My ACR has been consistently above the normal ranges for the past 3 years, the ratio has ranged from 40 to 313, though the average results have been between 100 - 200.

All my other lab results are perfect creatine ( 1 or less), lipids, HBA1C (below 6 always). My urine routine does not show any trace of protien too.

I am also taking blood pressure meds to bring the ACR down but that seems to be in vain.

I really want to lower my ACR down, have decided to turn veg and reduce animal protien as much as possible.

Request for any advice on diet or exercise that will help me in lowering the ACR levels.

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What is ACR?

ACR is the Albumin to Creatinine Ratio (ACR). It would be best to consult a kidney specialist (a nephrologist) about your test results. I think most people would tell you that the best way to avoid kidney complications is to maintain tight blood sugar control which seem to have done. If you do have kidney damage, restricting protein may be a good measure, but you really need to consult a doctor.

And I have to tell you, you seem awful young to have kidney damage, especially if you maintained good blood sugar control. Some people do have abnormal results and it is normal, but only a doctor can give you credible advice.

Based on the following, 30-300 (men) 30-400 (women) seems to be the normal range, depending on the unit of measure used.

http://en.wikipedia.org/wiki/Microalbuminuria

Mine has been high on occasion, but on re-test always back to normal. So it is usually advised for several tests to confirm. Also the article notes what can cause false results:

An early morning sample is preferred. The patient should refrain from heavy exercises 24 hours before the test. A repeat test should be done 3 to 6 months after the first positive test for microalbuminuria. Lastly, the test is inaccurate in a person with too much or too little muscle mass. This is due to the variation in creatinine level which is produced by the muscle.

Those numbers denote Microalbuminuria, which basically means abnormally high levels of albumin are being spilled, but not levels high enough to be considered proteinuria.

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