ACR results

[johnrubinstein]

Can anyone help me understand this?

Test results:

Urine Microalbumin

Creatinine = 13.200 mmol/L (normal range 6-12)

Urine albumin:creatinine ratio = 1.000 ratio (normal range - 2.6 ratio)

Should I be concerned about the creatinine reading?

Thanks

John

 

[Crocodile]

Are you sure about the units for creatinine. 13.2 mmol/L doesn't look right.
A ratio of 1 is < 2.6
Was this the serum or the urine test ?

 

[johnrubinstein]

Are you sure about the units for creatinine. 13.2 mmol/L doesn't look right.
A ratio of 1 is < 2.6
Was this the serum or the urine test ?

Hi

Thanks for the reply. I’m uploading my test results so that you can see for yourself. As you can see, it is a urine test.

Regarding the ratio, so the lower the ratio the better?

Again, many thanks

John

 

[Chrissie18]

High blood sugar interferes with the glomerulus filtration rate. Inside the kidney there are thousands, hundreds of thousands of tubules through which all the blood in your body is directed, these glomerulus filter out toxins such as urea a by product of protein metabolism. They also maintain through feedback loops creatinine for example, which is a by product of muscle breakdown. Diabetes that is not well controlled causes muscle breakdown. Therefore a high reading of either the GFR and or creatinine indicate the beginning of kidney disease. However what you don't give are your HbA1c although your other tests fall within normal limits. Talk to your diabetic nurse, who should repeat those tests after 12 weeks. They could be an aberration or an indication of something else. But you would need another set of tests to confirm anything.

 

[Crocodile]

The kidney tests look normal. Serum creatinine is well within reference and GFR is well above the reference. Any doubts, query your sawbones.
Glenn

 

[Crocodile]

High blood sugar interferes with the glomerulus filtration rate. Inside the kidney there are thousands, hundreds of thousands of tubules through which all the blood in your body is directed, these glomerulus filter out toxins such as urea a by product of protein metabolism. They also maintain through feedback loops creatinine for example, which is a by product of muscle breakdown. Diabetes that is not well controlled causes muscle breakdown. Therefore a high reading of either the GFR and or creatinine indicate the beginning of kidney disease. However what you don't give are your HbA1c although your other tests fall within normal limits. Talk to your diabetic nurse, who should repeat those tests after 12 weeks. They could be an aberration or an indication of something else. But you would need another set of tests to confirm anything.

With GFR, higher is better. Not good when it drops too low.
Glenn

 

[johnrubinstein]

High blood sugar interferes with the glomerulus filtration rate. Inside the kidney there are thousands, hundreds of thousands of tubules through which all the blood in your body is directed, these glomerulus filter out toxins such as urea a by product of protein metabolism. They also maintain through feedback loops creatinine for example, which is a by product of muscle breakdown. Diabetes that is not well controlled causes muscle breakdown. Therefore a high reading of either the GFR and or creatinine indicate the beginning of kidney disease. However what you don't give are your HbA1c although your other tests fall within normal limits. Talk to your diabetic nurse, who should repeat those tests after 12 weeks. They could be an aberration or an indication of something else. But you would need another set of tests to confirm anything.

Hi Chrissie

Got diagnosed with T2D in early January. HbA1C was 51. Latest blood test shows that I have it down to 44 (after shedding 28lbs and going on a LCHF diet.

Thanks
John