Hi,
From above narration it is clear that you have pancreatic
diabetes mellitus.
Though in it there is no insulin production by pancreas (B cell), it is different from Type I DM because of low level of glucagon (anti insulin hormone produced by pacreatic alfa cells) in pancreatic DM thats why low chances of development of diabetic
ketoacidosis (acute complication of Type I DM) in pancreatic diabetes.
In pancreatic DM pancreas also cannot produce enzymes needed for digestion and hence enzymes are supplied in form of tab creon.
In pancreatic diabetes development of microvascular complications of diabetes (
diabetic retinopathy, nephropathy, neurpathy) is same as in Type II DM, though development of macrovascular complication (
heart attack, CVAs (paralytic attack) ) are very less in pancreatic DM.
For screening of development of
diabetic nephropathy there is test called as renal function test which includes
serum creatinine, urea, BUN, electrolytes, uric acid, calcium, phosphorus, urine examination for
microalbumin or spt urine urinary albumin creatinine excretion ratio.
In your case Urinary microalbumin concentration of 85 & Urinary microalbumin to creatinine ratio of 86 denote presence of microalbunuria, which is early predictor of development of diabetic nephropathy and other microvascular complications.
You should also screen for diabetic retinopathy by doing fundoscopy, foot examination for neuropathy.