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| In article <1157431640.708293.163430@h48g2000cwc.googlegroups.com>,
"peter.n" <pn2005@optusnet.com.au> wrote:
> Macroalbuminuria = albumin/creatinine ratio in urine , greater than or
> equal to 30 mg/mmol.
Proteinuria is greater than 1 GRAM per 24 hours. Since you did not
specify the rate of your proteinuria, I gave information pertinent to
overt proteinuria.
> BTW , I thought ACE inhibitors and ARB's were only useful if you had
> microalbuminuria ? i.e albumin/creatinine ratio less than or equal to
> 30 mg/mmol but greater than 2.5 mg/mmol ?
Not true. They are used in nephrotic patients (3 GRAMS or more per 24
hours or a p:c of 3) as well as those with microalbuminuria, especially
diabetics.
> The thing is that I was just diagnosed with Type 2 Diabetes 2 years ago
> in Los Angeles 2004 . Unfortunately for me , the doctor examining me
> for the U.S Immigration Visa health requirement here in Australia told
> me he found albumin in my urine before I left for America in Jan 2003
> and I did not attend to it .
You may have been diagnosed two years ago; however, you may have been
diabetic for as long as a decade beforehand (most type 2s are diabetic
long before dx). Signs of disabetic nephropathy so soon after dx mean
either the diabetes was present for at least 10 years prior to dx OR
that there is another kidney disease at work. If your proteinuria is
over 3 GRAMS per day, a biopsy may be called for.
I know the day I became diabetic, but I am unusual; I became diabetic
during a heavy course of steroids for asthma. I became nephrotic a year
after becoming diabetic, and my biopsy showed that I have primary
idiopathic FSGS.
--
"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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