Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
March 25, 2004
Question from Pittsburgh, Pennsylvania, USA:
I have been a type 1 diabetic for about nine years. My A1c has mostly been under 7%. My blood pressure is 150/75 at the doctor's office and 125/70 at home. I do not smoke. I currently use an insulin pump for treatment. I've only been on it two months. Before, I was doing multiple injections, four or five per day. I've always had sporadic numbers, but my A1c was always normal. My concern is about microalbumin. My new doctor runs this test yearly. My first test was normal, my second test was okay, and now with my third test, they are saying results are pending. I am very scared of getting kidney disease. What are the odds for someone with my scenario having kidney disease?
Your risk for kidney complications is higher if you have: poor diabetes control, A1c greater than 7-7.5; high blood pressure; and microalbumin in the urine. It appears that you are not in the high risk area. However, I would discuss the possibility of using an ACE inhibitor in addition to your treatment. This could decrease the risk of renal complications. The use of a pump is an excellent modality for preventing poor glucose control, lowering the risk of complications.