Hi, I have received a letter today for a follow up appt from my recent annual review last month. The appt is for September and it is discuss my increased ACR. Wondered if anyone experienced with kidney issues could offer any input?
Background
- Female, UK, non-smoker/drinker.
- Dx Type aged 30 (just over 9yrs ago).
- Naturally very slim, weight never goes beyond 56kg.
- Cholesterol/HDL/LDL/Trigs always within normal range.
- BP always low-mid end of normal range.
- A1c has consistently been in the 40's for as long as I can think back. Last three results going back to 2015 have been 46, 41 and most recently 44.
Now, I've had to cast my mind back, but I had a couple of consecutive reviews in the past (likely between 2011-14) where I was required to repeat my urine sample due to slightly increased protein. I made sure I was very well hydrated on the repeat tests and they came back fine.
So here are the results of my last three lots of tests:
2015 - ACR: 4.6mg/mmol
- eGFR: 82ml/min
- Creatinine: 70umol/L
2016 - ACR: 2.1mg/mmol
- eGFR: 79ml/min
- Creatinine: 72umol/L
2017 - ACR: 3.8mg/mmol
- eGFR: 86ml/min
- Creatinine: 66umol/L
So, I have had fluctuating ACRS and slightly decreased eGFRs. I don't actually understand the creatinine as I keep coming across different range values online.
So, my questions are; is there anything that particularly leaps out regarding my values? Anything especially bad or good or how they read as a whole? Especially considering my normal BP/Cholesterol.
Secondly, I assume this follow-up appt is to discuss possible medication. Now, the consultant's report in 2016 acknowledged the fluctuating ACR and mentioned the possible use if ACEI's but stated that given my low BP it was doubtful I could cope with even a small amount of this medication. So, what happens in this instance? Are there any alternatives considering kidney problems seem so tied up with hypertension?
Any advice gratefully received.
Background
- Female, UK, non-smoker/drinker.
- Dx Type aged 30 (just over 9yrs ago).
- Naturally very slim, weight never goes beyond 56kg.
- Cholesterol/HDL/LDL/Trigs always within normal range.
- BP always low-mid end of normal range.
- A1c has consistently been in the 40's for as long as I can think back. Last three results going back to 2015 have been 46, 41 and most recently 44.
Now, I've had to cast my mind back, but I had a couple of consecutive reviews in the past (likely between 2011-14) where I was required to repeat my urine sample due to slightly increased protein. I made sure I was very well hydrated on the repeat tests and they came back fine.
So here are the results of my last three lots of tests:
2015 - ACR: 4.6mg/mmol
- eGFR: 82ml/min
- Creatinine: 70umol/L
2016 - ACR: 2.1mg/mmol
- eGFR: 79ml/min
- Creatinine: 72umol/L
2017 - ACR: 3.8mg/mmol
- eGFR: 86ml/min
- Creatinine: 66umol/L
So, I have had fluctuating ACRS and slightly decreased eGFRs. I don't actually understand the creatinine as I keep coming across different range values online.
So, my questions are; is there anything that particularly leaps out regarding my values? Anything especially bad or good or how they read as a whole? Especially considering my normal BP/Cholesterol.
Secondly, I assume this follow-up appt is to discuss possible medication. Now, the consultant's report in 2016 acknowledged the fluctuating ACR and mentioned the possible use if ACEI's but stated that given my low BP it was doubtful I could cope with even a small amount of this medication. So, what happens in this instance? Are there any alternatives considering kidney problems seem so tied up with hypertension?
Any advice gratefully received.