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Re: 24 Hour Urine - {Test Results for 4/4/12 received - please interpret)

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I just got my 24 hour urine results back from April 4, 2012. Period 24 hoursVolume 4514 mlCreatinine 37.4 mg/dlCreatinine/TV 1.7 g/24 hoursPotassium 24.2 mmol/lPotassium/TV 109 mmol/24 hoursSodium 31 mmol/lSodium/TV 140 mmol/24 hoursMicroalbumin 1.8 mg/dlMicroalbuin, mg/day 81.3 mg/24 hours abnormal - (normal 2 - 21 mg/24 hours)What do these results mean in terms of Dashing and Blood Pressure?______________________________________________________________________________________Comparison from 24 hour urine test a year ago:May 11, 2011 Results:Potassium, Urine 60.5 mmol/l on May 11, 2011Sodium, Urine 86 mmol/l on May 11, 2011April 4, 2012 Results:Potassium, Urine 24.2 mmol/l on April 4, 2012Potassium/TV 109 mmol/24 hours on April 4, 2012Sodium, Urine 31 mmol/ l on April 4, 2012Sodium/TV 140 mmol/24 hours

Cortisol (pending) ________________________________________________________Questions:Consequently since my blood pressure is still high (at times 150/100 and at times 140/90) what should I do about it?I am currently taking 100 mg of Inspra in the AM and 100 mg of Inspra in the PM.I am also taking Norvasc 5 mg at night. Do I need to take Norvasc 5 mg?Do I need to increase my Inspra by 50% or 100% ?I cannot increase the Norvasc higher than 5 mg because I already have feet swelling 2+.Do I need to take an ARB in addition to the above regimen?Please reply._____________________________Blood Test Results 3/19/12Glucose 88 mg/dlSodium 135 mmol/l Potassium 3.9 mmol/lChloride 99 mmol/lCarbon Dioxide 26 mmol/lAnion Gap 10 mmol/lUrea Nitrogen 17 mg/dlCreatinine 1 mg/dlCalcium 9.5 mg/dlHemoglobin, Total Glycated 7.1%Hemoglobin A1C 5.9%Glucose, Mean Calculated 122 mg/dl (should be less than 100 mg/dlAlbumin 4.7Total Protein 6.9Bilirubin 0.8Alkaline Phosphatase 56AST (SGOT) 17ALT (SGPT) 21Lipid Panel Cholesterol 182 mg/dlCholesterol, LDL, Calc 105 mg/dl (should be <100)Cholesterol, HDL 35 mg/dl (should be >40)Triglycerides 208 (should be <200)Non-HDL, Calc 147 mg/dl (should be <130)I am taking 10 mg. Lipitor for this and have been recommended to increase it to 20 mg even though I have memory problems and pain in my neck and low back.Please interpret.> > >> > > > When you do a 24 Hour Urine test what specifically should be> tested> > > > besides cortisol, potassium and sodium?> > > >> > > >> > > >> > > >> > > >> > >> >>

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Don't know about dashing but I would watch that microroalbuin, Have you talked

with your Neperologhist?

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Didn't you say you used two jugs. Were they both given to you by the lab? If not

how did you clean the jug and did you keep it refrigerated.

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I you are doing good on getting UK to above 110. Your Are eating 2 x the amount of Na as u should be. The high alb/creat indicates Kidney damage from excess Aldoand too much salt. See if you can find out where the salt is coming from. Read every label. Do you eat out of the home? May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Apr 6, 2012, at 18:56, airlinerg <airlinerg@...> wrote:

I just got my 24 hour urine results back from April 4, 2012. Period 24 hoursVolume 4514 mlCreatinine 37.4 mg/dlCreatinine/TV 1.7 g/24 hoursPotassium 24.2 mmol/lPotassium/TV 109 mmol/24 hoursSodium 31 mmol/lSodium/TV 140 mmol/24 hoursMicroalbumin 1.8 mg/dlMicroalbuin, mg/day 81.3 mg/24 hours abnormal - (normal 2 - 21 mg/24 hours)What do these results mean in terms of Dashing and Blood Pressure?______________________________________________________________________________________Comparison from 24 hour urine test a year ago:May 11, 2011 Results:Potassium, Urine 60.5 mmol/l

on May 11, 2011Sodium, Urine 86 mmol/l on May 11, 2011April 4, 2012 Results:Potassium, Urine 24.2 mmol/l on April 4, 2012Potassium/TV 109 mmol/24 hours on April 4, 2012Sodium, Urine 31 mmol/ l on April 4, 2012Sodium/TV 140 mmol/24 hours

Cortisol (pending) ________________________________________________________Questions:Consequently since my blood pressure is still high (at times 150/100 and at times 140/90) what should I do about it?I am currently taking 100 mg of Inspra in the AM and 100 mg of Inspra in the PM.I am also taking Norvasc 5 mg at night. Do I need to take Norvasc 5 mg?Do I need to increase my Inspra by 50% or 100% ?I cannot increase the Norvasc higher than 5 mg because I already have feet swelling 2+.Do I need to take an ARB in addition to the above regimen?Please reply._____________________________Blood Test

Results 3/19/12Glucose 88 mg/dlSodium 135 mmol/l Potassium 3.9 mmol/lChloride 99 mmol/lCarbon Dioxide 26 mmol/lAnion Gap 10 mmol/lUrea Nitrogen 17 mg/dlCreatinine 1 mg/dlCalcium 9.5 mg/dlHemoglobin, Total Glycated 7.1%Hemoglobin A1C 5.9%Glucose, Mean Calculated 122 mg/dl (should be less than 100 mg/dlAlbumin 4.7Total Protein 6.9Bilirubin 0.8Alkaline Phosphatase 56AST (SGOT) 17ALT (SGPT) 21Lipid Panel Cholesterol 182 mg/dlCholesterol, LDL, Calc 105 mg/dl (should be <100)Cholesterol, HDL 35 mg/dl (should be >40)Triglycerides

208 (should be <200)Non-HDL, Calc 147 mg/dl (should be <130)I am taking 10 mg. Lipitor for this and have been recommended to increase it to 20 mg even though I have memory problems and pain in my neck and low back.Please interpret.> > >> > > > When you do a 24 Hour Urine test what specifically should be> tested> > > > besides cortisol, potassium and sodium?> > > >> > > >> > >

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I asked for 2 jugs. Neither had preservative. Neither was refrigerated. They were kept at room temperature - about 72 degrees Fahrenheit.The lab technician only wanted to give me one jug but I asked for 2. He asked me why. I said I urinate very often. > > > > > >> > > > > > > When you do a 24 Hour Urine test what specifically should be> > > > tested> > > > > > > besides cortisol, potassium and sodium?> > > > > > >> > > > > > >> > > > > > >> > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >> >>

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I asked for 2 jugs. Neither had preservative. Neither was refrigerated. They were kept at room temperature - about 72 degrees Fahrenheit.The lab technician only wanted to give me one jug but I asked for 2. He asked me why. I said I urinate very often. > > > > > >> > > > > > > When you do a 24 Hour Urine test what specifically should be> > > > tested> > > > > > > besides cortisol, potassium and sodium?> > > > > > >> > > > > > >> > > > > > >> > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >> >>

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Most 24 hour test say to keep urine refrigerated even if the have a

preservative in the jug. If this isn't done then may change results of tests.

If the results are right for Microalbumin then this indicates you have some

kidney damage and you need medical advice as to what to do next.

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