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Home > Archive > Kidney Failure > September 2006 > High Protein in Urine and Kidney Failure
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High Protein in Urine and Kidney Failure
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| peter.n 2006-09-03, 8:27 am |
| Hi ,
I have diabetes type 2 and have a high level of albumin in my urine . It is
macroalbuminuria or proteinuria [ as opposed to
small quantities of protein in the urine which is called microalbuminuria ]
How long can this last if treated ( i.e. before I need dialysis ) ? I am 41
years old and male .
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| Jason Johnson 2006-09-03, 4:27 pm |
| In article <44faaeb7$0$5110$afc38c87@news.optusnet.com.au>, "peter.n"
<email@e.com> wrote:
Hi ,
I have diabetes type 2 and have a high level of albumin in my urine . It is
macroalbuminuria or proteinuria [ as opposed to
small quantities of protein in the urine which is called microalbuminuria ]
How long can this last if treated ( i.e. before I need dialysis ) ? I am 41
years old and male .
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Hello,
I suggest that you read the following book. I just checked the index and
noticed that albumin is mentioned on 13 different pages. The author of the
book will answer your other questions.
COPING WITH KIDNEY DISEASE--A 12 STEP PROGRAM TO HELP YOU AVOID DIALYSIS
by Mackenzie Walser, M.D. (kidney specialist and college professor)
Jason
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| In article <44faaeb7$0$5110$afc38c87@news.optusnet.com.au>,
"peter.n" <email@e.com> wrote:
> Hi ,
>
> I have diabetes type 2 and have a high level of albumin in my urine . It is
> macroalbuminuria or proteinuria [ as opposed to
> small quantities of protein in the urine which is called microalbuminuria ]
>
> How long can this last if treated ( i.e. before I need dialysis ) ? I am 41
> years old and male .
You need to speak to your doctor first.
Proteinuria associated with diabetic nephropathy (well, most
proteinuria) is usually treated with either ACE inhibitors or ARBs.
These are both antihypertensives that have a side-effect of protective
action on the kidneys and retard proteinuria even in normotensive
patients. If you do have high blood pressure, do whatever it takes to
get within normal range.
You should also ask your doctor about whether a modified diet is right
for you; mot nephrologist recommend a diet limiting phosphorus, sodium
and postassium for those with a 24-hour proteinuria value over 3 grams
(protein restrictions have fallen out of favor with nephrologists who
follow the lastest research). Avoiding NSAIDs - drugs like ibuprofen,
aspirin, Toradol, etc - is extremely important in the patient with
proteinuria; these drugs are nephrotoxic and can can increase
proteinuria and in some cases, even bring on complete renal failure.
Control your diabetes; keep your HbA1c at 7.1% or lower. 6% or lower is
better.
How long can it last? No one can tell you. It depends upon how much
damage is done to your kidneys; your genetic propensity; the care you
take of yourself; and if it is diabetic nephropathy that is causing the
proteinuria (I'm diabetic, but I have FSGS). Generally speaking, if your
proteinuria is 3 grams per day and your GFR is normal, it may be 20
years before they fail. If your proteinuria is lower, than longer; if
your GFR is poor; than shorter.
If someone called Jason responds, feel free to ignore him; he doesn't
have kidney disease - or a clue. He's on everyone's ignore list here.
--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather
email: aripee at inanna . com
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