NetWellness Quality Health Care and You - Diabetes

Microalbumin, Urine Level is High

Mildred Lam MD — Tue, 13 Dec 2011 12:12:00 EST

Question: My Microalbumin, Urine level is 58.2, which I know is high. My glucose,serum level is 101. My bun/creatinine ratio is 24. My calsium, serum level is 10.4. My AST level is 69 and my ALT level is 80. My LDL Cholesterol is 110. My Hemoglobin Alc is 5.9.

I am being treated for prediabetes type II, . . .

Answer: What you need to know is your urine microalbumin-to-creatinine ratio. The urine microalbumin level by itself can be misleading. If your ratio is normal, don't worry about it any more. If the ratio is high (more than 30), this can be a very early sign of kidney damage. This ca . . .

Ask an Expert: Mildred Lam MD, Quality Health Care and You - Diabetes

Microalbuminuria

Mildred Lam MD — Sun, 03 Apr 2011 12:04:00 EST

Question: Can microalbuminuria be completely reversed? Which is best: lisinopril or losartan?

Answer: Depending on the amount, it can sometimes be completely reversed. Both lisinopril and losartan work by the same mechanism to reduce microalbuminuria; the choice of one or the other is often determined by cost and by side effects. Lisinopril, while often cheaper, has some side effects suc . . .

Ask an Expert: Mildred Lam MD, Quality Health Care and You - Diabetes

Not sure of glucose reading?

W. Miser MD — Fri, 04 Mar 2011 14:03:00 EST

Question: Question: Being on a low carbohydrate high protein diet is it possible to get a higher glucose reading in the morning after getting a lower reading at night before bed and having fasted for 10 hours? I have not been diagnosed as a diabetic.

Answer: Yes, it is possible that the morning glucose reading could be higher than the night before, even after having fasted for 10 hours. The body's glucose is maintained 24 hours a day through several mechanisms; the actual glucose value will normally fluctuate from 90 to 110 mg/dl daily, even in a fastin . . .

Ask an Expert: W. Miser MD, Quality Health Care and You - Diabetes

Very high microalbumin, bun/creat normal?

Thomas Zipp MD — Tue, 22 Feb 2011 20:02:00 EST

Question: I am a 57 year old male. I have had type 2 diabetes for 7 years. I Aldo have high cholesterol and blood pressure. My urine microalbumin levels keep rising, most recently 685. My blood BUN and creatinine levels are within normal limits. I am wondering what could cause such a high microalbumin level a . . .

Answer: Sometimes the lab reports a creatinine as normal but in fact this needs to used in a calculation to determine if the renal function is normal. You did not report your BP so I don't know if it is controlled to an adequate level for you. I think you need to see a nephrologist to answer your questions. . . .

Ask an Expert: Thomas Zipp MD, Quality Health Care and You - Diabetes

Type 2 Diabetes and Weight Loss

Margaret Doyle RD, LD, CDE — Fri, 16 Apr 2010 08:04:00 EST

Question: My boyfriend has type 2 diabetes and is trying to lose weight. He has decided if he just eats mainly meat and vitamin suppliments he will be okay. I have told him a balanced diet is what he needs. What are the disadvantages to his diet considering his condition?

Answer:

It is good that your boyfriend is interested in losing weight; even a modest weight loss can lower blood sugar and blood pressure and often lipids (blood fats) in people with Type 2 diabetes who are overweight. While any low-calorie diet (where you eat fewer calories than your body uses), will re . . .

Ask an Expert: Margaret Doyle RD, LD, CDE, Quality Health Care and You - Diabetes

Blood Sugar Around 150 to 200 with Medicine

Margaret Doyle RD, LD, CDE — Thu, 12 Nov 2009 14:11:00 EST

Question: My husband is 51 years old. About one year ago he had a blood sugar starting around 130. He took a medicine (avendement pills). Around one month later the blood sugar is high to 150 to 200, of course with diet. It`s risk what the next step I can do. I usualy ask his doctor.

Answer:

Different things can affect blood sugar levels in diabetes: diet, physical activity, stress, illness, how long a person has had diabetes, the type of diabetes, degree of insulin resistance, to name a few. Avandamet is a medication that helps lower high blood sugar levels; it is a combination of t . . .

Ask an Expert: Margaret Doyle RD, LD, CDE, Quality Health Care and You - Diabetes

Diabetic and Microalbumin

Mildred Lam MD — Mon, 02 Nov 2009 01:11:00 EST

Question: My question is how long uncontrol diabetic would induce microalbumin. How long if you have high A1c level before microalbumin would show up in your urine. Thank you very much

Answer: Usually a person has to be diabetic for at least several years before kidney damage occurs. The less well-controlled the diabetes is, the higher the A1c level, and the more likely it is that kidney damage will develop.

Remember that, if the microalbumin level is only sli . . .

Ask an Expert: Mildred Lam MD, Quality Health Care and You - Diabetes

Sugar - 106

Laurie Sadler MD — Tue, 20 Oct 2009 10:10:00 EST

Question: I have excellent results of Cholesterol and Triglycerides.Following results are 10 hour fasting blood test results Total Cholestrol : 153 mg/DL HDL : 42mg/DL Triglycerides: 108mg/DL LDL : 89 mg/DL chol ratio: 3.6(cal) Alert: Glucose: 106 mg/DL

Question: Why my blood sugar above 99 mg/dl?. I fol . . .

Answer:

This is a difficult question to answer in isolation, without knowing the gender, age and other comorbidities of the patient. It is correct that in general, the lipid profile looks to be at goal for most patients. However, closer inspection of the glucose above 95-100 indicates possible insulin re . . .

Ask an Expert: Laurie Sadler MD, Quality Health Care and You - Diabetes

Elevated Lab Results

Mildred Lam MD — Wed, 22 Jul 2009 19:07:00 EST

Question: I`m a type "1.5" diabetic, where my diabetes is secondary to a pancreatic disorder. I just received my lab results in the mail and I`m concerned about my results. My Microalbumin Ratio is 547.2, but my BUN is 10 and my Creatinine(mg/dL) is .7 and my Creatinine, Urine is 265.0. I called my . . .

Answer: A normal microalbumin/creatinine ratio is less than 30, so yours is moderately high (but not extremely so -- very high, for instance, would be greater than 3000). The elevated ratio means that your kidneys are leaking protein, which is usually the very first sign of kidney damage due to d . . .

Ask an Expert: Mildred Lam MD, Quality Health Care and You - Diabetes

Diabetes and Blood Pressure

Laurie Sadler MD — Wed, 22 Jul 2009 13:07:00 EST

Question:

Can diabetes affect abnormal blood pressure?

Answer:

Diabetes, and hypertension (high blood pressure) often exist together. Diabetic kidney disease is the leading cause of end stage kidney disease in the U.S. and is caused by long standing high blood sugars which cause structural and hormonal changes in the kidney. Over time, the kidney shows signs . . .

Ask an Expert: Laurie Sadler MD, Quality Health Care and You - Diabetes