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Saint Petersburg, FL
A 61-year-old female asked:

diabetic with elevated wbcs in blood combined with proteinuria. primary gave ace inhibitor. should i see specialist?

3 doctor answers4 doctors weighed in
Dr. Jack Rubin
Nephrology and Dialysis 48 years experience
Proteinuria: You should see a nephrologist. You need to collect your urine for 24 hours to obtain a determination of your kidney function as well as finding out how much protein is in your urine in 24 hours. Depending on the amount of protein in your urine, you may need to be placed on another drug aslong with the ace-i. You may blood tests to see if causes other than diabetes are causing proteinuria.
Dr. William Mitchell
Pathology 61 years experience
Yes: Proteinuria indicates kidney damage due to your diabetes. You need to monitor blood glucose with medication to keep blood glucose as close to normal as possible. See an endocrinologist with a major interest in diabetes.
Dr. Philip Kern
Endocrinology 43 years experience
Inflammation: Diabetes is characterized by a low grade inflammation. Many markers of inflammation are increased, including wbc, crp, tnf, others, even though there is no active infection. The ace-i is definately the right thing for the proteinuria. For the inflammation, weight loss (if obese) is best. Sounds like your doctor is doing the right thing, although an endocrinologist visit may not hurt.

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Last updated Oct 18, 2016
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