 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Diabetes / September 2007No insulin yet, but...
A1c down to 7.1 from 7.8 so no insulin at the moment. But... Microalbumin is 50.0 and should be <18.0. Urine Creatinine 45.6. No range given for that. Microalbumin/Creat Ratio 110 and should be <30. 30-300 mg/g Increased risk for diabetic nephropathy. Two of three Microalbumin/Creatinine Ratios in this range indicate micoalbuminaria and diabetic nephropathy. Dr. made a note to increase Lisinopril from 10 mg to 20 mg. However... I am already taking 30 mg so I have to call him and get that straightened out. I had to do this same thing before. Somehow he must not have changed my numbers in his computer or something. TSH 1.49. Range is 0.40-5.00. > A1c down to 7.1 from 7.8 so no insulin at the moment. But... > [quoted text clipped - 10 lines] > > TSH 1.49. Range is 0.40-5.00. Julie congrats on your A1c coming down. Good work girl. :-) When they do a Microalbumin on me and it is elevated it is a kidney infection. Could you have one or does those things mean kidney damage? >> A1c down to 7.1 from 7.8 so no insulin at the moment. But... >> [quoted text clipped - 17 lines] > > Could you have one or does those things mean kidney damage? Nobody has said what it could mean. I don't seem to have signs of an infection, but... My friend had an infection and no signs. She went into the hospital for a nosebleed that didn't stop and found out she had a whole bunch of stuff wrong with her. This has been going on for a while with me. I think I had a problem twice, then no problem then a problem again. But I might have the sequence wrong. Don't feel like going back through my labs. >>> A1c down to 7.1 from 7.8 so no insulin at the moment. But... >>> [quoted text clipped - 26 lines] > twice, then no problem then a problem again. But I might have the > sequence wrong. Don't feel like going back through my labs. I am really sorry for your friend having so many problems. I hope yours is nothing serious. I know when I had the microalbumin urine done it was to see if I had kidney infection and I did. I didn't have any symptoms either. This time I did though so that was good. If you should want to read up on it here is a link for you. http://diabetes.webmd.com/Microalbumin-Urine-Test Another helpful link I hope for you is this one. http://www.labtestsonline.org/understanding/analytes/microalbumin/test.html Best of health Julie. I am sorry you have all these health issues. > I am really sorry for your friend having so many problems. > [quoted text clipped - 10 lines] > > Best of health Julie. I am sorry you have all these health issues. Thanks! >> I am really sorry for your friend having so many problems. >> [quoted text clipped - 12 lines] > > Thanks! You are more than welcome :-) >>> A1c down to 7.1 from 7.8 so no insulin at the moment. But... >>> [quoted text clipped - 26 lines] > twice, then no problem then a problem again. But I might have the > sequence wrong. Don't feel like going back through my labs. I'm a bit concerned here. You have microalbuminaria and an A1c in the "fair" range and the doctor doesn't prescribe something immediately? I hope this wasn't an endo. I am also concerned that he just wanted to up the ACE med (even though you are over the dose he was going to up it to anyway). An ACE isn't a magic pill that prevents end-stage renal disease. Like diabetic meds, it is their to assist. A diabetic can over ride any med. Kidney disease can begin with bg's lower than those that cause other diabetic complications. I would not be letting this situation go on for much longer. >>>> A1c down to 7.1 from 7.8 so no insulin at the moment. But... >>>> [quoted text clipped - 38 lines] > diabetic complications. I would not be letting this situation go on for > much longer. I am concerned too. Thanks Jan for putting into words I could not come up with. Please Julie ask lots of questions to the doctor and get this taken care of. Those numbers are just way too high. We care about you alot. > I'm a bit concerned here. You have microalbuminaria and an A1c in the > "fair" range and the doctor doesn't prescribe something immediately? I [quoted text clipped - 3 lines] > Like diabetic meds, it is their to assist. A diabetic can over ride any > med. Yes, this is an Endo. and purportedly the best in the area. I don't know what other meds I should be on but I will ask. The problem with upping the ACE is it's going to make my already sometimes too low BP even lower. I have fainted a couple of times from this already. His solution? Stop taking the diuretic. But when I do that I just get puffy feet and ankles and that is painful. > Kidney disease can begin with bg's lower than those that cause other > diabetic complications. I would not be letting this situation go on for > much longer. He has not said I have actual damage. And I don't know what other tests would be done to check for this. But I will ask. >A1c down to 7.1 from 7.8 so no insulin at the moment. But... > [quoted text clipped - 8 lines] >I had to do this same thing before. Somehow he must not have changed my >numbers in his computer or something. How comfortable are you that he's treating possible kidney damage so conservatively? I know you have problems finding docs who will take your insurance, but this guy doesn't sound very proactive... Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 >>A1c down to 7.1 from 7.8 so no insulin at the moment. But... >> [quoted text clipped - 14 lines] > conservatively? I know you have problems finding docs who will take > your insurance, but this guy doesn't sound very proactive... He hasn't said one way or the other what it does mean. I did ask if it meant kidney damage and he said not necessarily. There are no Endos. in the city where I live. This guy is in another city and I have to get a ride there because it is too far for me to drive. He is recommended by my Dr. and also by the diabetes educator that my dad goes to. My dad does not see an Endo. There is an Endo. in the city where my dad lives, but I've heard he is no good. >> How comfortable are you that he's treating possible kidney damage so >> conservatively? I know you have problems finding docs who will take [quoted text clipped - 8 lines] > goes to. My dad does not see an Endo. There is an Endo. in the city where > my dad lives, but I've heard he is no good. How about having at least one consult withe a kidney specialist? bj >>> How comfortable are you that he's treating possible kidney damage so >>> conservatively? I know you have problems finding docs who will take [quoted text clipped - 10 lines] > > How about having at least one consult withe a kidney specialist? I suppose I could try to find one of those. Not sure there are any around here. My friend who had kidney failure had to go to the U of WA, but there might have been extenuating circumstances. >>>> How comfortable are you that he's treating possible kidney damage so >>>> conservatively? I know you have problems finding docs who will take [quoted text clipped - 14 lines] > here. My friend who had kidney failure had to go to the U of WA, but > there might have been extenuating circumstances. If you have microalbumineria you have kidney damage. If the bg's can be brought back into line quickly (and BP if it is high - you says yours isn't though) then there is a good chance of reversal. A good chance - not a definite. It can be a rapid progression to dialysis! Get a second opinion and I suggest it be ASAP. As much as you may hate this, you may have to start re thinking the foods you dislike as you have allergies to the foods that can help bring down bg. I joined the yahoo gastroparesis list by the way to get an idea of what others are doing. Have you seen that list? It's looks ok. > If you have microalbumineria you have kidney damage. If the bg's can be > brought back into line quickly (and BP if it is high - you says yours [quoted text clipped - 5 lines] > list by the way to get an idea of what others are doing. Have you seen > that list? It's looks ok. I can not eat much of what is on that list because of the allergies. I am in that group, but most of those people are on feeding tubes, so I don't feel like I have anything in common with them. When my stomach is acting up, I am pretty much limited to Cinnamon Toast Crunch cereal, a bit of chicken breast, chicken broth and white rice. Anything else comes right back up. When my stomach is cooperating, I can eat the raw vegan diet, but must severely limit my portion sizes. When it comes to food, it's not just a matter of disliking it. I can't eat goitrogenic foods for two reasons. One being the goiter and another that they are too high in fiber for my stomach. I can't do most meats because I throw them up. Once in a while I have a small amount of bacon or some hamburger. I seem to be able to do dried beans with no problems. Green smoothies have been recommended to me, but they are really high in carbs because they contain bananas and assorted juices. Also, any time I've tried to drink a smoothie, I gag on it so that's not good. I will see what I can do. My Dr. didn't call me back. His assistant did. I did look up diabetic nephropathy and it does appear that an ACE is standard treatment. I also heard back from the gastroenterologist's assistant. She told me to try Maalox or Mylanta. Hopefully they won't cause those sick migraines. I am getting over yet another one. They make me so sick to my stomach that I can't keep any food down other than the cereal and chicken, broth and rice. > How comfortable are you that he's treating possible kidney damage so > conservatively? I know you have problems finding docs who will take [quoted text clipped - 4 lines] > D&E, 100ug thyroxine > Last A1c 5.6% BMI 25 The UCLA kidney researchers who visited my support group told us that GFR (glomeruler filtration rate) was the best way to judge kidney function. You need your serum creatinine level from your most recent lab test. The urine creatinine level is not