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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Advice On Microalbumin Creatinin Ratio.

I am taking oncortrex for RA 10mg per week since 4 months .i am diabetic and hypertensive and on medication .in the recent test microalbumin creatinin ratio was 89 .is it due to RA medication .?sugar levels are under contrôl.HbA1c is 6.2 . Pl answer
Fri, 2 May 2014
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Diabetologist,  's  Response
Dear sir i can understand your concern.In my opinion the cause of increased microalbuminuria may be due to
1.RA itself causes some renal damage and in this scenario we can not include oncotrex because 10mg is a very minal dose.
2. long term diabetes also causes some proteinuria
3.in case of urinary tract infections also there will be false increase of microalbumin.
i suggest you to use ACE or ARB take advise of your doctor.
I suppose I have given the desired response if you have any other query please write back.
Otherwise please accept & rate my answer. I will appreciate your review about my answer.
Best Regards.
Dr Vamsi Krishna
Consultant Diabetologist
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Need Advice On Microalbumin Creatinin Ratio.

Dear sir i can understand your concern.In my opinion the cause of increased microalbuminuria may be due to 1.RA itself causes some renal damage and in this scenario we can not include oncotrex because 10mg is a very minal dose. 2. long term diabetes also causes some proteinuria 3.in case of urinary tract infections also there will be false increase of microalbumin. i suggest you to use ACE or ARB take advise of your doctor. I suppose I have given the desired response if you have any other query please write back. Otherwise please accept & rate my answer. I will appreciate your review about my answer. Best Regards. Dr Vamsi Krishna Consultant Diabetologist