ACR or Albumin

[123456789101112346]

Hello everyone,

As I have got my results from morning urine sample. My dr called and was happy with this. I am unable to understand this as the ACR has gone down from 145 to 60 mg/l but the albumin in urine is more also the creatinine from 2.4 to 9.2mmol/l Please can someone help me to understand this. I have a month to see the nephrologist xx

[orangecity41 NKF Ambassador]

Here is a link to National Kidney Foundation on ACR.

kidney.org/content/what-alb...

[Tolmezzo]

Assume your test is 24H urine? Do you have high BP or diabetes or other leading cause for CKD? I don't want to scare but half a gr inside urine need to be investigated. Nothing to hurry or to be scared but also not underestimate. Too many physicians are not giving right importance at protein inside urine. One month will not change anything. rgs

[123456789101112346 in reply to Tolmezzo]

i was pre eclamptic in my pregnancy so hoping the result changes soon as the protein only started in pregnancy xx

[Darlenia]

I'm not a medical professional, but I understand that the ACR test is more refined and accurate than others in presenting albumin (protein) outcomes. So it's very good that your ACR shows improvement. Your creatinine is also in the normal range (6 - 13 mmol/24 hours) for women. It seems to me that you're moving matters into the normal range after some wild up an down swings. I suspect you may be prone to diabetes. If so, keep a very close eye on your glucose and A1cs. I'd ask for A1C tests be routinely included on labs. Glucose stiffens, impairs, and takes out the tiny blood vessels in your body - kidneys, eyes, legs, etc. So eat natural foods, not processed foods, which have far less carbs and sugars. Becoming a label reader is good too. If you keep your A1C in the normal range, your other labs will do much better too. It's great that you have an interest in your health! May you live long and well!

[123456789101112346 in reply to Darlenia]

so sweet of you to reply me with so much information. I will keep and eye on my diabetes but really worried for the kidneys xx

[Darlenia in reply to 123456789101112346]

Sadly, diabetes is the leading cause for kidney disease and their ultimate collapse. If one can drive their blood sugars (A1Cs) into the normal range, the ravaging of the kidneys will stop. Kidneys rarely collapse on their own, there's generally something initiating it. In your case, it's highly likely it's diabetes, and this is medically referred to as Diabetic Kidney Disease (DKD). My hubby is a T2D who lost his kidneys, went on dialysis, and now has a transplant. He simply accepted matters as they came up, enjoying foods across the board, etc. His mother, on the other hand, was very proactive, changed her diet, lost her weight and lived well into her 80s. (She watched her mom died of kidney failure.) I think you have a similar interest to make things go well for yourself. Sending you lots of encouragement to keep on working towards that goal.

[123456789101112346 in reply to Darlenia]

Thanks dear my blood for diabetes are fine xx

Thanks for answering and helping me out