High albumin urine, normal albumin to creatinine, means what?


Question:
I recently received some disturbing lab results. My albumin urine
level came out at 31.0 mcg/ml (normal is less then 14.0 according to
their range.) But my SUA/C, serum urine albumin to creatinine ratio
was 21 which is considered fine (under 30). Anyone know what to make
of this and how concerned should I be?

Answers:
There are several kidney disease conditions that can produce high levels of albumin in urine.Determining albumin in the urine at the low levels is helpful for early detection and treatment of patients at risk for renal (kidney) disease. A low but elevated urinary albumin level, or microalbuminuria, refers to a level of the human protein albumin in urine above about 18 mg/L. Levels above 18 mg/L are not normally found in healthy individuals. Conditions in which elevated levels of albumin in urine may be present include: Type 1 and Type 2 diabetes; hypertension; and renal disease found in pregnancy. There are other less common causes as well. Diabetes is the largest single cause. One study found 45% of the insulin-dependent diabetics develop serious kidney disease. Testing for elevated levels of albumin in urine helps to identify those diabetics who are prone to kidney disease. Scientific studies indicate that proper control of blood glucose (blood sugar) levels and blood pressure help slow or prevent kidney disease.

Other Answers:
It is serious to have albumin in the urine; however, how serious depends on the cause. If you have Diabetes, this is probably one big reason for it. Some Diabetics have kidney problems, particularly if they have a history of poor glucose control or have been insulin-dependent. There are other causes as well; however, if this is your situation, you will have to re-test your urine, give a 24-hour sample and do a creatinine comparison (blood test). If it is still abnormal, but the levels reflect microalbuminuria, then your physician may simply have to keep an eye on it . sometimes, these things pass. If it gets worse, there may be further tests required.
Source(s):
Husband has kidney problems, but is NOT a Diabetic.


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