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Is an increased albumin count controllable ?

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
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This is for my dad. He is a 61 year old diabetic patient. He is going to US on August 5th, so before that he just checked his sugar yesterday and found the albumin count to be 110mg , which is high. He checked his BP today and it was 170 (after walking). Is he on a very hig risk? Is this controllable? What diet should he follow?
Posted Fri, 20 Apr 2012 in Diabetes
 
 
Answered by Dr. Jasvinder Singh 45 minutes later
Hello XXXXXXX

Thanks for posting your query.

I can understand your concern for your father. First of all, we need to take the resting BP (after rest) and not BP after walking. If the BP after rest is high, then his dose of Repace 25 needs to be increased from 25 mg to 50 mg.

Secondly if he is having high albumin in his urine, it means that diabetic nephropathy might be setting in. He needs to get a 24 hour urine examination and a urine creatinine protein ratio done.

Regarding the diet, restrict his salt, protein and sugar intake. Salt should be less than 4-5 grams per day. A diet that includes fruits, vegetables, fiber-containing foods, and low-fat milk is advised. People with diabetes can eat rice, corn, cassava, potato and other such starch XXXXXXX food items but they should be taken in moderation.

As a good diet, your father can take bed tea with toast/cracker etc, then a mid-day meal of less sugary fruit (half of banana, guava, cucumber, carrot, half of medium size XXXXXXX etc but fruits like mango, water melon, grapes etc should be taken in very small quantities. An advice from a dietitian will be helpful.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.








Above answer was peer-reviewed by
 
Follow-up: Is an increased albumin count controllable ? 1 hour later
Hi Doctor. Thanks for your answer. Just wanted to ask if the condition can be controlled by exercise and diet or is it difficult to go back to a normal albumin count, despite doing the same? How often should he check the levels?

Please guide
 
 
Answered by Dr. Jasvinder Singh 7 hours later
Hello,

Thanks for writing back.

There is no doubt that diet and exercise has got an important role to play in management of diabetes, however your father will still need to take drugs which help in not only controlling the sugar but also ensuring a reduction in the proteinuria (albumin in urine) which facilitates a longer life of the kidneys.

He also needs to ensure that the BP remains under control which can be done by salt restriction, regular exercise and taking the blood pressure medicines. He should ensure that his resting BP is less than 130/80 mm of mercury.

Your father can check his albumin levels once in 3 months and keep a regular check on his BP and blood sugar count by checking it every day( BP) and blood sugar once per week.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Above answer was peer-reviewed by
 
Follow-up: Is an increased albumin count controllable ? 2 days later
Hi Doctor. Thanks a lot for your assistance. I was quite concerned as his doctor told him its too late, as far as his kidney health is concerned, as i told you the albumin count was 110. So, you mean to say that by diet and exercise, even that can be controlled is it?
 
 
Answered by Dr. Jasvinder Singh 10 hours later
Hello,

There's no doubt that a good control of the sugar and the blood pressure plays a very important role in preventing and delaying the damage to the kidneys.

The drugs of the category of ACE inhibitors and ARB's are thought to play an important role in improving the kidney function.

Please consult a nephrologist for the same.

I sincerely hope that helps. Thanks again for following up.

Take care.
Above answer was peer-reviewed by
 
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