Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 hello everyone .wish you all a happy new year. having recently turned diabetic ,my nurse asked me to perform a ACR urine test ,which meant i had to collect my first urine sample first thing in the morning,then it was sent to the lab .my stepdaughter who works as a nurse at the hospital looked up my results,which showed a reading of 17.4.the normal range for a male is 0-2.5.yesterday evening the surgery phoned to say i had to repeat the test ,also to include a test midstream during the day,and hand in as soon as possible.this morning i recieved through the post two bottles in which to do these tests.i do have IGA but did not think it was so bad as yet.could anyone please explain what these results mean,i would be very grateful.thank you michael Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 Hi , The ACR test is albumin creatinine ratio, and is a common test used to detect nephropathy in diabetics. I found the following information at http://www.diabetes.ca/cpg2003/chapters.aspx?screening3.htm I have pasted part of the text below for your easy reference. I am sorry you have diabetes in addition to IgAN because diabetes is a separate risk factor for kidney failure. People with overt nephropathy (urinary albumin >300 mg/day, equivalent to ACR >20.0 mg/mmol in men and >28.0 mg/mmol in women) typically progress over time to more severe stages of nephropathy and rarely have normalization of urinary protein without directed therapy. Patients with microalbuminuria (urinary albumin 30 to 300 mg/day, equivalent to ACR 2.0 to 20.0 mg/mmol in men and 2.8 to 28.0 mg/mmol in women) have a variable course. While microalbuminuria is a significant risk factor for progression of nephropathy, some will experience a spontaneous normalization of urinary protein (5,16). To confirm the presence of nephropathy in those with microalbuminuria, patients should undergo up to 2 additional random urine tests for ACR. A patient is considered to have nephropathy if any 2 of the 3 urine samples have an ACR >2.0 mg/mmol in men or >2.8 mg/mmol in women. The 2 confirmatory tests should be performed between 1 week and 2 months apart. Patients with overt nephropathy (ACR >20.0 mg/mmol for men and >28.0 mg/mmol for women) should undergo a 24-hour urine collection for creatinine clearance as follow-up within 2 to 3 months. In a message dated 1/7/2005 10:02:03 AM Eastern Standard Time, " michael " writes: > > >hello everyone .wish you all a happy new year. having recently >turned diabetic ,my nurse asked me to perform a ACR urine test ,which >meant i had to collect my first urine sample first thing in the >morning,then it was sent to the lab .my stepdaughter who works as a >nurse at the hospital looked up my results,which showed a reading of >17.4.the normal range for a male is 0-2.5.yesterday evening the >surgery phoned to say i had to repeat the test ,also to include a >test midstream during the day,and hand in as soon as possible.this >morning i recieved through the post two bottles in which to do these >tests.i do have IGA but did not think it was so bad as yet.could >anyone please explain what these results mean,i would be very >grateful.thank you michael > > > > > >To edit your settings for the group, go to our Yahoo Group >home page: >http://groups.yahoo.com/group/iga-nephropathy/ > >To unsubcribe via email, >iga-nephropathy-unsubscribe >Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: >http://www.igan.ca/id62.htm > >Thank you > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 , I'm sorry but I have no expertise when it comes to lab tests that are relevant to diabetes. As far as I know, ACR is not an IgAN thing. Moreover, mid-stream catches are rarely required. I would not assume that this necessarily has anything to do with IgAN. I'm not at my home computer, so I don't have access to my links for interpretting lab results. Hope someone here can help steer you to a good lab results site. Please let us know when you get to the bottom of this. Cy michael wrote: hello everyone .wish you all a happy new year. having recently turned diabetic ,my nurse asked me to perform a ACR urine test ,which meant i had to collect my first urine sample first thing in the morning,then it was sent to the lab .my stepdaughter who works as a nurse at the hospital looked up my results,which showed a reading of 17.4.the normal range for a male is 0-2.5.yesterday evening the surgery phoned to say i had to repeat the test ,also to include a test midstream during the day,and hand in as soon as possible.this morning i recieved through the post two bottles in which to do these tests.i do have IGA but did not think it was so bad as yet.could anyone please explain what these results mean,i would be very grateful.thank you michael To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 , I'm sorry but I have no expertise when it comes to lab tests that are relevant to diabetes. As far as I know, ACR is not an IgAN thing. Moreover, mid-stream catches are rarely required. I would not assume that this necessarily has anything to do with IgAN. I'm not at my home computer, so I don't have access to my links for interpretting lab results. Hope someone here can help steer you to a good lab results site. Please let us know when you get to the bottom of this. Cy michael wrote: hello everyone .wish you all a happy new year. having recently turned diabetic ,my nurse asked me to perform a ACR urine test ,which meant i had to collect my first urine sample first thing in the morning,then it was sent to the lab .my stepdaughter who works as a nurse at the hospital looked up my results,which showed a reading of 17.4.the normal range for a male is 0-2.5.yesterday evening the surgery phoned to say i had to repeat the test ,also to include a test midstream during the day,and hand in as soon as possible.this morning i recieved through the post two bottles in which to do these tests.i do have IGA but did not think it was so bad as yet.could anyone please explain what these