I have been type 1 Diabetic for 21 years...?

Question

I am now 24 years old and my last 2- A1C I have showen protein in my urine, does this mean my kidneys are failing? Or could it be that my Blood sugar was kinda high, it was 141. Please help me understand what is going on

Answer 1

Depends on wether it's a normal amount or more than normal. if it's increased, then it is basically the early stages of kidney failure, but as long as you are put on an ACE inhibitor, it could be decades before it progresses to bad stuff like dialysis, and it might never progress. the key is BP control and treatment with an ACE inhibitor (even if BP is already normal)

BG doesn't affect that test

Answer 2

1

Answer 3

As always more information allows for a better answer. You did not give the result of your last A1Cs. I assume that you blood glucose of 141 mg/dL (multiply by 0.05551 to convert to the International Units of mmol/L) was fasting which would be 'high' but that is where the A1C is helpful - in putting an individual reading into context - and your A1C goal is less than 6% if possible although the AACE suggests less than 6.5% and the ADA suggests less than 7%. An A1C of 6% implies a 90 day average blood glucose of around 120 mg/dL increasing about 30 mg/dL per 1% increase in A1C. Protein in a routine urinalysis may be a normal variant but in a diabetic it is always of note. In diabetics however we generally measure microalbuminuria which is a different and more sensitive assay for albumin (protein) in the urine. If you test positive for microalbuminuria the next question is what is your creatinine. Although laboratories offer a generous range for 'normal' this is a statistical norm and not one based upon what is 'healthy'. Thus a creatinine of 1.0 mg/dL (multiply by 88.4 to convert to umol/L) might be normal but should raise an eyebrow as a 24 year old - even a 24 year old with a 21 year history of diabetes - should be more in the range of 0.7 to 0.8 mg/dL. If you are 1.0 or above that would suggest the need for a more definitive test of kidney function - measurement of glomerular filtration rate or GFR also known as creatinine clearance which is determined by collecting urine for 24 hours and then measuring serum creatinine. If your GFR is less than 100 ml/minute it is likely that your physician will recommend an angiotensin-1 converting enzyme inhibitor typically referred to as an ACE inhibitor. Developed for hypertension, it is well documented that these agents improve renal function in those with hypertension or diabetes.

Answer 4

OH My Gosh... I came from the Drs. on Thursday. My A1C was 6.0 and he told me the SAME thing... I have been a diabetic for 35+ years... I get the tests done every 3 months.. He told me to go on a "faceless" diet for 3 months... Anything that has a face I cannot eat.... I looked at him strange and he explained NO MEAT.... He said the protein in my urine was 3x the normal amount. My A1C's have been 5.4 - 6.3 for the past 3 years....but he said if the protein keeps up like this, yes, in 10 years my kidneys will be shot...

Ask your Dr. what you need to do, I am now on a faceless diet for 3 months.. .hopefully this will help.... Keep us posted....

Answer 5

It depends on how much protein there is and what type it is. Under a certain abound of a certain kind is OK. If you are not on an ACE inhibitor drug or similar drug, you probably soon will be. This may make the problem go away.

I'm sure that your doctor will talk to you soon about the results. If it would make you feel better, give the office a call.

Answer 6

Normal Values:
* For a 24-hour test: the normal value is less than 150 mg per 24 hours.
Note: mg/dl = milligrams per deciliter

Answer 7

proteinuria or protein in urine can be a symptom for hypertension, or renal disease. in your case, it's probably a DM complication.

check if your urinalysis contains high amount of protein and if it has an abnormal amount of RBC.

your doctor may suggest for you to undergo kidney function test just to confirm.

Answer 8

You have to care with your blood so its high, you should go to the doctor and check you up. I recommend you to visit a web PERUVIAN NATURISTAS MEDICINES. COM you could know more about diabetes risk .

Answer 9

Your blood sugar is high, but you could have a kidney infection. please have it checked by your Dr. You will be better off knowing, and healther !