High albumin in urine, would like thoughts on my labs

[jjraak]

Fraai, Fraai.

Wonderful news

So nice to be listened to & respected

Happy days

 

[Antje77]

If it's any consolation I got put on enalapril when I was thrty and stayed on it fr twenty years, eventually on a max dose of 2 * 20mg per day I think. So you've definitely got scope for an increase.

At 10 mg currently (well 20 mg starting some 10 minutes from now) I'm well aware I'm not on a high dose, and I'm happy with the increase.

 

[Antje77]

Fraai, Fraai.

Wonderful news

So nice to be listened to & respected

Happy days

Fully agree!
No matter what conditions you have, they're much easier to handle with a doctor like mine!

 

[EllieM]

No matter what conditions you have, they're much easier to handle with a doctor like mine!

Luckily forum rules mean you can't name your doctor, as otherwise you might single handedly generate a mass immigration of diabetics to the Netherlands... (Or maybe unluckily ...hmm... I don't know).

 

[AndBreathe]

At 10 mg currently (well 20 mg starting some 10 minutes from now) I'm well aware I'm not on a high dose, and I'm happy with the increase.

I take a small dose of BP medication, which is proving a challenge, as they seem to wreak havoc with my blood chemistry. (I'll be having bloods done here in a couple of weeks to self-check.)

When I was picking up the meds, the pharmacist conformed they were new to me, and challenged the GP instructions, "Take one on the morning".

On his advice I have started taking them in the evenings, to get used to them, then I'll decide whether I change or stay with that.

 

[Goonergal]

You won!

I was already on 10 mg of enalapril, a low dose, considering the regular maintenance dose is 10-20 mg and I'm way heavier than average with my 114 kg (17 stone 13 pounds I think).
ACE inhibitor doses are weight dependent, my trick to find out if a medication is, is to look it up in vet recommendations, there's much more variety in weight between dogs than between people.
Telling my endo this trick made her have a good laugh to start the appointment in a good mood too!
So dose will be upped to 20 mg, also based on my borderline high BP as taken at home, she was happy to dismiss the ridiculous values as taken in the hospital.
BP seems to follow the same stress pattern as BG on those appointments, BG shot up from around 6 to 9,4 right before seeing her so I told her those appointments are bad for my health.
And she immediately remembered that 9.4 is a very unusual number for me.

I'm still fat, obviously, but at my last appointment I was 116.6 kg, and this time I even kept my sturdy sandals on so I somehow managed to lose some 3 kilos over the year!

New urine test in two months.
Neither of us are sure the albumin is a sign of kidney problems or just caused by covid, but upping the BP meds seems sensible either way so we'll see what happens.

As for the TSH, I asked for iodine to be tested in my urine portion and she agreed but it wasn't a box she could tick. So I'll have my TSH and T4 tested again together with the urine instead, and I'll make sure to add some iodine to my diet in between.
Ate a nori sheet today to see if I liked it but that really needs a good recipe if I'm to eat it more often. Straight from the package is ok but quite boring.

Had some fun with my lipids (@bulkbiker , I'm sure you'll like this part).
They have been ridiculously perfect, according to the norms, and they definitely weren't when I first had them tested around my diabetes diagnosis 6 years ago.
I told my endo this had changed while following a (moderate, mostly because beer, and yes I told her that too) LCHF diet and you could just see her brain working.
She asked if I ate special fats, to which I replied it's mainly generously buttering my low carb bread and crackers and eating pork scratchings with aioli in bed.

I also mentioned that a lot of people on my favourite forum find the same improvement upon cutting the carbs.
She didn't seem to be quite ready to believe those things were directly correlated, but she definitely was interested. And she did absolutely believe me on what I told her on my diet. One of the reasons she's a very good endo for me is that she believes me, on diet, on home BP values, on hypos. I don't have to prove it by showing her my Libre, my word is enough. Which means I trust her in return.

And just now came the surprise, looks like she really is intrigued!
GP's get a letter from specialists after every visit, and the copy goes into my file where I can read it as well. It came just in and this was in the letter:
View attachment 58800
('Without medication', and 'fraai' means something like 'nice' or 'beautiful'.)

Looks like she's really interested!


Thanks again for all your thoughts everyone, it really did help with my anxiety before the appointment and with getting there well prepared!

Excellent news @Antje77

 

[jjraak]

I take a small dose of BP medication, which is proving a challenge, as they seem to wreak havoc with my blood chemistry. (I'll be having bloods done here in a couple of weeks to self-check.)

When I was picking up the meds, the pharmacist conformed they were new to me, and challenged the GP instructions, "Take one on the morning".

On his advice I have started taking them in the evenings, to get used to them, then I'll decide whether I change or stay with that.

Same here
Started recently

Advice was to take an hour before bed ...can make you a little dizzy.
I was told.

 

[Antje77]

Same here
Started recently

Advice was to take an hour before bed ...can make you a little dizzy.
I was told.

When I was picking up the meds, the pharmacist conformed they were new to me, and challenged the GP instructions, "Take one on the morning".

On his advice I have started taking them in the evenings, to get used to them, then I'll decide whether I change or stay with that.

I have no idea if I was ever advised on the time to take them, can't remember.
I guess I'll do some reading up on it, although with both your messages it seems safe to assume evening is fine.
Which suits me well, I keep a strip of tablets in the box with my basal pens so I remember to take them when I take my basals right before sleeping.
Somehow I never forget to take my insulin, remembering to take tablets is much harder!

 

[Antje77]

Luckily forum rules mean you can't name your doctor, as otherwise you might single handedly generate a mass immigration of diabetics to the Netherlands... (Or maybe unluckily ...hmm... I don't know).

That would be fun!
Let's change demographics and leave the experts to wonder why so many diabetics live in the same area!
Housing is relatively cheap around here too so please come over.

 

[KennyA]

That would be fun!
Let's change demographics and leave the experts to wonder why so many diabetics live in the same area!
Housing is relatively cheap around here too so please come over.

If you're still looking for seaweed I would recommend dulse from Northern Ireland, if you can't find anything locally. These people have a good reputation... https://irishseaweed.co.uk/

 

[Antje77]

Update: Protein back to normal this year.
Waiting for the results on the rest of my lbwork.