results mean,i would be very grateful.thank you michael To edit your settings for the group, go to our Yahoo Group home page: http://groups.yahoo.com/group/iga-nephropathy/ To unsubcribe via email, iga-nephropathy-unsubscribe Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: http://www.igan.ca/id62.htm Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 Thanks ! This is good information. Cy W4JC@... wrote: Hi , The ACR test is albumin creatinine ratio, and is a common test used to detect nephropathy in diabetics. I found the following information at http://www.diabetes.ca/cpg2003/chapters.aspx?screening3.htm I have pasted part of the text below for your easy reference. I am sorry you have diabetes in addition to IgAN because diabetes is a separate risk factor for kidney failure. People with overt nephropathy (urinary albumin >300 mg/day, equivalent to ACR >20.0 mg/mmol in men and >28.0 mg/mmol in women) typically progress over time to more severe stages of nephropathy and rarely have normalization of urinary protein without directed therapy. Patients with microalbuminuria (urinary albumin 30 to 300 mg/day, equivalent to ACR 2.0 to 20.0 mg/mmol in men and 2.8 to 28.0 mg/mmol in women) have a variable course. While microalbuminuria is a significant risk factor for progression of nephropathy, some will experience a spontaneous normalization of urinary protein (5,16). To confirm the presence of nephropathy in those with microalbuminuria, patients should undergo up to 2 additional random urine tests for ACR. A patient is considered to have nephropathy if any 2 of the 3 urine samples have an ACR >2.0 mg/mmol in men or >2.8 mg/mmol in women. The 2 confirmatory tests should be performed between 1 week and 2 months apart. Patients with overt nephropathy (ACR >20.0 mg/mmol for men and >28.0 mg/mmol for women) should undergo a 24-hour urine collection for creatinine clearance as follow-up within 2 to 3 months. In a message dated 1/7/2005 10:02:03 AM Eastern Standard Time, " michael " writes: > > >hello everyone .wish you all a happy new year. having recently >turned diabetic ,my nurse asked me to perform a ACR urine test ,which >meant i had to collect my first urine sample first thing in the >morning,then it was sent to the lab .my stepdaughter who works as a >nurse at the hospital looked up my results,which showed a reading of >17.4.the normal range for a male is 0-2.5.yesterday evening the >surgery phoned to say i had to repeat the test ,also to include a >test midstream during the day,and hand in as soon as possible.this >morning i recieved through the post two bottles in which to do these >tests.i do have IGA but did not think it was so bad as yet.could >anyone please explain what these results mean,i would be very >grateful.thank you michael > > > > > >To edit your settings for the group, go to our Yahoo Group >home page: >http://groups.yahoo.com/group/iga-nephropathy/ > >To unsubcribe via email, >iga-nephropathy-unsubscribe >Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: >http://www.igan.ca/id62.htm > >Thank you > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2005 Report Share Posted January 7, 2005 Thanks ! This is good information. Cy W4JC@... wrote: Hi , The ACR test is albumin creatinine ratio, and is a common test used to detect nephropathy in diabetics. I found the following information at http://www.diabetes.ca/cpg2003/chapters.aspx?screening3.htm I have pasted part of the text below for your easy reference. I am sorry you have diabetes in addition to IgAN because diabetes is a separate risk factor for kidney failure. People with overt nephropathy (urinary albumin >300 mg/day, equivalent to ACR >20.0 mg/mmol in men and >28.0 mg/mmol in women) typically progress over time to more severe stages of nephropathy and rarely have normalization of urinary protein without directed therapy. Patients with microalbuminuria (urinary albumin 30 to 300 mg/day, equivalent to ACR 2.0 to 20.0 mg/mmol in men and 2.8 to 28.0 mg/mmol in women) have a variable course. While microalbuminuria is a significant risk factor for progression of nephropathy, some will experience a spontaneous normalization of urinary protein (5,16). To confirm the presence of nephropathy in those with microalbuminuria, patients should undergo up to 2 additional random urine tests for ACR. A patient is considered to have nephropathy if any 2 of the 3 urine samples have an ACR >2.0 mg/mmol in men or >2.8 mg/mmol in women. The 2 confirmatory tests should be performed between 1 week and 2 months apart. Patients with overt nephropathy (ACR >20.0 mg/mmol for men and >28.0 mg/mmol for women) should undergo a 24-hour urine collection for creatinine clearance as follow-up within 2 to 3 months. In a message dated 1/7/2005 10:02:03 AM Eastern Standard Time, " michael " writes: > > >hello everyone .wish you all a happy new year. having recently >turned diabetic ,my nurse asked me to perform a ACR urine test ,which >meant i had to collect my first urine sample first thing in the >morning,then it was sent to the lab .my stepdaughter who works as a >nurse at the hospital looked up my results,which showed a reading of >17.4.the normal range for a male is 0-2.5.yesterday evening the >surgery phoned to say i had to repeat the test ,also to include a >test midstream during the day,and hand in as soon as possible.this >morning i recieved through the post two bottles in which to do these >tests.i do have IGA but did not think it was so bad as yet.could >anyone please explain what these results mean,i would be very >grateful.thank you michael > > > > > >To edit your settings for the group, go to our Yahoo Group >home page: >http://groups.yahoo.com/group/iga-nephropathy/ > >To unsubcribe via email, >iga-nephropathy-unsubscribe >Visit our companion website at www.igan.ca. The site is entirely supported by donations. If you would like to help, go to: >http://www.igan.ca/id62.htm > >Thank you > Quote Link to comment Share on other sites More sharing options...
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