Re: [IPk] Urine testing for kidney function - children/adolescents
Six weeks ago my prescription told me to get a creatine rest done but did
not enclose the form. When I asked the receptionist for the form she said
it was not written on my notes that I needed one but might be as I have been
on stronger statins since Christmas. The burst then said if I am going to
the hospital at the end of June they would leave it to them as there was no
point in doubling up an expensive test. Trouble is I feel this keeps
happening and the hospital do not explain to me the results of any tests
except the HbA1c. I do not go to a local hospital but one in London and it
seems they do not send all the results down. The result is I am left like a
piggy in the middle. I only started wondering about this when the statin
thread started up.
----- Original Message -----
From: "Caroline Batistoni" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, June 07, 2006 7:42 PM
Subject: RE: [IPk] Urine testing for kidney function - children/adolescents
> I'd be very surprised if there were any diabetes clinic in the UK that
> actually does protein 'dipstick' tests anymore. That sample they always
> ask you to take with you is usually used for an ACR test - Albumin to
> Creatine Ratio. The results of this test correlate closely to the results
> of the 24 hour collection, especially, if you provide a morning specimen.
> (This information was given to me by a biomedical scientist working with
> this test.)
> Not only is the ACR the test endorsed by NICE (sorry, them again) but if
> you read closely it is also included in the ISPAD document that Melissa
> mentioned as an accepted alternative to overnight or 24 hour collections.
> Besides that, it can be performed at a fraction of the cost in terms of
> patient time and effort, laboratory resources as well as financially -
> leaving more funds for insulin pumps, better glycaemic control and reduced
> Before asking for a 24 hour collection, it might be wise to check that the
> ACR test is being performed and what recent results have been.
> Type 1 23+ Pumper 4+
>>Marion, I never mind you asking anything! Don't be silly ;)
>>Here are just a couple of links regarding kidney function testing of
>>children and adolescents with diabetes. They might be all you need at the
>>moment, certainly if you want more info I can help you find some.
>>highlight: Recommendation of age for microalbumin screening
>>Prepubertal onset of diabetes: 5 years after onset or at age 11 years, or
>>at puberty (whichever is earlier), and annually thereafter
>>Pubertal onset of diabetes: 2 years after onset, and annually thereafter
>>If you feel your team might not take seriously your concerns regarding
>>Alex's kidneys, feel free to print off the ISPAD document and take it to
>>them. Any diabetologist or DSN ought to have a strong case prepared if he
>>or she wishes to object to an ISPAD consensus document.
>>Type 1 13 years; MiniMed pumper 7.5 years; Animas pumper 2 years 5 months
>>----Original Message Follows----
>>From: "Marion Malik" <email @ redacted>
>>Reply-To: email @ redacted
>>To: <email @ redacted>
>>Subject: RE: [IPk] Urine testing for kidney function
>>Date: Wed, 7 Jun 2006 15:50:49 +0100
>>Alex is nearly 12 and has had D for 9 years, other than the dip stick
>>test she has her standard annual bloods done, before being diagnosed she
>>had a kidney scan etc as they thought there was a problem and I would
>>like to mention this test you mentioned. I take it that they will know
>>what it is but do you think they will think I'm being over sensitive?
>>Hope you don't mind me asking
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