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Severe protein loss through urine, Diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   how much is too much protien in the urine? we had a 24 hour urine test and those results were 970 and the random test was 52.2? are these critical numbers?                                                                 
Doctor :   Hi
Doctor :   970??
Doctor :   52.2?
User :   i think they say mgs.. but very hard to read her writing
User :   this is my husband and he is a diabetic and suffers from neuropathy and gastroparisis.
Doctor :   Ok
Doctor :   Is his blood sugar under control?
Doctor :   Do you have report of Urine alb/ creatinine ratio?
User :   no and it has not been for 17 years
User :   no i was not given that info
Doctor :   970mg/day is high
Doctor :   and even on random test 52.2 is also high
Doctor :   How is the urine output?
Doctor :   like the volume in the 24 hours
User :   i guess i know he is in the high range but im wondering if this is going to be fatal? he only urinates 2 to 3 times a day but it is a pretty good amount each time
Doctor :   Did they not give you the value of the output in 24 hours along with the urine protien in 24 hours
User :   no she gave me very little info and when i asked she rolled her eyes and ignored me and focused on him and he didnt know what to ask. she said they would call us monday with her recommendations. thats a long time to wait for me
Doctor :   With the information they gave, yes there is loss of high protein in the urine
Doctor :   Does he have puffy facial features
Doctor :   Does he have swelling of the legs or hands?
User :   not really but he has put on 10 pds in 1 month and yes swelling in hands and feet
Doctor :   Is he mobile or always rests on bed?
User :   no he is mobile i make him get up even tho it hurts
Doctor :   What is his age?
User :   40
Doctor :   Ok with the information you gave, Bl glucose not under control, with diabetic neuropathy, the urine protein high
Doctor :   it is not a good situation he is in
Doctor :   However he can be treated well
Doctor :   It is definitely not fatal if treated
User :   so will it lead to dialysis?
Doctor :   He may need but I cannot comment stern on this as I need lot of other information
Doctor :   Serum creatinine, electrolyte parametres, Urea
Doctor :   etc
User :   i understand
User :   its just the doc today was so quiet with her info that i felt like she wasnt telling me something
Doctor :   I think you should give a try and call her office after you reaching home
User :   what questions should i ask?
Doctor :   What is the next step in treatment
Doctor :   2) What is the prognosis from now?
Doctor :   3) How can we increase the quality of life?
Doctor :   4) Ofcourse the lab numbers
Doctor :   and Vitals like BP, Pulse, Resp rate etc
User :   pulse is high always and bp is slightly high
Doctor :   Ok
Doctor :   But numbers are important
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