Do I really have to do a 24-hour urine test?
I get the microalbumin test with a urine sample every three months. The new endo wants a 24-hour urine collection. I haven't done this for a long time. Do you guys do it, and how often? I'm not having any kidney problems. It's such a pain because you have to go get the special collection bottle, put all the urine in there, and keep it in a cooler while you're doing the collection. Any tips?
Tags: 24-hour, microalbumin, urine
Replies to This Discussion
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Permalink Reply by Cara on -
I do it once a year, and thanks for the reminder. The jug is in the corner.
Better to head off any kidney damage than to go on dialysis.
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Permalink Reply by Sheila on -
Yes, you have to do it...every year its important - you can have kidney problems and not even know it. My husband was on dialysis for 5 years before he got a kidney transplant. He is not diabetic but had end stage renal failure due to hereditary Alport Syndrome. I saw his kidneys slowly decline - the percentage of albumin in your urine establishes the effectiveness of the kidney function. You can go down to 15% kidney function before dialysis becomes necessary. I have always had a 24 hour urine every year and study the results like a schoolar. Poor glucose control can cause havoc with your kidneys - good luck I am sure you will be fine but make sure you do the test no matter how much of a pain it is. I have a small amount of kidney damage ( after 55 years with type 1) and I plan to not cause any more damage.
Sheila
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Permalink Reply by Sarah on -
I've only done 24 hour collections while pregnant (I was not spillnig protein - just a total precaution) and they were always completely normal. I have only had spot checks since my last pregnancy, and they've always been fine.
If I had an abnromal spot check (M/C ratio) then I would not hesitate to do a 24 hour collection.
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Permalink Reply by Brigitte on -
I really hate to do that thing...And I do it every year . The big bottles ( I really need 2) are my nightmare. I know that is for my health. And the number is good, so I cross my fingers for the next (in december).
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Permalink Reply by rick phillips on -
As I told my doc,,, I can hold it for 24 hours and 2 minutes. Na na na na na,, take that doc.
lol
rick phillips
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Permalink Reply by Joe Dennis on -
That's a good one!
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Permalink Reply by Doris D on -
Like you it's bee awhile for me and all I can tell you from what I remember is to make sure you refrigerate it. Sorry!!!
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Permalink Reply by Mick on -
The random (spot) urine microalbumin to creatinine ratio has been clearly shown to be just as good as a 24 hour sample. There is really no need for 24 hour collections for microalbumin. This quote is from the ADA standards of medical care:
"While screening for microalbuminuria can be performed by three methods—1) measurement of the albumin-to-creatinine ratio in a random, spot collection; 2) 24-h collection with creatinine, allowing the simultaneous measurement of creatinine clearance; and 3) timed (e.g., 4-h or overnight) collection—the analysis of a spot sample for the albumin-to-creatinine ratio is strongly encouraged (72). The other two alternatives (24-h collection and a timed specimen) are rarely necessary."
I would ask the physician why he prefers a 24 hour sample. I expect that it's habit, not medical evidence and if you remind him of the recommendation from the ADA and of how annoying a 24 hour collection is, he will agree to the spot test. I hope this helps.
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Permalink Reply by Terrie on -
Gee, that's Good to hear. I was wondering why my Endo hasn't suggested the 24 hr. collection, in years. He just clicks off the m/c ratio on the requistion along with my blood tests when I'm going to the Lab downstairs..
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