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 Rick Phillips on -
I do one annually and have done so for the last five years. I know it is a PITA, but look at it this way, if you pass you can be pretty sure you are not sneaking up on kidney stuff.
Rick Phillips
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Permalink Reply by landileigh on -
without knowing all of your test results for the last couple of years, i can't really give you an answer. there must be a reason your doctor is requesting this. as a person with CKD, i do this every 3 months.
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Permalink Reply by Kathy on -
Twice in my 35 years I've had my albumin/creatinine ratio go above normal and had to do the collection. In both cases, the microalbumin spillage lasted a few months and then went away. Go figure. And no, I don't have any tips to make the collection easier.
Maybe the new doc is just being extra thorough. Nothing wrong with that, I guess.
I remember when I took the filled jug to the lab I marched in a slammed it on the counter and all the techs backed away like they didh't want to touch it.
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Permalink Reply by DARGIRL on -
Robert, off the subject. But, is your photo a Tony Stewart 20 or a Tony Lagano 20?
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Permalink Reply by MelissaBL on -
I did my first one after 10 years with Type 1. Then again when I had kidney stones in 2004. Then again in 2008 when I went for preconception counseling. I think it's good to have it done periodically. Just as a precaution. I don't know any stats on the incidence of problems. Maybe it's more important than we give it credit for.
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Permalink Reply by saundra barragan on -
Hi Marie,
Yes these are important. I too, get these four plus times a year depending on where things stand on reports. My best advice is to get something comfortable to pee into If you cannot get one of those little plastic hats for this test, then an old plastic bedpan to place on top of the lid is a good idea. Use whatever is comfortable, that you can pickup and pour from. With any luck this will be the only one you have to do for at least a year.
This is a good precautionary measure. Outside of a PITA it is just the collection that is the trouble.
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Permalink Reply by Lois on -
Robert:
Just when were you diagnosed? The year Christ was born?!! ha ha! I've had it 20-25 years and didn't know about that scenario. I DID know that, once upon an ancient time, they tested the urine.
Well, I actually had to do the 24 hr. urine test for something. I know it started with a "C" but I don't think it was creatinine. I think it was cellulose. Does that sound right? Because I didn't get up at a regularly set time, they couldn't do it by blood test. They COULD have if I got up regularly. ??? Came back pretty normal so I couldn't blame anything on anything!
:-) Lois La Rose, Milwaukee, WI
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Permalink Reply by Scott on -
I think the last time I had one done was when I was spilling protein in a urine sample. It's a pain, do it on a sunday and drop it off on monday on the way to work. They may have seen a marginal increase in one test that they want to check further. Check it, the quicker you know if something is going wrong (and I hope they aren't) the better you'll be.
On mine, I spilled proteins about 10 yrs ago when I had an A1c of over 9. Haven't had a problem since.
Like I say, do it on a sunday, drop if off on monday. Ice in the cooler, keep cooler in bathroom for convenience if possible with a bag of ice
Since that test tho, I haven't had one
Scott
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Permalink Reply by Gerri on -
I had one recently & glad I did only to find out that everything was ok. No one told me to refigerate it, so I hope the results weren't off! Damn, I'd better check about this. Anybody know?
Yea, it's a pain, esp. for women.
I did what Scott suggested--filled it up on Sunday & dropped it off on Monday.
Sure yours will be fine. Let us know the results.
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Permalink Reply by Kelly Rawlings on -
I did one years ago and misunderstood the need for refrigeration. They threw out my sample--and it was a large sample!
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Permalink Reply by MelissaBL on
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I saw them do this with a woman today at my endocrinologist's office. She hadn't refrigerated the sample and they gave her a new jug and sent her home to re-do. She wasn't happy.
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Permalink Reply by Sohair Abdel-Rahman on
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Good suggession Mary to start Sunday morning,it is important any way.For children we do early morning urine for microalbumin creatinine ratio,sample sent on ice,if abnormal,we do 2 tests different time,if 2 abnormal we do 24 hour collection.
Best wishes Mary
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