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Melbourne, FL
A 50-year-old female asked about a 72-year-old male:

72 yr old male, with diabetes and hbp... kidney funct. normal, elev. microalbumin and microalb. creatinine, high hemoglobin a1c. do i have kidney dis?

2 doctor answers3 doctors weighed in
Dr. Jack Rubin
Nephrology and Dialysis 50 years experience
Kidney disease?: Not having protein (p) in your urine is a good sign that you have no significant renal disease (r). You failed to note your creatinine level. At age 72, apart from your hypertension and diabetes, your kidney function would not be expected to be normal. Go to a nephrologist to have a 24 hour urine collection to assess your GFR and if you have any p in your urine, that why you'll know if you have r.
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Dr. Jack Rubin
Dr. Jack Rubin commented
Nephrology and Dialysis 50 years experience
Provided original answer
It seems as if I did misread your question. If you have an elevated microalbumin and creatinine, you do have renal disease. If you have a high Hb A1c, you need to control your glucose better. See both your enodcrinolgist and a nephrologist for the urine collection as mentioned.
Dec 5, 2013
Dr. Theresa Redling
Geriatrics 36 years experience
Yes: By definition, if your creatinine is elevated, you have kidney disease. When we calculate your kidney fucntion, we take into consideration your weight and age. An elevated hb a1c suggests poor blood sugar control. Although it is not directly related to kidney function poor glycemic control, a persistently elevated a1c may contribute to a decline in renal function. Please talk to your doctor.
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Last updated Jan 2, 2020


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