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Diabetes and Urine Tests

When you have diabetes, you’re no stranger to tests that keep track of your disease. Most of them are blood tests, but there are others. Two simple tests that check your urine can help you and your doctor watch for kidney disease and severe high blood sugar.

Tests for Kidney Disease

About one-third of people with diabetes have problems with their kidneys. But early and tight control of your blood sugar and blood pressure, plus help from certain medications, can keep your kidneys working like they should

To check for kidney problems, your doctor can do a test that measures the amount of protein in your urine, called microalbuminuria. It shows up when small amounts of albumin (the main protein in your blood) leak into your pee. Without treatment to slow the leak, your kidneys could be damaged and eventually fail.

You should get this test every year starting as soon as you’re diagnosed with type 2 diabetes. That’s because high blood sugar is usually present many years before you find out you have the disease.

If you have type 1 diabetes, you probably won’t get the test until you’ve been diagnosed for 5 years.

What Does a Positive Result Mean?

If the test is positive, it means your kidneys can no longer filter the blood as well as they should. It also means you have blood vessel disease that could lead to heart problems. Your doctor will probably suggest medications or lifestyle changes to help prevent these conditions:

  • Kidney damage. You may start specific medicines to prevent further harm to your blood vessels and kidneys. If your microalbumin level is high, your doctor may suggest another type of test that requires you to collect samples for 24 hours. This can better tell the extent of damage to your kidneys and see how well they’re working.
  • High blood sugar. Studies show tight control of your blood sugar can lower kidney damage, so your doctor may put you on more aggressive treatments.
  • Blood pressure. Lowering blood pressure reduces your risk of diabetes-related kidney damage. Get it checked each time you have an office visit. The recommended reading for most people with diabetes is less than 140/80.
  • Cholesterol. Since the microalbuminuria test suggests you’re at greater risk of getting heart disease, your doctor may try to get your cholesterol and other fats into a healthier range.
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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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