Kidneys

eddie1968 said:

Ramipril and other ACE Inhibitors are used for hypertension, heart failure and diabetic nephropathy. If you're on it for high BP then your on it for that alone.

Click to expand...

Cheers Eddie - it's a non ending journey of education this T2 malarkey. Nope Bp good - Hba1c = 34 everything else ticking along - DN said that she's would sign me off as non diabetic but not yet as concerned about urine ACR and that ACE inhibitors were 1st line of defence - so it would be for nepthrorathy only which to my mind is a bit of an overkill if I can control by a controlled diet but I have no idea how the 3.7 converts to damaged kidneys unless 3.7 is 37 - that would seem about right?

The 3.7 is unlikely to be an ACR result, sounds like something else. I get a letter with all my diabetes blood and urine results, weight, height, BMI, foot state, eye state and other things after seeing my Consultant at the Hospital Diabetes Clinic Ask your DN for a copy of your results so you know what they are and what they mean.

This concerns me as I have only one kidney since childhood. Unfortunately I have no test results but seeing dn in October so will ask bout this. I take a water tablet every morning. I have other medical conditions not relating to my kidney. I am so ignorant about this, feel really stupid. What will I ask? What test is it?

eddie1968 said:

The 3.7 is unlikely to be an ACR result, sounds like something else. I get a letter with all my diabetes blood and urine results, weight, height, BMI, foot state, eye state and other things after seeing my Consultant at the Hospital Diabetes Clinic Ask your DN for a copy of your results so you know what they are and what they mean.

Click to expand...

Roger that - I have asked but for some reason she was unwilling to give me the info in the format described above which sounds ultimately more sensible. Will go and push a few buttons when I've got a bit of time to play with. Thanks for bearing with me and for the useful answers - much appreciated.

Baruney said:

Cheers Eddie - it's a non ending journey of education this T2 malarkey. Nope Bp good - Hba1c = 34 everything else ticking along - DN said that she's would sign me off as non diabetic but not yet as concerned about urine ACR and that ACE inhibitors were 1st line of defence - so it would be for nepthrorathy only which to my mind is a bit of an overkill if I can control by a controlled diet but I have no idea how the 3.7 converts to damaged kidneys unless 3.7 is 37 - that would seem about right?

Click to expand...

I don't understand why anyone would be signed off as non diabetic, when there is always the potential to have diabetic-level blood results in the future. My HbA1c is 37 but as far as I'm concerned I am still diabetic. If I catch a cold, it sends me to bed for a few days and can last 2-3 weeks. I still consider myself at increased risk of infection, etc. I think of myself as in remission, not cured.

CatLadyNZ said:

I don't understand why anyone would be signed off as non diabetic, when there is always the potential to have diabetic-level blood results in the future. My HbA1c is 37 but as far as I'm concerned I am still diabetic. If I catch a cold, it sends me to bed for a few days and can last 2-3 weeks. I still consider myself at increased risk of infection, etc. I think of myself as in remission, not cured.

Click to expand...

Indeed @CatLadyNZ it's probably to do with costs or some insignificant statistic or the (in general) nhs short term view on t2 diabetes. I will always have diabetes lurking over my shoulder but now I know that and I have educated myself in how to deal with it.

Looking back I now know that I have had diabetes lurking over my shoulder but I didn't know that! The nhs say that there budget is going to be blown out of the water by t2 over the for coming years yet they could halt this in it's track by educating people properly and stop being the sales department of the big pharmaceutical companies.

eddie1968 said:

The 3.7 is unlikely to be an ACR result, sounds like something else. I get a letter with all my diabetes blood and urine results, weight, height, BMI, foot state, eye state and other things after seeing my Consultant at the Hospital Diabetes Clinic Ask your DN for a copy of your results so you know what they are and what they mean.

Click to expand...

reading this made me look at my last report again.
Creatinine 101 µmol/l, range 62 - 106, so just in
Albumin, 41 g/l range 35 - 50, below middle.
A ratio would be 1 : 2.5?

Only items marked up apart from chols were
Urea 1.1 mmol/l range 2.5 - 7.8
and
Bilirubins 30µmol/l range 0-21

Cheers

Hj

CatLadyNZ said:

I don't understand why anyone would be signed off as non diabetic, when there is always the potential to have diabetic-level blood results in the future. My HbA1c is 37 but as far as I'm concerned I am still diabetic. If I catch a cold, it sends me to bed for a few days and can last 2-3 weeks. I still consider myself at increased risk of infection, etc. I think of myself as in remission, not cured.

Click to expand...

Must admit, being diabetic works for me as well, when I go back to the UK.
There are some that prefer being 'off the register'
@AndBreathe I think was removed at her own request, but I may be wrong, so I've tagged her.

SunnyExpat said:

Must admit, being diabetic works for me as well, when I go back to the UK.
There are some that prefer being 'off the register'
@AndBreathe I think was removed at her own request, but I may be wrong, so I've tagged her.

Click to expand...

Almost correct there.

At the end of last year, I was having a discussion with my GP about another matter, when she threw a phrase into the mix, something like, "Well, yes, but for diabetics....". As someone who really objects to anything and everything being tagged to diabetes, no matter how unlikely, I responded, along the lines of, "Come on. At which point does someone, like me, with my diabetes scores and markers, begin to get some discounting on the diabetes sledgehammer label?". By discounting I meant weakening the association.

Her subsequent response was that with my serial scores, including BP, BMI, and so on, and their margins away from diagnostic thresholds, that she would be content to have me removed from the diabetic register, provided I agreed to continue to have an annual HbA1c test as a safety net. I agreed that would be an acceptable way forward for me. And so it was done.

H

eddie1968 said:

I've been Type 2 diabetic for 5 years. Initially on max doses of Metformin and Gliclazide. Both had bad side effects and didn't do much for my initial HbA1c of 112 mmol/mol. Now been on Humulin M3 insulin for over a year now. Kidney damage started to show last year with protein in urine increasing. My albumin/creatine ratio rose to 35 which means my kidney filters are damaged (a positive result is >30. Now after taking Ramipril 10mg for a while now and my albumin/creatine ratio (ACR) has stabilized.

Click to expand...

Hi, I saw you had posted in 2015 that your ACR had stabilised after starting BP meds, I'm curious after 10 years is it still stable?