Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
142 Doctors are Online

Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level?

User rating for this question
Very Good
Answered by

Diabetologist
Practicing since : 1973
Answered : 23 Questions
Question
hi,
I am diabetic patient for last 2 years.my microalbumin in urine is 20 mg/l and the normal range of the lab is <15 mg/l.I have prescribed cardace 2.5 mg/l of ramprill.I have concerned that for this cardace medicine my creatinine level increase or not because Ace inhibitors have some side effect like kidney impairment.
And i have one question that if my suger level is normal and BP is nprmal then how many days to recover my micro albumin in urine to normal range i.e < 15 mg/l..
Posted Mon, 17 Sep 2012 in Diabetes
 
 
Answered by Dr. L K Shankdhar 7 hours later
Dear XXXXXXX
Thanks for utilizing this forum for your queries.
Your micro albumin level is 20 mg/L but it needs to be rechecked, preferably after antibiotic therapy and if found to continue only then label of microalbuminuria to be used.
Its management needs meticulous glycemic control ( which means your sugar control needs to be proper), besides lipid control, control of raised Uric acid and control of BP if ever found raised.
You are already taking Ramipril which is known to reduce albuminuria.
I would like to quote a recent study in which it was found that 50% patients, although had albuminuria but had no renal failure ever in their life time while 50% patients had no albuminuria still had renal failure.
Enough is to say that mere presence of albumin in urine, although is regarded a marker of future renal involvement but need not be taken with despair.
Hope you will find this much useful.
I would be happy to answer any more query from you if any.
With best wishes for good health
Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 2 days later
Hi,
My suger level is normal and BP is also normal and my HbA1c is 6.8% and microalbumin urea is present little.
pls sussgest me how to control my albumin in urine and how its ge normal range?
And u guide me presence of albumin in urine trace is how much Danger.
If i control all these above things then how many year to take END STAGE RENAL DEASES.
PLS SUGGEST ME.I HAVE SO MUCH CONCERED ABOUT THIS.
I have take the cardace 2.5 mg of ramprill medicine.And i have taken a good diet.
I am not at all taking any high protine diet.
U also suggest me proper diet pattern for this stage.
 
 
Answered by Dr. L K Shankdhar 2 hours later
Dear XXXXXXX

I have amply emphasized in my previous communication that mere presence of little microalbuminuria should not create panic; even I quoted a study in which no renal failure occurred in rest of the life in 50% cases even with macroalbuminuria (albumin in urine >200 mg/day.

It should just issue an alert to keep your risk factors under control.

Mere current control shall not matter; it has to be sustained.

Regarding chances of renal failure later in life, the literature says that only 20% patients lapse into ESRD (End Stage Renal Failure) in Type 2 Diabetes after 20 years.

Hope this much information shall release your tension, which I would like to call over concern.

Wishing good health

Prof. LK Shankdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 4 days later
i have done the test of microalbuminuria.it is present in the urine.
i.e 37 mg/l.i have control Suger level,BP,colestroal all these things.
So i want to know that in how many months the microalbumin will under control.Or it should be like this only.
Can u give idea about this.
 
 
Answered by Dr. L K Shankdhar 44 minutes later
Dear Friend,

Thanks for writing back.

I am sorry; it would be difficult to predict when your microalbuminuria shall disappear. Just take care of the risk factors already elaborated and get periodic check of the urine examination done.

Wishing good health.
Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 24 hours later
hi
If i conrol my suger and BP level to normal for a long lime then also it is difficult to say microalbumin in urine is disappear or not.and the condition is like this then any concerned is there for future and how many year to take for dialysis.

 
 
Answered by Dr. L K Shankdhar 1 hour later

Dear Friend,

I understand your apprehension.

First aim of therapy is to stop rise in microalbumin and often that is enough.

I have already described a research in my previous communication that 50% patients remain normal despite MACRO ALBUMINURIA and 50% develop renal failure without ever passing any albumin in urine. So this is not possible to predict anything because one more factor needs to be mentioned at this junction and that is genetic predilection which cannot be changed.

My advice to you now shall be to forget microalbumin for some time and focus on your treatment - managing sugars and hypertension well.

Hope it is clear to you.

Wishing good health

Regards
Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 17 days later
hi sir,

I have concern that if little microalbumin is present in urine than what is my diet pattern?

i am non vegetarian.I reduced a lot of non veg in my diet but i am eating fish and chicken in 2 times in one week.so is this create any problem in my kidney or not?

And eating fish also XXXXXXX ?
If is this then how many fish in one week is adviceble or i quit eating non veg ?

One more question is that how many liter of water is preferable in this condition ?
only in urine little albumin is leaking and the other is normal like creatinine,BUN, uric acid,cholesterol and BP.Suger also normal.And my HbA1c is 6.8%.

I have lost 3kg weight.my previous weight is 73 and now it is 69.is there any problem ?

I have prescribed Cardace 2.5 mg for albumin in urine.It is good medicine or i changed the medicine.

So pls give me the Idea about these above question.

Thank You.



 
 
Answered by Dr. L K Shankdhar 7 hours later
Dear XXXXXXX
It has been found that low protein diet, meaning 50G/Kg of body weight/day reduces passage of albumin in urine. For such diet, you should consult some medical nutrition therapist.
Since all your other questions belong to nutrition, please see a Nutritionist.
Bye
Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 15 hours later
hi sir,

Is back acne(reddish) relatted to diabeties ?

In my foot reddish small nerve is shown.Is it related to diabeties ?
In my foot nothing is shown only small little reddish small nerve is shown.

Ramprill Cardace 2.5 mg medicine have any side effect like kidney impairment?
Can it reflect in my case ?
 
 
Answered by Dr. L K Shankdhar 7 hours later
Hi,
Its unlikely that the backacne or the broken capillary on your foot is related to diabetes. For the backacne, consult a dermatologist. Cardace will not harm your kidneys unless there are special circumstances like renal artery stenosis which I dont think you have.
regards
Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Follow-up: Have diabetes, elevated microalbumin in urine. Prescribed Cardace. Will medication increase creatinine level? 1 hour later
hi,
for this broken capillary of the foot I have to take medicine or not ?
This is due to damage of blood vessel or wath ?
It is reverse or not ?
And how it is reverse pls tell me about this ?

One more question with control of suger and BP Can I reverse the albumin level in urine ?
 
 
Answered by Dr. L K Shankdhar 22 hours later
Hi XXXXXXX

Urine albumin can be reversed during early days once the blood pressure and sugar are controlled. However it depends on the extent of damage to the kidney.

I am afraid that the other queries should better be answered by a Dermatologist after examination.

Prof. LK Shankhdhar
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Treatment/Therapy

The user accepted the expert's answer

Ask a Diabetologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor