filtration rate, nonAfrican XXXXXXX >60 mL/min     
GLOMERULAR FILTRATION RATE - XXXXXXX XXXXXXX >60 mL/min     

Albumin/creatinine ratio,ur,qn     73.5 ug/mg
Sodium     140 mEq/L
Potassium     4.2 mEq/L
ALT     26 U/L
Hgb A1c %     7.2 %

My last numbers a year ago were normal, a year ago my creatinine was 1.06 and my albumumin was 14.5

my hba1c last year was 5.9

I am diabetic, have been since 2003.my numbers have always been within normal range for my kidneys except this test now. if i had any vaginal bleeding from my period that got mixed witht he albumumin test could that have caused the number to be a false high? i was menstruating when i took the test, and they did not tell me to do a clean catch collection of the urine, just had me pee in a collection bucket and then poured into a specimen jar. i am having horrible anxiety over this high urine number .
doctor
Answered by Dr. Prof. Kunal Saha (10 hours later)
Brief Answer:
Regular medication and periodic monitoring needed

Detailed Answer:
Thanks for writing back. Going by the details and on correlating the results, I do not think that a false high is likely. Nevertheless, your treating physician would be better able to suggest. You need not be anxious. The proper medication and dose should help in easing the problem.

Regards
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Urine Microalbumin Very High 73.5 But CREATININE AND CALCULATED GLOMERULAR

Brief Answer: Could be due to longstanding diabetes Detailed Answer: Thanks for using the Ask a Doctor service. I have gone carefully through your query and understand your concerns. A raised urine microalbumin indicates that the glomerular filtering membranes of the nephrons of the kidneys are leaking protein as the pores have been damaged. Such pores are usually small enough not to let the proteins (microalbumin) out and are usually damaged by longstanding diabetes. Creatinine clearance is perhaps proper or slightly raised but the calculated glomerular filtration rate should be greater than 60 in normal conditions. I would insist you to visit a nephrologist and to get a thorough evaluation done. Regards