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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Increased Bilirubin, Microalbuminuria, Traces Of Ketones. How To Rectify Them?

Hi,

My father currently has increased bilirubin (1.3), microalbuminuria (143) and trace ketones as of July 2013 -- should I be worried about these numbers and what should be done about it?

He has been on Atorvastation 10mg since June 2012. For the last 10 years his bilirubin was around 0.7-0.9. He was negative for ketones the year before, and I don't have results for his microalbumin for previous years. His cholesterol levels has improved since taking the Atorvastation from LDL 125 mg/dl to LDL 71 mg/dl as of July 2013. His a1c has also improved from 6.7% to 6.4% as of July 2013. He is not taking any anti-diabetic medications at this time.


Medication list:
Atorvastation 10mg
Multivitamin
Fish Oil
Thu, 1 Aug 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

You mentioned that your father is not having anti-diabetic medications. Is he a diabetic? Ketone in urine in a diabetic should be taken seriously. I recommend that he be admitted in a hospital for correction of the ketosis and glucose status. I shall worry about the other parameters after his ketosis is corrected.

I hope I have answered your query to your satisfaction.

Wishing you father all the best.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Have Increased Bilirubin, Microalbuminuria, Traces Of Ketones. How To Rectify Them?

Hi, Thank you for your query. You mentioned that your father is not having anti-diabetic medications. Is he a diabetic? Ketone in urine in a diabetic should be taken seriously. I recommend that he be admitted in a hospital for correction of the ketosis and glucose status. I shall worry about the other parameters after his ketosis is corrected. I hope I have answered your query to your satisfaction. Wishing you father all the best. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl