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Re: RE; PROTIEN

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Hi Dawn, I have been throwing protien in my urine for over 10 years now.

My last 24 hour test showed a count of 5167 where 125/150 is normal. I do

have kidney damage from Blood Pressure and Diabetes but other than leg

swelling and minor aches and pains it isn't much of a daily problem. I do

have to watch what I eat and monitor my BG's and BP more carefully than

others so I can help slow down the process of Damage.

My Doctor has recently taken me off of Adalat CC and Captopril as they may

be causing some of the problem . He now has me on Lotensin and Cardizem CD

Cap SA. It is his opinion we can decrease the 5167 # to at least 2500. I

know this doesn't sound very good but any decrease is a decrease. I know it

is scary to go through all of this but just remember it's just another bump

in the road . The problems you are having can be controlled and lived with

.. It just takes more attention to controlling the diabetes so it doesn't get

worse.

Regards, in California

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Dawn,

I realize you're nervous, and I'm not sure this information will make you

less nervous. Find out what types of proteins they are testing for and how.

Some test methods are not reliable for the types of proteins that are of

most concern to diabetics.

The kidney has several ways to prevent protein loss in the urine. Although

healthy adults excrete 80-150 mg of protein in the urine daily, if a

urinalysis shows proteinuria, further tests should be done to see if there

is renal disease. Loss of protein in the urine is a sign of kidney damage.

The first step would be to determine the quantity or amount of protein lost.

This is done with a 24-hour urine collection. Protein excretion above 3.5

g/24 hours is termed massive proteinuria. This usually occurs when glomeruli

(filters in the kidney) are damaged and allow plasma proteins like albumin

to be lost. If you lose a significant amount of protein in the urine, you

will develop swelling and high amounts of fats in your blood

(hyperlipidemia). Massive proteinuria, edema (swelling), and hyperlipidemia

is often called the Nephrotic Syndrome.

Once you determine how much protein is lost, further tests can be done to

determine the type of protein lost in the urine. Measurement of individual

proteins can be done with urine electrophoresis. The predominant protein

loss can clue one into the source of renal pathology. For example, large

amount of albumin loss leans towards problems in the glomerulus. Large

amounts of Bence proteins makes one think that there is not a problem

with the kidney, per se, but an overflow of proteins. This can be seen in

certain diseases, i.e. Multiple Myeloma.

Your primary care physician should determine when or if you should see a

Nephrologist. You should inform him/her if you are having problems with

swelling.

Healthy regards,

Kramer

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Dawn - In January I had to go on insulin. I had been on glyburide and

glucophage and was on maximum dosage with my blood sugars rising. My tests

also showed albumin in the urine. After being on insulin since January, the

endocrinologists had me take another test. My blood sugars had come down

with the insulin and the albumin in the urine was gone. They said the

protein in the urine could lead to kidney problems if not treated. I am very

happy that the insulin took care of the problem and that it can be reversed.

I have had diabetes for about 10 years now.

I know it's scary. I'll be rooting for you and hope your tests turn out OK.

Pat

At 02:47 PM 5/3/99 -0700, you wrote:

>

>

>DAWN FROM PROVIDENCE, RI

>

>DAWNW@...

>

>HELLO GANG.

>

>HAVE A QUESTION FOR ANY ONE. WHAT DO YOU KNOW ABOUT

>

>PROTEIN IN URINE? LAST BLOOD WORKUP FOR MY DIABETES

>

>IT SHOWED UP. JUST HAD IT RETESTED END OF LAST WEEK

>

>WILL KNOW THE RESULTS ONE WEEK FRM THURSDAY UNLESS SHE

>

>SHE CALLS ME BEFORE THEN. I AM HOPINNG SHE WILL NOT

>

>AS IF SHE DOES I WILL HAVE TO DO A 24HR CATCH.LOL LOL

>

>SHE SAID THIS DOES NOT USUALLY HAPPEN TO DIABETES

>

>THIS YEARLY(ALMOST 5YRS SINCE DIAGNOISES) BUT I NEVER

>

>DUE ANYTHING SIMPLE. I AM NOT SURE THAT I DID NOT

>

>HAVE IT LONGER THEN 5 YRS. THAT A WHOLE DIFFERENT

>

>STORY AND WOULD TAKE UP VOLUMES OF PAPER TO READ.

>

>PLEASE,PLEASE SOMEONE HAVE AN ANSWER TO MY QUESTION.

>

>VERY NERVOUS!!!!

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Hiya Dawn,

High protein content in urine can be a symptom of

kidney damage. I know that I showed high protein

on my last visit. I've been diabetic since Jan of

98. Well, my doctor put me on Avapro. It's an ace

inhibitor, which is actually used for high blood

pressure, but with diabetics prevents further

kidney damage. I would recommend, as I have had

to do, to go on a low protein, low carb diet.

Email me if you have any more questions. I hope

this helped.

