These : These two results sound at first hearing very different. The last 24 hour result is normal. Keep in mind that the spot (random) urine is evaluated as a ratio urine microalbumin to as miligrams of Albumin per gram of creatinine or micrograms Albumin per milligrams of creatinine. A spot determination is as good as the 24 hour collection, in general, so we do not recommend doing 24 hour collections. They are a nuisance. After less than 2 years of diabetes you would not be expected to have diabetic kidney disease. There may be a lab issue problem. Normal 24 hour urine Albumin is less than 30 milligrams. Was that first collection expressed as 2390 milligrams or micrograms? If micrograms, that value is not high. See a nephrologist if there is a question. And get a simple urinalysis to check out other aspects of your urine.
Answered 10/3/2016
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