Microalbumin 33 at doctor prescribed telma 20 am using 2 months. 2 months ago my creatinine, 0.94 now 1.20 my bp normal telma 20 for microalbumin. Am diabetic but sugar is under control. Telma 20 is increased creatinine level. Am worry how increase creatinine.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Mr Vijeesh, Thanks for the query. I have seen the details mentioned. Telmisartan an antihypertensive drug also does help in reducing microalbuminuria. So it may be used in persons with increased microalbuminuria. That drug does not increase the level of creatinine. Creatinine is an indirect measure of efficiency of kidney function. In diabetes when disease is present over a long period, that can affect kidney functions, particularly if blood glucose is not well controlled. Even when glucose is well controlled there is a certain degree of affection to the kidney functions. So that may reflect in as increased creatinine level. Since there is no mention of fasting, PP glucose levels & HbA1c% and about the duration of diabetes no furher comments can be made. If you have any questions please do come back. Thanks. 

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