instruction: hi doctor I am a male of 59 years diabetic for years and hypertensive for 19 years my hba1c always will be below and creatinine at 9 that is minimum recently I undergone microalbuminuria spot urine test which showed 141 my and complete urine analysis showed all the parameters negative including protein in the urine but traces of sugar from this should I be worried about kidney disease please comment I am currently taking the following medicines dog go morning and night rita met plus morning olmezest beta 50 one in the morning olmesar 20 my night and ecosprin av 150 my at night
output: hi as you said your hba1c is below so it means your mean blood glucose level must be less than 180 my if it is so then your kidney is having the power to excrete the sugar but you stated there are traces of sugar in your urine if you had done your hba1c more then 60 days back then please get it done again and check what is your mean glucose level it is always mentioned below your hba1c reading and if less then 180 nothing to worry but if it is more then 180 then you need to control your sugar level please go through as advised below uncontrolled diabetes renal profile and hba1c early renal involvement type I diabetes mellitus continue with the same medicines you are taking it can only be changed once we get the tests done increase your physical activity do walking about to am per day avoid all type of sweets learn to say no when visiting your relatives or friends when they offer any sweet please consult once tests done