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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is The Microalbumin Level Difficult To Control?

Hi i was detected high sugar and high blood pressure 6 months bac, i started diet and working out my sugar medicines stopped and my sugar is under control, i have microalbuin in my urine 50 mg its not going down. Please help me understand why this is the only thing not under control
Thu, 18 Feb 2016
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General & Family Physician 's  Response
hello,
based on what you said, you are more likely having diabetic nephropathy complication with micralbuminuria which is the earliest detectable pathology.
There are few reasons why this is not under control based on what I usually in patients
1. Having poor control of hypertension and sugar.
2. overweight people
3. Higher HbA1c level
I suggest daily blood pressure monitoring, a lipid profile test and especially Hba1c test.
Keeping under control the above, tab. enalapril 2.5mg twice daily is an effective management for microalbuminuria and blood pressure.

Wish you swift and speedy recovery.
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Why Is The Microalbumin Level Difficult To Control?

hello, based on what you said, you are more likely having diabetic nephropathy complication with micralbuminuria which is the earliest detectable pathology. There are few reasons why this is not under control based on what I usually in patients 1. Having poor control of hypertension and sugar. 2. overweight people 3. Higher HbA1c level I suggest daily blood pressure monitoring, a lipid profile test and especially Hba1c test. Keeping under control the above, tab. enalapril 2.5mg twice daily is an effective management for microalbuminuria and blood pressure. Wish you swift and speedy recovery.