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Increased urine microalbumin

Commented on July 18, 2012
Created July 18, 2012 at 9:29 PM

My last urinalysis came back with increased microalbumin (37; normal is less than 30). I have a history of (controlled) diabetes x17 years. All of my other bloodwork regarding kidney function is normal.

My guess is that any true kidney damage I may now have isn't directly caused by the diabetes, rather by the metformin that I currently take for the diabetes. I am hoping to get off the met for good but it's a delicate dance still at this point. My blood sugars spiked quite a bit when I started paleo when I was doing low carb and I have to stay on the meds for now.

Should I be concerned about eating a high protein diet?

Right now, I'm eating paleo with a protein/carb/fat ratio (randomly checking yesterday's numbers) of 22/26/52. I eat between 100-150g of carbs daily in the form of vegetables, fruits, and an occasional tsp of honey or maple syrup in a recipe. I found that eating <100g carbs aggravated my atrial fibrillation and >60g of fat aggravated my no-gallbladder status. I feel like I'm between a rock and a hard place.

My doctor is not exactly clued-in to good nutrition (we are in a rural area and there's not much to choose from). Any advice, as always, is greatly appreciated.

211d4075d68b24cd0aa7ebfa94262bb9

on July 18, 2012
at 11:42 PM

Metformin is probably one of the safest drugs on the market. It's been used in Europe for over 30 years and has had a superb track record.

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