I have just gotten my blood test results and I'm very scared.

I was diagnosed about 10 years ago with Type 2 but haven't
really ever been totally under control for a number of
reasons, some mine and some my HMO's.

Anyway, I've made a decision that I should have made a long
time ago to fight this seriously.

I had my blood work done this past weekend and I've very
concerned about my Microalbumin, Urine test and I don't know
how to interpret it.

Creatinine, Urine 101 MG/DL Microalbumin 89.0 MG/L
Microalbumin/G Creat [A] 88.1 MG/G Creat

Can someone tell me what this means? I am taking Accupril 40mg
for protein dripping.

Thanks

elisejk wrote:

  > I have just gotten my blood test results and I'm very
  > scared.
  >
  > I was diagnosed about 10 years ago with Type 2 but haven't
  > really ever been totally under control for a number of
  > reasons, some mine and some my HMO's.
  >
  > Anyway, I've made a decision that I should have made a long
  > time ago to fight this seriously.
  >
  > I had my blood work done this past weekend and I've very
  > concerned about my Microalbumin, Urine test and I don't know
  > how to interpret it.
  >
  >
  > Creatinine, Urine 101 MG/DL Microalbumin 89.0 MG/L
  > Microalbumin/G Creat [A] 88.1 MG/G Creat
  >
  > Can someone tell me what this means? I am taking Accupril
  > 40mg for protein dripping.
  >
  > Thanks
  >

I don't know if the results are different for women vs. men,
but I suspect that there are minor differences. When I was
recommended for Metformin, the doctor had to check my blood
work to see if my values were within acceptable ranges,
especially creatinine. It is an indicator of liver function.
Normal range for creatinine is between 0.50 and 1.40. Mine was
1.00 indicating normal liver function, so the doctor approved
Metformin.

"elisejk" <elisejk~aol.com> wrote in message
news:1105496561.180231.216890~c13g2000cwb.googlegroups.com...
  > I have just gotten my blood test results and I'm very
  > scared.
  >
  > I was diagnosed about 10 years ago with Type 2 but haven't
  > really ever been totally under control for a number of
  > reasons, some mine and some my HMO's.
  >
  > Anyway, I've made a decision that I should have made a long
  > time ago to fight this seriously.
  >
  > I had my blood work done this past weekend and I've very
  > concerned about my Microalbumin, Urine test and I don't know
  > how to interpret it.
  >
  >
  > Creatinine, Urine 101 MG/DL Microalbumin 89.0 MG/L
  > Microalbumin/G Creat [A] 88.1 MG/G Creat
  >
  > Can someone tell me what this means? I am taking Accupril
  > 40mg for protein dripping.
  >
  > Thanks
  >

For information on the different things that are tested in
blood or urine tests, a simple description can be found at;
www.healics.net/materials/PersonalBloodProfile.pdf

Albumin is the most common protein found in the blood.
Microalbumin are the small proteins that can be found in the
urine when the kidneys are damaged. Your lab result should
indicate what the normal range is, and thus how much your
kidneys are letting through.

Creatinine is a protein breakdown product, and is not affected
by how much protein you eat. If the levels are high, it can
indicate kidney damage.

Accupril is an ACE inhibitor, used to lower blood pressure,
see; http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a6-
92026.html

High blood pressure "forces" the blood proteins through the
tiny filters in the kidneys, making them larger, and thus
letting even more protein through, and further damaging the
kidneys. So your doctor is trying to slow that damage down
with this drug by lowering your blood pressure, and hopefully
helping your kidneys to heal.

However, all the specialists seem to agree that one of the
most important things you can do is gain control of your blood
glucose levels, as close to normal levels as you can attain.
Many of us who are T2 aim for an A1c under
6.%.

Have you read Jennifer's Advice to the Newly Diagnosed yet? It
tells you how to adjust your diet to help achieve those kind
of bg levels. It can be found at;
http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

There are 3 strategies for controlling bg levels in T2's.

7. Diet - see above.
8. Exercise - all and any kind is helpful. Try to do at least
"something" for around 30 mins every day, and work up to
more as your level of fitness improves.
9. Medications, either oral meds or insulin.

All the best,

Annette

These are measures to determine kidney function. If the
numbers are high it may indicate kidney damage. Was this a
single urine test or a 24 hour collection ?

If a one of then the numbers are high. Was this a fasting test
? Here's some good info:
http://my.webmd.com/hw/diabetes_1_2/tu6440.asp

This was a fasting test - actually didn't have the blood work
done until almost 11:30 that day. And I have been told that I
have "protein dripping" so that's why I'm taking the Accupril.

Guess I'm just very upset at the high readings. I do have a
doctor's appointment today.

A urine test later in the day after being up and around is not
much good. This happened to me recently, my doc was ready to
put me on meds (ACE inhibitor) for protein in my urine but
then noticed that the test was done in the afternoon. He told
me that the test results were invalid because spillage is
normal during the day, he wanted another test immediately
after waking...that test showed only trace amounts, well
within tolerable amounts.

