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Urine Creatinine 74.2, Urinary Microalbumine 147.8, Microalbumine/Creat ratio 199.2

2013-04-26 10:25

Q:

My creatinine, urinary microalbumin, and microalbumine/creat ratio is high. Urine Creatinine is 74.2, my microalbumine urine is 147.8. My microalbumine/creat ratio is 199.2. Is this bad or not?

 

A:

Hi, I am sorry to tell that all your abnormal tests indicate kidney problem.

Normally, urine creatinine values can range from 500 to 2000mg/day. Your urine creatinine is 74.2 which is lower than the normal range. Creatinine is one of the wastes produced by our body and normally discharged by our kidneys. Now, your urine creatinine is lower than the normal range, which means your kidneys fail to discharge excess creatinine and your serum creatinine level is higher.

Besides, the normal range for albumine in people over the age of three is 0-20mg/L and when it increases to the range 20-200mg/L, microalbumine can be diagnosed. Albumine/creat ratio remains unaffected by any kind of variation in the concentration in urine, so it is more accurate. The normal ratio of albumi to creatinine is around 25 for women, and less than or equal to 17 in men. When the ratio is higher and in the range of 30-300, microalbuminuria is diagnosed. Your albumine/creat ratio is 199.2 and it is higher than the normal range.

Microalbumine is the typical and first symptom of Diabetic Nephropathy. Are you a diabetic? If yes, then your albumine in urine must be caused by long-term persistent high blood sugar. In such a case, you need to bring your blood sugar into normal range as much as possible; otherwise, more and more albumine will leak into urine and your illness condition will become more and more serious. Besides, try to arrange a scientific diet and this will help you slow down the illness progression.

Since all your tests mean kidney problem, I suggest you to go to nephrologist to receive medical treatment, as your disease will progress to kidney failure someday if you do not stop it fundamentally. And at that time, dialysis or kidney transplant will be needed. As of now, your illness condition is not so serious and there is great chance for you to avoid End Stage Renal Disease (ESRD), so please take action as soon as possible, or you will lose the best treatment time.


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