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Type 1 ACR ?

  • Thread starter Thread starter Hooked
  • Start Date Start Date
It was a one off sample. I'm reading this bit:


I have proliferative retinopathy and mild neuropathy, not sure how they impact on interpretation of the results.
I don't really understand them, I'm sure someone else can help if not contact your consultant or your GP, so your mind can be put at rest. Do the results say HI or any comment on the result page.
 
My letter of results etc from my last visit to the consultant came in today. Unfortunately the HBA1C etc weren't recorded on it despite being done, only really recorded was ACR, which was 12.

I know that it should be 3 or below, but nothing more. It's 12 terribly bad, of little concern, out nothing to worry about? What does it mean? Should I be doing anything about it? What did it affect?
My albumin/creatine ratio is 35 which means I do have diabetic changes to my kidneys. I don't think 12 is too bad. I now take 5mg Ramipril and 100mg Spironolactone daily to protect my kidneys. It would also be worth asking what your eGFR is to as this is a major indicator of kidney disease
 
My albumin/creatine ratio is 35 which means I do have diabetic changes to my kidneys. I don't think 12 is too bad. I now take 5mg Ramipril and 100mg Spironolactone daily to protect my kidneys. It would also be worth asking what your eGFR is to as this is a major indicator of kidney disease
Thank you, will ask about those too.
 
Hi @Hooked.
Reference ranges are not cut and dried as a lot of things affect them.

Reference Ranges and what they mean.
http://www.labtestsonline.org.uk/understanding/features/ref-ranges/

This explains the ACR test.
http://www.labtestsonline.org.uk/understanding/analytes/microalbumin/tab/glance/
CC, I do have Diabetic Nephropathy with an ACR of 35. Most clinics define microalbuminuria as an ACR >30 and will start meds then. The most important test is your eGFR and as long as it is >60 then you're fine. Very few NHS biochemistry labs do not report above this range. Hope this helps
 
CC, I do have Diabetic Nephropathy with an ACR of 35. Most clinics define microalbuminuria as an ACR >30 and will start meds then. The most important test is your eGFR and as long as it is >60 then you're fine. Very few NHS biochemistry labs do not report above this range. Hope this helps
Thanks for the info, it's helped calm my nerves a lot.
 
I'd love some feedback on these results, if anyone has understanding of them. I asked the Dr to print them out for me today at my appointment.
He only mentioned the ACR result as being abnormal and said that it would be up to the consultant to decide if any action is to be taken.

ACR: 12.7 (Normal range being 0 - 3.5)
MCHC: 355 (Normal range being 300 - 350)
Serum Inorganic phosphate: 0.70 (Normal range being 0.8 - 1.5)
All other results were within normal ranges.

**Bump**
Anyone?
 
@Hooked sorry to hear you need the meds but take heart. I went through this same thing when I was 22 and have been on low dose ACE inhibitor for the last 17 years since. My kidney function has stayed roughly the same in all that time (even with slightly hit and miss BG control) :)
 
@Hooked sorry to hear you need the meds but take heart. I went through this same thing when I was 22 and have been on low dose ACE inhibitor for the last 17 years since. My kidney function has stayed roughly the same in all that time (even with slightly hit and miss BG control) :)
Thanks for that MrsB, it's good to know. x
 
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