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What does microalbumin level of 1292 indicate?

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Posted on Mon, 28 Jul 2014
Question: I recently had a microalbumin test done and the number was 1292. Been a diabetic for 40 years and being seen by a nephrologist in a few weeks. Not sure what a lab result of 1292 means
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Answered by Dr. Rovena Murati (1 hour later)
Brief Answer:
It means you have a significant kidney damage.

Detailed Answer:
Hello!
I read carefully your query and understand your concern.

Since you are 47 years old and have had Diabetes for 40 years ,it means you have Type 1 diabetes and you are treated with Insulin.

Healthy kidneys filter waste from your blood and keep the healthy components, such as proteins like albumin. Kidney damage can cause proteins to leak through your kidneys and leave your body in your urine. Albumin is one of the first proteins to leak when kidneys become damaged.

Since patients with Diabetes are in high risk of developing kidney damage (diabetic nephropathy ), microalbumin test is recommended to be done once a year in Diabetics.

A urine microalbumin test is recommended to detect early signs of kidney damage. Treatment for early kidney damage may prevent or delay more advanced kidney disease.

Microalbuminuria is defined as excretion of 30–300 mg of albumin per 24 hours on 2 of 3 urine collections.
The detection of low levels of albumin excretion (microalbuminuria) has been linked to the identification of incipient diabetic kidney disease.
Values above 300 mg in 24 hours are considered as macroalbuminuria.

In your case your urine albumin level of 1292 mg/day is considered Macroalbuminuria and it means that Diabetes has caused significant damage in your kidneys.
Further evaluation is needed including Albumin/creatinin ratio , Creatinine, BUN, Creatinine/BUN ratio etc.

I suggest to consult your nephrologist as soon as possible.

Hope my answer has helped.
Fell free to ask if you have any other question or doubt to clarify,I will be happy to help.

Wish you good health.

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rovena Murati

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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What does microalbumin level of 1292 indicate?

Brief Answer: It means you have a significant kidney damage. Detailed Answer: Hello! I read carefully your query and understand your concern. Since you are 47 years old and have had Diabetes for 40 years ,it means you have Type 1 diabetes and you are treated with Insulin. Healthy kidneys filter waste from your blood and keep the healthy components, such as proteins like albumin. Kidney damage can cause proteins to leak through your kidneys and leave your body in your urine. Albumin is one of the first proteins to leak when kidneys become damaged. Since patients with Diabetes are in high risk of developing kidney damage (diabetic nephropathy ), microalbumin test is recommended to be done once a year in Diabetics. A urine microalbumin test is recommended to detect early signs of kidney damage. Treatment for early kidney damage may prevent or delay more advanced kidney disease. Microalbuminuria is defined as excretion of 30–300 mg of albumin per 24 hours on 2 of 3 urine collections. The detection of low levels of albumin excretion (microalbuminuria) has been linked to the identification of incipient diabetic kidney disease. Values above 300 mg in 24 hours are considered as macroalbuminuria. In your case your urine albumin level of 1292 mg/day is considered Macroalbuminuria and it means that Diabetes has caused significant damage in your kidneys. Further evaluation is needed including Albumin/creatinin ratio , Creatinine, BUN, Creatinine/BUN ratio etc. I suggest to consult your nephrologist as soon as possible. Hope my answer has helped. Fell free to ask if you have any other question or doubt to clarify,I will be happy to help. Wish you good health. Dr.Rovena Murati