From Monrovia, California, USA:
My daughter is 11 years old. She was diagnosed with Type 1 diabetes at the age of 8. We consider her to be in good control. Her Hba1c tests have always been between 6.2 and 6.8 for the last 3 years. A recent urine test showed traces of microalbuminuria that was a little high according to her doctor. What does this mean? Is it possible that being under such good control that she could be experiencing early signs of kidney disease, or could the test have been done incorrectly? (She was just asked to pee in a small cup and that was it.) Is there a way to be completely certain that the first results are accurate? We are scared to think that she could already be experiencing early signs of complications.
Seems your doctor is aware of the need to screen for microalbumin. The exact process is not standardized. I screen a "spot" urine; if it is negative, great. If it is positive, I then get a "timed" urine, usually 12 hours over night, since it is easiest.
Some doctors want two to be positive before they treat. I treat if the timed urine is positive. ACE inhibitors are very safe. This is my way of work, although others may disagree: I am very aggressive about protecting the kidneys.
Original posting 1 Jul 2000
Posted to Complications
Last Updated: Tuesday April 06, 2010 15:09:11
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by Children With Diabetes, Inc, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2013. Comments and Feedback.