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Quality Health Care and You - Diabetes

Diabetes/Microalbumin/ BUN/Creatinine

05/22/2008

Question:

Though A1c never over 7.2 and now 6.6

Microalbumin/Creatinine ratio is 31

Urea Nitrogn 19 Creatinine 0l8 GFR Estimated Greater than 60 BUN/Creatinine ratio 16

Just learned I have been on incorrect dosage of thyroid med for 6 months (.025 vs .125). Could this affect these levels as well?

What do I do regarding the above factors to improve? Thanks.

Answer:

A hemoglobin A1C of less than 7% is considered to represent excellent diabetic control. The microalbumin/creatinine ratio is very slightly elevated, which is a sign of early damage to the kidneys. The blood creatinine is also slightly elevated, meaning that the kidneys are not doing a completely normal job of getting rid of waste products. So you have some signs of early kidney damage.

The thyroid medication dose should have no harmful effects on your kidneys.

The best things that you can do to help preserve and possibly improve your kidney function are:

Diabetes and hypertension are the most common causes of chronic kidney disease.  However, with the proper management and medications damage can be prevented or kept to a minimum, especially when caught in the early stages.  Go for it!

 

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For more information:

Go to the Quality Health Care and You - Diabetes health topic, where you can:

Response by:

Mildred   Lam, MD Mildred Lam, MD
Associate Professor of Medicine
School of Medicine
Case Western Reserve University