From Austin, Texas, USA:
My 15-year-old son was determined to have postural proteinuria a year ago by a pediatric nephrologist. He has been on an ACE inhibitor since he was 12 due to microalbuminuria determined by his endocrinologist. The nephrologist recommended my son stay on the ACE inhibitor and continue to have quarterly urinalysis. The ACE inhibitor helps keep the levels down. What he didn't say is if my son need to take the ACE inhibitor for the rest of his life. Does the protein leaked in the urine due to postural proteinuria disappear when the child reaches adulthood -- say in his 20s?
Usually, such treatment is "for life" but, it depends upon the individual, A1c and daily glucose control, family susceptibilities, etc. Follow-up microalbumin levels will help determine the need. There is no standard protocol but many of us will try discontinuing such medications if there is a two to three year period of absolutely no microalbuminuria in the future.
Last Updated: Tuesday April 06, 2010 15:10:20
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 T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.