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What is the significance of high microalbumin in urine?

Saturday, 16 February 2008
Answered by: Dr. Dinesh Dhanwal
Senior Consultant Endocrinologist,
Maulana Azad Medical College,
New Delhi
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Q. I am 45 years old. Recently, I got health screen tests. The microalbumin-urine is very high at 138.30 mcg/ml, creatinine-urine is 119.10 mg/dl and URI albumin/creatinine ratio is 116.12 mcg/mg. My GTT is within the normal range. The HbA1c and average blood glucose levels are also normal. My total cholesterol is 251; HDL-Direct is 48.9; triglycerides is 237; LDL-Direct is 159; VLDL is 47.4; TC/HDL ratio is 5.13 and LDL/HDL ratio is 3.25. What is the significance of high microalbumin in urine?

A.  Your problem is twofold.
  1. Microalbuminuria: you need to confirm it again after a month. The common causes are hypertension and DM. If your BP is also normal, then do not worry get it repeated after a month. Sometimes it may occur even after doing vigorous exercise or infection. I presume that your urine routine is normal.
  2. Lipid problem: This needs to be tackled by diet and medication. At these levels you need medication as well. Suggested medication is Niator (one tablet per day).

A.  Your problem is twofold.
  1. Microalbuminuria: you need to confirm it again after a month. The common causes are hypertension and DM. If your BP is also normal, then do not worry get it repeated after a month. Sometimes it may occur even after doing vigorous exercise or infection. I presume that your urine routine is normal.
  2. Lipid problem: This needs to be tackled by diet and medication. At these levels you need medication as well. Suggested medication is Niator (one tablet per day).

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