usable in this test. The GFR assesses how rapidly your kidneys are clearing creatinine from your blood. Creatinine is a byproduct of muscle activity. The more muscle mass one has affects the calculation: http://www.davita.com/gfr_calculator/ There are several GFRs on the web, but this one gives the grade scale. > There are several GFRs on the web, but this one gives the grade scale. Ooops....should have read "There are several GFR calculators on the web, but this one gives the grade scale." >> There are several GFRs on the web, but this one gives the grade scale. > > Ooops....should have read "There are several GFR calculators on the web, > but this one gives the grade scale." Well, I don't think they tested for that. At least it doesn't show on my labs. Good to hear the a1c is dropping some for ya. Lisiniprol gave me a bad cough and water on the lungs..sigh...just now starting to recover. The say it can happen as far as a year out. KROM > A1c down to 7.1 from 7.8 so no insulin at the moment. But... > [quoted text clipped - 10 lines] > > TSH 1.49. Range is 0.40-5.00. > Good to hear the a1c is dropping some for ya. > [quoted text clipped - 18 lines] >> >> TSH 1.49. Range is 0.40-5.00. That is true Krom. My cough and water lasted at least a year. Since August 06 and have only quieted down from the cough about two weeks now. Oh such a relief too. I am lucky!... its been about 2 weeks off the lisinopril and on the new med..forget the name..has a heart on it..lol..but im coughing less now which is awsome..i felt like the girl on utube with perma hicups..i was coughing every two seconds i coulnt eat cause id cough as i chewed... KROM >> Good to hear the a1c is dropping some for ya. >> [quoted text clipped - 22 lines] > 06 and have only quieted down from the cough about two weeks now. Oh such > a relief too. Hey that is great news Krom !!! I am taking a med with a little heart too and it is called Avapro and I really like it. I hated having that cough from the Lisinopril. Glad you are doing better. >I am lucky!... its been about 2 weeks off the lisinopril and on the new >med..forget the name..has a heart on it..lol..but im coughing less now [quoted text clipped - 29 lines] >> August 06 and have only quieted down from the cough about two weeks now. >> Oh such a relief too. hey thats the one!..i had to get it because the one the endo prescribed the insurance wouldnt cover. i was told it might produce a slight cough but man that was crazy! My chest and stomach were hurting bad from all the coughing..its like clear blue skies and angels singing to be getting rid of it...lol. KROM > Hey that is great news Krom !!! I am taking a med with a little heart too > and it is called Avapro and I really like it. I hated having that cough [quoted text clipped - 33 lines] >>> August 06 and have only quieted down from the cough about two weeks now. >>> Oh such a relief too. I agree. I longed for those clear blue skies and Angels singing my cough was so bad and then wallahhh it was gone and I finally slept. No one told me what would happen. My realtor is on Lisinopril so I should tell him as he coughs too but not as much as I did. Glad you got a good one. Now you rest that safe and restful sleep sleep sleep. Uh oh wrong commercial :-) > hey thats the one!..i had to get it because the one the endo prescribed > the insurance wouldnt cover. [quoted text clipped - 41 lines] >>>> August 06 and have only quieted down from the cough about two weeks >>>> now. Oh such a relief too. In alt.support.diabetes on Thu, 27 Sep 2007 04:59:10 -0500 in Msg.# > Good to hear the a1c is dropping some for ya. > > Lisiniprol gave me a bad cough and water on the lungs..sigh...just now > starting to recover. > The say it can happen as far as a year out. Thanks for the heads up on that long-term initial onset for that complication. And, I'm so sorry you've had to suffer through this yuck for so long.  SignatureDonnaB shallotpeel, T2 since June 06, USA, last HbA1c 5.3 º Why isn't phonetically spelled that way? Thnx..as i told diana im very lucky in that after two weeks off im recovering..still coughing alot but at least i get a few minutes rest between now. I was shocked because i was fine for months and like i say the complication can hit as far as a year out from starting it.. KROM > In alt.support.diabetes on Thu, 27 Sep 2007 04:59:10 -0500 in Msg.# > [quoted text clipped - 8 lines] > > And, I'm so sorry you've had to suffer through this yuck for so long. Not to worry. The cough will finally disappear after about another week or two. Mine did. Now I cough only because of my constricted airways from the Chronic Bronchitis. I am one happy camper not to be coughing every second of every day LOL. > Thnx..as i told diana im very lucky in that after two weeks off im > recovering..still coughing alot but at least i get a few minutes rest [quoted text clipped - 16 lines] >> >> And, I'm so sorry you've had to suffer through this yuck for so long. |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.