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).