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Kidney Diseases

Elevated Microalbumin Creatinine Ratio

04/30/2009

Question:

I am a type 2 diabetic with A1C of 7.7. I recently had a random urine done with a microalbumin/creatine done with results of 497. I have high BP controlled with Qunipril and Atenolol. I also have PAD and take Coumadin, Plavix and Ecotrin. I had a stent inserted 2 yrs ago. My BUN=17 and creatinine=0.62. Does this mean I am in End stage renal failure and need dialysis?

Answer:

You are not in need of dialysis. Based on your creatinine I would say that you are likely to be stage 1 chronic kidney disease(CKD). There are 5 stages of CKD. If you are at stage 5 then you likely need dialysis very soon. I don't have all your demographic information so I cannot be certain that my staging of your CKD is correct, so check with your doctor.

The important future concern is how to remain at stage 1. Please discuss this with your doctor. The most important factors are good BP and sugar control. Discuss these goals with your doctor. Also, avoid potential nephrotoxins such as nonsteroidal anti-inflammatory drugs(NSAIDs). Review this with your doctor. Make sure your cholesterol is under control also.

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Response by:

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