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What Does My Lab Test Report Indicate?

Posted on Wed, 5 Apr 2017

Question: Hello Dr. These are the reports of a 67 years old . He underwent byepass in 2011. Snd he is a diabetic. Taking insulin since one month. What these report shows

Answered by Dr. Dr Sameer Maheshwari (31 hours later)

Brief Answer:
Denoting involvement of kidney

Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist from Fortis hospital.
The reports denote presence of albumin in urine which means involvement of kidney due to diabetes.

Actually diabetes primarily causes three things - involvement of nerves (causing weakening of nerves & thus decreased sensitivity to pain),
Involvement of retina (causing progressive diminishing of vision)
Involvement of KIDNEY - this causes gradual worsening of function of kidney & finally complete failure.
Initial & early test to determine involvement of kidney is microalbumin (a type of protein) in urine.

So he has a involvement of kidney in early stage because of diabetes.
Rest of tests are fine.
Hope this answers your query. If you have any more question, I'll be happy to help.
Thanks & take care

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr Sameer Maheshwari (31 minutes later)

Is it very serious condition? He use to take ramipril but then his doc changed that. Now aztrics 40 suggested before the tests. Are theyvuseful? Can live good life by maintaining sugar levels and bp. Any precaution or medi?

Answered by Dr. Dr Sameer Maheshwari (15 minutes later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi,
Welcome back.
It is just the starting of disease & is present in many diabetic patients. It does not mean that they all develope kidney failure.
It is the starting warning. If bp & sugar are maintained than their are very less chances of developing further damage to kidney.
Aztrics is Azilsartan & a very good drug which prevent the progression of kidney dysfunction & also keeps bp in control. So keep taking it.
He can & will live a absolutely normal life. You just have to be careful that his sugar & bp are well controlled.
No other extra medicine is required.
Check the kidney function test (KFT) every 6 months.
Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr Sameer Maheshwari (27 minutes later)

Thanks doc

Answered by Dr. Dr Sameer Maheshwari (5 hours later)

Brief Answer:
Welcome

Detailed Answer:
Hu,
Welcome back.
If you have any question in future, I'll be happy to help.
If your current query is answered, you can choose to close the discussion.
Thanks & take care

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D