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.
June 30, 2008
Question from Santa Clara, California, USA:
My 35-year-old brother recently went to a doctor for a general check-up. The doctor gave him lisinopril, 20 mg, for high blood pressure (150/90) and simvastatin, 20 mg, for high cholesterol level. His blood sugar was within the impaired level (5.5%). His urine albumin level was 2.9 mg/l; urine creatinine level was 40.04 mg/dl and urine albumin creatinine ratio was 7.2 mg/g; and his serum creatinine was 0.8 mg/dl. The doctor said everything is normal, but the laboratory report mentioned he was in the early stage of diabetic nephropathy and should be re-screened within one year. We are very anxious about it. My brother had a panic attack due to this result. The doctor said that he was in the pre-diabetic range. His A1c was 5.5%. Is it possible that his urine albumin is due to high blood pressure?
There must be some misunderstanding. The serum creatinine and urine albumin:creatinine ratio are both normal. On the basis of the test results provided, this is not early diabetic nephropathy. I would urge you get clarification. Albumin:creatinine ratio will go up before serum creatinine will become abnormal. The upper limits in most laboratories for albumin:creatinine ratio is 30.0 mg/g creatinine.