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Talk to Internal Medicine on ACR Result Showing 13.4mg/mmol

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Asking for Mother, Female, 28 years old, doha

My mother is 58 years old lady. She is diabetic and hypertensive from last many years. Her latest urine and blood test result shows ACR ratio 13.4mg/mmol which is increased from 6.1mg/mmol from last year. Other than this her GFR>.60 and blood Creatinine is 0.6mg/dL. Her urine Microalbumin is 76.8mg/L

I want to know are these symptoms showing her progress towards kidney disease .

Regards,\ Amna Traiq

Internal Medicine Specialist in Lahore - Dr. Syed Ahmad Raza

Dr. Syed Ahmad Raza - Internal Medicine Specialist

MBBS, FCPS (medicine), MRCP (Medicine) | Lahore

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6 Positive Reviews

Dear
Thank you very much for posting the question. I hope that your mother must be well controlled as far as diabetes and hypertension is concerned.
The report shows that;
ACR ratio is in normal range ie less than 30 mg/mmol and not something to be worried about at this stage but your concern of progression towards chronic kidney disease is genuine and to address this concern ACR test is recommended every year to keep an eye on the progression of kidney disease due to diabetes and as well as hypertension. Since GFR and creatinine are normal there is nothing to be worried about at the moment.
Having said that diabetes as well as hypertension are long standing conditions that can affect kidneys either directly or even due to some treatment/medicines being used for their management.
The best solution is to keep diabetes and hypertension under good control.
Another thing that can be done to hamper the progression of kidney disease in diabetes is to use an ACE inhibitor (a type of blood pressure control medicine). Common market examples are
Capoten
Zestril etc

I hope this was helpful
If you have any questions or any reports to share, please feel free to contact me on
Zero three three three five five eight two eight nine two(Watsapp)
Wish you mother a healthy life
Regards


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Member of Marham-Forum

Thanks doctor for the provided information . But the new problem is that she is facing the issue of frequent urination from last six months.
Regards,

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