Family, Internal Medicine, General Medical Questions/microalbunaria??????

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Sir, my urine report for 24 hrs urine protin and urine cretinine clearence report
age 53 -- weight 99 kg-- height 5.7---  H B a1c always below 7 -- cretinine mostly arround 1.2  ,-- 24 hrs volume 2200ml-- ,protin in urine 53,  24 hrs urine protin 116mg(normal  range they have stated(between 28-140)24 hrs urine protin they have calculated in gram .116, 24 hrs urine cretinine 38 , s.cretinine blood  1.2, 24hrs urine cretinine clearance they have calculated as 48.3( slighltly ormild ??) microalbunaria??? ph urine 5  sp gravity 1030 pus cells 3-5  mucus present urine was reddish  turbid --ultra sound -nofinding , hemoglobin blood 12.3 wbc 8700  platelet 3.21000 sodium 138mg  s pottasium 4.8mg  s calcium 1.23mg,  earlier gravity 1005  1025 earlier e-gfr  was 76with cretinine 1.02

I am diabetic range around 200 to 250 when metformin fail due to even slight eating more.Blood pressure always under control. Rarely increased upto 170 time being only in 2 or 3 months

kindly guide me--can I dis cont. metformin and start Glicisize-40 mg twice with 25 mg ARB as suggested by physician or consult super specialist? I am also patient of Ventricle premat beats under control now and metroplolar 25 mgonce cont.already with 75mg aspirin lipid profile normal without any drug due to oil restriction
am I patient of microalbunaria? they have tested protin not microalbumin. can u predict future of my kidney? am I now able to save my kidney from microalbunaria ?????kindly guide me completely and advice further tests after starting treatment
--(no symptoms at present)my kidney isdamaged ?temporary? curable?

Answer
can I dis cont. metformin and start Glicisize-40 mg twice with 25 mg ARB as suggested by physician or consult super specialist?

There is no set medicine that is best for everyone.   Your sugars are not controlled well currently and the best evidence for helping the kidneys and all the organs is better control, so that would be a reasonable trial.   

I am also patient of Ventricle premat beats under control now and metroplolar 25 mgonce cont.already with 75mg aspirin lipid profile normal without any drug due to oil restriction
am I patient of microalbunaria? they have tested protin not microalbumin. can u predict future of my kidney?

Protein in the urine is an early marker for kidney disease..... it may predate loss of kidney function (gradual over time) by 10-15 years.    So again, continue tight control of your blood sugar and continue to monitor your kidney function and taking a medicine like an ACE or ARB will help protect the kidneys.   

am I now able to save my kidney from microalbunaria ?????

microalbu----- that is a warning sign that there is early early damage..... if it is there already, all you can do is control the sugars and blood pressure and monitor.   This doesn't mean you will progress to kidney failure.... just means you have to follow this and work hard on your sugars.

Family, Internal Medicine, General Medical Questions

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