Anthony Marsh wrote:

  > elisejk wrote:
  >
     >> I have just gotten my blood test results and I'm very
     >> scared.
     >>
     >> I was diagnosed about 10 years ago with Type 2 but haven't
     >> really ever been totally under control for a number of
     >> reasons, some mine and some my HMO's.
     >>
     >> Anyway, I've made a decision that I should have made a long
     >> time ago to fight this seriously.
     >>
     >> I had my blood work done this past weekend and I've very
     >> concerned about my Microalbumin, Urine test and I don't
     >> know how to interpret it.
     >>
     >>
     >> Creatinine, Urine 101 MG/DL Microalbumin 89.0 MG/L
     >> Microalbumin/G Creat [A] 88.1 MG/G Creat
     >>
     >> Can someone tell me what this means? I am taking Accupril
     >> 40mg for protein dripping. Thanks
     >>
  >
  >
  > I don't know if the results are different for women vs. men,
  > but I suspect that there are minor differences. When I was
  > recommended for Metformin, the doctor had to check my blood
  > work to see if my values were within acceptable ranges,
  > especially creatinine. It is an indicator of liver function.
  > Normal range for creatinine is between 0.50 and 1.40. Mine
  > was 1.00 indicating normal liver function, so the doctor
  > approved Metformin.

Actually the organs in question are the kidneys rather than
the liver. "It is essential that patients be screened for
relatively mild kidney disease by measurement of serum
creatinine and urine microalbumin and by calculation of the
glomerular filtration rate in mL/min/1.73 m2 using equations
based on serum creatinine. Rigorous assessment of conventional
risk factors, including dyslipidemia, hypertension, and
diabetes, is also necessary to prevent the poor outcomes
currently observed in persons with CKD. Routine use of ACE
inhibitors and aspirin is encouraged in all patients with CKD,
and strict glycemic and blood pressure control is recommended
for optimal outcomes. In addition, patients should be screened
and treated for risk factors particularly associated with
kidney disease and CVD morbidity and mortality, ..."
Cardiovascular disease and the kidney. Tracking a killer in
chronic kidney disease (CKD). Postgrad Med. 2002
Apr;111(4):53-60. PMID: 11985133

Metformin is not advised in patients with chronic kidney
disease. Frank

elisejk wrote:
  > This was a fasting test - actually didn't have the blood
  > work done until almost 11:30 that day. And I have been told
  > that I have "protein dripping" so that's why I'm taking the
  > Accupril.
  >
  > Guess I'm just very upset at the high readings. I do have a
  > doctor's appointment today.
  >
Your creatinine is well within the normal range of 0.7 - 1.4
mg/dl Your micro albumin seems higher than normal, with the
normal range being 35-50 mg/dl. However, you did mention
that you were previously diagnosed with "protein" dripping,
and you may have been dehydrated from a long fast. Albumin
is a protein.

By the way, plain water is okay on fasting blood tests, and
dehydration can really skew blood tests for electrolytes and
renal function. Many of us who have difficulty having blood
samples drawn need to take a lot of water to keep our blood
vessels plumped up so that the needle can find them without a
lot of digging around (never pleasant) :-((

Dennis (Type 2, Kidney Tx 1995)

On 11 Jan 2005 18:22:41 -0800, "elisejk" <elisejk~aol.com>
proclaimed
       >>>I have just gotten my blood test results and I'm very
       >>>scared.
       >>>
       >>>I was diagnosed about 10 years ago with Type 2 but haven't
       >>>really ever been totally under control for a number of
       >>>reasons, some mine and some my HMO's.
       >>>
       >>>Anyway, I've made a decision that I should have made a long
       >>>time ago to fight this seriously.
       >>>
       >>>I had my blood work done this past weekend and I've very
       >>>concerned about my Microalbumin, Urine test and I don't
       >>>know how to interpret it.
       >>>
       >>>
       >>>Creatinine, Urine 101 MG/DL Microalbumin 89.0 MG/L
       >>>Microalbumin/G Creat [A] 88.1 MG/G Creat
       >>>
       >>>Can someone tell me what this means? I am taking Accupril
       >>>40mg for protein dripping.
       >>>
       >>>Thanks

Go to http://www.labtestsonline.org/ It is easy to navigate,
and gives you info on how to prepare for test, what the
routine is, and what the results mean.

Sleepy

On the other hand......... We have different fingers

On 12 Jan 2005 06:35:26 -0800, "elisejk" <elisejk~yahoo.com>
proclaimed
       >>>This was a fasting test - actually didn't have the blood
       >>>work done until almost 11:30 that day. And I have been told
       >>>that I have "protein dripping" so that's why I'm taking the
       >>>Accupril.
       >>>
       >>>Guess I'm just very upset at the high readings. I do have a
       >>>doctor's appointment today.

Another thing to do would be to your advantage to know is what
the acceptable lab range is. You would think that lab results
would be standardized, but unfortunately, they are not. Also
make sure you get copies of all blood test, and any other
tests. They will be very useful. Many graph it to follow
things. Much easier to interpret results and trends too.

Sleepy

On the other hand......... We have different fingers