ACR of 31, should I be worried?

Kidney and urinary tract
1

I am 20 years old and have had type 1 diabetes for 15 years. My latest a1c was 7.1.  I have always been pretty on top of the diabetes care, but it's hard to be perfect especially during the hormonal early teenage years.  About two years ago I was diagnosed with hypertrophic cardiomyopathy and had a defibrillator implanted in my chest.  I go to a cardioloigist twice a year and have no cardiac problems.  I also have polycystic ovarian syndrome, which I take metformin everyday and have had regular menstrual cycles ever since.

I recently got the results for my annual bloodwork and urine sample.  My ACR was 31 (with normal being less than or equal to 30).  My doctor wants be to do another urine test because she thinks it might be a fluke.  I have moderate anxiety, so I'm just really worried that its not a fluke.  I'm a healthy weight and very active.  I am vegetarian and eat a low fat and sugar diet.  I would say my biggest problem is my anxiety and the unneeded stress I put myself under.  I try so hard to take care of myself and I know that my results point to only very mild kidney damage (if any), but I just cannot handle any more medical issues, and I have no idea what to expect or think.  Any thoughts? Thank you!!

2

Hi,

Where abouts are you as kidney function is measured in GFR in the UK?.  I would say try not to worry until you have had the repeat test, sometimes a mild infection could alter the results so like your doctor says it needs repeating to check.  Its easy to worry but that won't make you feel any better.  Have your test again and wait for the results and then worry if you have to.

3

Thanks for the response! I haven't had a GFR test, but if the results of my latest urine test show that my ACR is between 31 and 300, it could indicate Stage1 or 2 of CKD.  If my results are around the same, I would think that my GFR would be >90, but I wouldn't be able to say for sure! 

4

Thanks for the response! I haven't had a GFR test, but if the results of my latest urine test show that my ACR is between 31 and 300, it could indicate Stage1 or 2 of CKD.  If my results are around the same, I would think that my GFR would be >90, but I wouldn't be able to say for sure!