170mg Protein in Urine

[milespro]

My most recent test was the first time I have shown a significant (IMO) amount of protein in the urine.
It came back at 170mg, and from what I read if it is >30 then that is a sign of kidney damage.
It didn't seem alarming to my endo and she said it will be followed up on my next visit as she feels it will go down when my BG's are under control.

This visit my A1C was at 7.9. For the last couple of years it has bounced between 6 and 7.5 depending on what treatment I was under. ( I was diagnosed as type2 and given wrong meds for 2 years) I was just put on a fast acting insulin for the first time on that visit and its working wonders, but I'm very scared about my kidney function. :(

Anyone have experience with similar numbers and what has resulted in it? kidney failure? bounced back to normal? (is that possible?) etc. etc.

Advice would be greatly appreciated.

[Funnygrl]

Are you on an ACE inhibitor yet?

[milespro]

Not currently on any ACE inhibitors. I'm unaware of what that is exactly. :(

[Funnygrl]

Not currently on any ACE inhibitors. I'm unaware of what that is exactly. :(
It's a drug that's used to lower blood pressure, but given in small doses doesn't affect blood pressure and is proven to protect the kidnies from the damage diabetes does.

Have you ever had protein in your urine before?

[BriOnH]

Get multistix and test at home for protien. I find I spill protien when I am spilling lots of sugar. If I can keep from spilling sugar out of my kidneys for a couple of days, usually the protien stops coming out.

170 is a concerning number. Do not hit 300. At that point it get extremely difficult to reverse. Don't worry about it. Instead concentrate on keeping sugar out of urine. If you are over weight, cut your weight immidiatly. If you are a smoker, quit. Those two factors are extremely critical to the microvascular system that runs through the kidneys. If you have high bp, get on an ACE (even if you don't, like fg suggested, get on an ace). High BP + sugar will rot nails. Think what it does to your kidneys.

[milespro]

Well my blood pressure is on the low / normal side and I'm a thin guy, about 140lbs 5'10". Cholesterol was high this time around though as it hadn't been before. I'm going to be cutting down on the fats and I will ask about the inhibitor.. oh and non smoker too ;)

Mainly.. that number 170 concerns me... from other posts I've read.. 50 was a concerning number so I'm curious how this came out of no where and it kinda scares me. :(

[BriOnH]

Well my blood pressure is on the low / normal side and I'm a thin guy, about 140lbs 5'10". Cholesterol was high this time around though as it hadn't been before. I'm going to be cutting down on the fats and I will ask about the inhibitor.. oh and non smoker too ;)

Mainly.. that number 170 concerns me... from other posts I've read.. 50 was a concerning number so I'm curious how this came out of no where and it kinda scares me. :(

It's also just one test mp. Good to read you don't have other risk factors for kidney damage. That is great. You are a super thin dude! Get the multistix and test yourself. It will help put your mind at ease, or it will help encourage you to make the changes to reverse that number.

[Funnygrl]

IMO, all diabetics should be on an ACE. My last bp was 100/50, but I'm still on one.

[Oradev]

I wouldn't worry too much about it. I’ve spilled protein in my urine (not sure what amounts) a few times, but the doctor did not take action. He told me that it can fluctuate. I think that one of the most important tests is the micro albumin test.

[Funnygrl]

I'm not sure I agree with your doctor, actually. If you spil protein, it's a sign that there are gaps in your kidnies big enough to let protein through. These gaps shouldn't be there. Yes, it can flucuate depending on stress, etc, but if you spilled it, the gaps are there.

[statdeac]

IMO, all diabetics should be on an ACE. My last bp was 100/50, but I'm still on one. That's a bit low. Do you get lightheaded ever?

[BriOnH]

I wouldn't worry too much about it. I’ve spilled protein in my urine (not sure what amounts) a few times, but the doctor did not take action. He told me that it can fluctuate. I think that one of the most important tests is the micro albumin test.

Microalbumin = smaller precursor protiens. If you are spilling (big) protien, you are most deffinitly spilling the smaller ones.

[Funnygrl]

That's a bit low. Do you get lightheaded ever?
If I stand up too quickly. It's not that low all the time, but it can get there quite easily now.

[scoubie2]

I just discovered my micro-protein count is 170, also. I have been asked to give another sample. This is all news to me.
I'm a diabetic, with HBP, and uncontrolled a1c also.
Everything I have read so far indicates Kidney damage.
I'm hoping not. We'll see.

[LMSTUCK]

I was concerned when my urine tests read some protein in my urine. I researched it and my doctor put me on a low dose of lisinopril. My blood pressure on average is 90/60. I take it at bedtime and have never had any problems.

[It Ain't Over]

Using ACE inhibitor, or the alternative ARB, is essential for anyone with Type 1. But if you have poor control you will be putting more pressure on you kidneys than they can handle. You need to get those A1C's down to the 6% range, preferably into the 5's.
You should look into an alternative diet. Fastest and most certain way to get the A1C down and keep it down.

[DesertRose]

Hi.

Last year there was a small amount of protien in my urine. Normal is 30 and under like you said - mine was 45!

My doctor put me on an ace inhibitor and since then my levels have been normal.

So I would definatley check with your doctor about getting on an ace inhibitor. My blood pressure was/is normal so I was put on a small dose as to not drop me too low. Ive had no problems.


My most recent test was the first time I have shown a significant (IMO) amount of protein in the urine.
It came back at 170mg, and from what I read if it is >30 then that is a sign of kidney damage.
It didn't seem alarming to my endo and she said it will be followed up on my next visit as she feels it will go down when my BG's are under control.

This visit my A1C was at 7.9. For the last couple of years it has bounced between 6 and 7.5 depending on what treatment I was under. ( I was diagnosed as type2 and given wrong meds for 2 years) I was just put on a fast acting insulin for the first time on that visit and its working wonders, but I'm very scared about my kidney function. :(

Anyone have experience with similar numbers and what has resulted in it? kidney failure? bounced back to normal? (is that possible?) etc. etc.

Advice would be greatly appreciated.

[WhyNotSmile?]

Was the sample 24 hour urine or random sample?

[techgirl2000]

milespro,

I just had my blood work done a few days back as I'm back to having hypothyrodism symptoms (diagnosed with T1 D & hyperthyroidism 12yrs back) as I've have been going for radioiodine treatment for hyperthyroidism.

My HBA1c was down from 8.0 mmol/l in Feb 2009 to 7.4 mmol/l. Microalbumin was 28.3 mg/dl then but now @ 130 mg/dl. I was very alarmed by the microalbumin test cause the max range was 200 mg/dl.

On the day of my blood test, my BGL was high (15.1 mmol/l) although the night before it was 3.5 mmol/l before I slept (had to fast after 12 midnight). My mistake was I didn't take my insulin dosage as I feared I would hypo during sleep. My Dr said in my case, I HAVE to inject some insulin as my body is incapable of producing any insulin at all.

I've been on 8mg Coversyl since I was diagnosed with hypertension abt a yr or so back and it functions as an ACE inhibitor as well. My Dr said he wouldn't be suprised to see microalbumin in diabetic patients and tht 8mg of Coversyl is the highest dosage. So no action required on that part.

You should talk to your Dr abt ACE inhibitor.

The standard advice is: Practice good blood glucose control, healthy diet, exercise, etc. That's all we can do to battle D.

Regards,
Jessie