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Question: From Tobyhanna, Pennsylvania, USA: My eight year old son, diagnosed with type 1 diabetes three years ago, has a hemoglobin A1c of 6.9%, and his microalbumin was 2.4 mg/dl with a microalbumin/creatinine ratio of 39.0 mg/g which is high. His endocrinologist is going to check this again in about a month. What does this mean for my son? Answer: I would need much more information to make any judgements about these lab values. If you have continued questions about these lab results, I would suggest discussing them with your pediatric endocrinologist. MSB [Editor's comment: According to the 2000 ISPAD Consensus Guidelines for the Management of Insulin-Dependent (Type 1) Diabetes (IDDM) in Childhood and Adolescence: The 95th centile for albumin excretion in non-diabetic children is 7.2-7.6 µg/min Persistent microalbuminuria is defined in a minimum of two out of three consecutive urine specimens Albumin excretion rate (AER) 20-200 µg/min in timed overnight urine collections or AER 30-300 mg/24 h in 24-h urine collections Alternative definitions Albumin/creatinine ratio (ACR) 2.5-25 mg/mmol (spot urine) (Europe) [3.5-25 mg/mmol has been proposed in females because of lower creatinine excretion] ACR 30-300 mg/g (spot urine) (North America) Albumin concentration 30-300 mg/l (early morning urine) Other causes of microalbuminuria need to be excluded, e.g. glomerulonephritis, urinary tract infection, intercurrent infections, menstrual bleeding, vaginal discharge, orthostatic proteinuria and strenuous exercise   Microalbuminuria screening Screening may be performed by early morning urine albumin concentration or spot urine ACR or by timed urine collection Abnormal screening values should be confirmed by repeated sampling to demonstrate persistent microalbuminuria SS] DTQ-20030322133040 Original posting 7 Apr 2003 Posted to Complications

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:42
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