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Re: [IP] Update on microalbumin for Jackie and a couple of more questions
In a message dated 06/01/2000 10:34:27 AM US Mountain Standard Time,
email @ redacted writes:
<< The second test (a first AM sample) was 12.1 which is 1/2 the first number
and within the normal range. So--that's the good news!! Now I am wondering
though: 1) Should we still request a 24-hour sample test? 2) Does the fact
that her mid-morning test was out of wack mean that there is a propensity
for a problem that I need to learn more about?
Not claiming to be an expert by an means, but thought that this info might be
of some help to you.
I have been type 1 for 20 years, 39 y/o, and pumping for 4 1/2 years. Five
years ago I started showing microalbumin in my urine, in the 300-400 ranges.
Started pumping about the same time, was referred to a nephrologist. Dr put
me on Monopril, an ACE inhibitor, 20 mg/day, which I still take. My A1c's
with pumping went from 9's down to 6's, and latest was 5.6.
Within a year my microalbumin levels went back down to near normal, testing
once at a 3, and up to 30's. They stayed that way until last winter when one
came back at 99. I was upset/concerned because I had made such a great
improvement and afraid that it was going to worsen again. I had been weight
training and exercising strenously. Went back to the nephrologist and he
ordered another microalbumin and a 24-hour. The microalb came back at 35.
He explained to me that when having a microalbumin test done that I should
not exercise for 24 hrs prior to the test. He said that it is very common
for athletes (not that I qualify for one) and people with very healthy normal
kidneys, to have microalbumin after intense exercise, and sometimes they even
pass some blood, but that was normal.
So the microalbumin test should be seen only as an indicator of a trend, and
not a hard and fast number. Apparently it can fluctuate from day to day,
hour to hour. Kind of like taking a bg test, just a number reflecting that
moment in time.
As always, YMMV, but this is my latest 2 cents worth of knowledge.
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