Daily Archives: March 28, 2019

Hi Dr. Spry, I am a type 1 diabetic 34 and have been a diabetic for 22 years. I am in pretty good shape but I have noticed increases in the amount of protein in my urinalysis. My endocrinologist mentioned using a statin to protect my kidneys at some point. I wanted to know if there where some guidelines for the different levels of albumin and creatine? When should an individual include a statin to protect their kidneys from further damage? Thanks.

The American Diabetes Association recommends that all diabetics be treated with a statin to prevent atherosclerotic heart disease. Statins have also been shown to slow progression of kidney disease in diabetics as well. In the case of the albumin to … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Diabetes, Kidney-Related Health Questions

My 17 year old grandson has protein total urine excretion 417, creatinine clearance 50, creatinine clearance BSA corrected 46, creatinine serum/plasma 1.20, creatinine time urine 29.1, blood urea nitrogen 28, blood urea nitrogen 28. They can’t get him into a local nephrologist until June. Should I take him to the big city. What is going on?

The normal for 24 hour protein excretion into the urine is less than 150 milligrams per 24 hours. His creatinine clearance is also low. The normal for a creatinine clearance in a 17 year old boy should be greater than … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Nephrologist, Serum Creatinine

My sister has kidney problems. Report says plasma glucose is 55.8 mg/DL and serum urea is 125 mg/DL. What should I do, sir?

I recommend that your sister consult with her physician for interpretation of her blood tests. I am unable to interpret tests without performing a complete history and physical examination. Your sister needs to be seen and examined by her physician.

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions