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 creatinine ration (ACR), if your value is above 30 micrograms per milligram of creatinine (or milligrams per gram of creatinine), then use of ACE-inhibitors or ARB agents are then recommended to decrease protein loss and slow progression of diabetic kidney disease. Hence, if you have been diagnosed with diabetic kidney disease, then you have two reasons to be on a statin.

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