A member asked:

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

3 doctors weighed in across 2 answers

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.

Answered 9/29/2016

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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.

Answered 1/2/2020

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