Jo

===

~Am I getting smart with you? How would you know?~

_________________________________________________________

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Don't get upset yet :) Protein in the urine can mean many things. If it is

still there, they will do the 24 hr collection so they can tell more about

why it's there.

How do your bg's run?

Meenie

RE; PROTIEN

>

>

>DAWN FROM PROVIDENCE, RI

>

>DAWNW@...

>

>HELLO GANG.

>

>HAVE A QUESTION FOR ANY ONE. WHAT DO YOU KNOW ABOUT

>

>PROTEIN IN URINE? LAST BLOOD WORKUP FOR MY DIABETES

>

>IT SHOWED UP. JUST HAD IT RETESTED END OF LAST WEEK

>

>WILL KNOW THE RESULTS ONE WEEK FRM THURSDAY UNLESS SHE

>

>SHE CALLS ME BEFORE THEN. I AM HOPINNG SHE WILL NOT

>

>AS IF SHE DOES I WILL HAVE TO DO A 24HR CATCH.LOL LOL

>

>SHE SAID THIS DOES NOT USUALLY HAPPEN TO DIABETES

>

>THIS YEARLY(ALMOST 5YRS SINCE DIAGNOISES) BUT I NEVER

>

>DUE ANYTHING SIMPLE. I AM NOT SURE THAT I DID NOT

>

>HAVE IT LONGER THEN 5 YRS. THAT A WHOLE DIFFERENT

>

>STORY AND WOULD TAKE UP VOLUMES OF PAPER TO READ.

>

>PLEASE,PLEASE SOMEONE HAVE AN ANSWER TO MY QUESTION.

>

>VERY NERVOUS!!!!

>

>

>Move into your FREE Internet apartment!

>http://www.myspaceonline.com

>

>------------------------------------------------------------------------

>Who offers the richest group communications tools on the Internet?

>http://www.onelist.com

>Answer: ONElist. Check out our homepage for details!

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Jo - I too am on an ace inhibitor - Lotensin - originally for high blood

pressure but since my diabetes diagnosis, I have lost some weight and the

blood pressure went down some. I was able to cut in half the other two meds I

take for the blood pressure but the doc told me he wanted me to stay on the

ace inhibitor because of the benefits they say it is having for diabetics and

kidney damage. I don't have any known kidney damage yet but hopefully this

all is true and it will help or prevent the damage. He said he would probably

keep me on that forever. Rebekah

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Did your doc say anything about calcium while taking the ACE inhibitor?

Meenie

Re: RE; PROTIEN

>From: Gr8Scot5@...

>

> Jo - I too am on an ace inhibitor - Lotensin - originally for high

blood

>pressure but since my diabetes diagnosis, I have lost some weight and the

>blood pressure went down some. I was able to cut in half the other two meds

I

>take for the blood pressure but the doc told me he wanted me to stay on the

>ace inhibitor because of the benefits they say it is having for diabetics

and

>kidney damage. I don't have any known kidney damage yet but hopefully this

>all is true and it will help or prevent the damage. He said he would

probably

>keep me on that forever. Rebekah

>

>------------------------------------------------------------------------

>With more than 14 million emails exchanged monthly.

>http://www.ONElist.com

>ONElist is truly helping connect the world!

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DAWN FROM PROVIDENCE, RI

DAWNW@...

THANKS FOR ALL THE INFO ON PROTEIN IN URINE. NOW I JUST WAIT TIL NEXT THURSDAY

TO FIND OUT THE RESULTS.

MY BS ARE ALL OVER THE PLACE DO TO MY PREDNISONE BOUNCE AROUND YESTERDAY IT WAS

CLOSE TO 400MG MOST

OF THE DAY AND TODAY I FEEL LOUSY (SP).

--

>

>

>Did your doc say anything about calcium while taking the ACE inhibitor?

> Meenie

>

> Re: RE; PROTIEN

>

>

>>From: Gr8Scot5@...

>>

>> Jo - I too am on an ace inhibitor - Lotensin - originally for high

>blood

>>pressure but since my diabetes diagnosis, I have lost some weight and the

>>blood pressure went down some. I was able to cut in half the other two meds

>I

>>take for the blood pressure but the doc told me he wanted me to stay on the

>>ace inhibitor because of the benefits they say it is having for diabetics

>and

>>kidney damage. I don't have any known kidney damage yet but hopefully this

>>all is true and it will help or prevent the damage. He said he would

>probably

>>keep me on that forever. Rebekah

>>

>>------------------------------------------------------------------------

>>With more than 14 million emails exchanged monthly.

>>http://www.ONElist.com

>>ONElist is truly helping connect the world!

>

>

>------------------------------------------------------------------------

>Who offers the richest group communications tools on the Internet?

>http://www.onelist.com

>Answer: ONElist. Check out our homepage for details!

>

Move into your FREE Internet apartment!

http://www.myspaceonline.com

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