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Kidney Diseases

Blood Test and Microalb/Creat Ratio

05/24/2006

Question:

Recently I had my annual physical exam. My blood test was also done. Below are some of the results. And my Microalb/Creat Ratio is high. Microalb/Creat Ratio is 37.4. I do have high BP and taking medication. Also I am at the early stage of diabetes. Should I see a kidney specialist?  

COMP METAB PANEL 1

Profile/Panel/Test Value Units Range
Glucose, Serum 135 mg/dL 65-99
BUN 17 mg/dL 5-26 Creatinine, Serum 1.1 mg/dL 0.5-1.5
BUN/Creatinine Ratio 15 8-27
Sodium, Serum 137 mmol/L 135-148
Potassium, Serum 4.4 mmol/L 3.5-5.5
Chloride, Serum 102 mmol/L 96-109
Carbon Dioxide, Total 26 mmol/L 20-32
Calcium, Serum 10.1 mg/dL 8.5-10.6
Protein, Total, Serum 8.1 g/dL 6.0-8.5
Albumin, Serum 5.0 g/dL 3.5-5.5
Globulin, Total 3.1 g/dL 1.5-4.5
A/G Ratio 1.6 1.1-2.5
Bilirubin, Total 1.6 mg/dL 0.1-1.2
Alkaline Phosphatase, Serum 64 IU/L 25-150
AST (SGOT) 32 IU/L 0-40
ALT (SGPT) 52 IU/L 0-55

MICROALBUMIN URINE QUANT

Profile/Panel/Test Value Units Range
Creatinine, Urine 170.0 mg/dL Not Estab.
Microalbum.,U,Random 63.5 ug/mL 0.0-17.0
Microalb/Creat Ratio 37.4 ug/mg creat 0.0-30.0

Answer:

Although your serum creatinine is in the normal range it may not be normal for you. You must review this with your doctor. The presence of microalbuminuria can be seen in the early stages of diabetic kidney disease. Interventions such as good blood sugar control and good blood pressure control should be the primary goals and do not necessarily need a specialist at this time. You can see the specifics for blood sugar and blood pressure control at the American Diabetes Association web site.  I also noted that your bilirubin is up and you need to review this with your doctor also.

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Response by:

Thomas   Zipp, MD Thomas Zipp, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University