Dr. my mother has got high microalbumin 972/mg and now the creatinine is 1.6 and blood urea is 47. Hdl n ldl is just up to the mark but triglycerides are very high 572. If she takes the medicine calcigard retard then she has her ankle swelling also. She is taking it without any break. Please guide how she can lower both her albumin and triglycerides. She got bp. But its under control 135/80. Please help to lower both the things.

Dr. Paramjeet SinghCardiologist9yrs exp

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Micro albumin urea and high serum creatinine suggest the onset of nephropathy which is kidney dysfunction which might be a complication of chronic high blood pressure you also have high triglycerides so I am assuming your cholesterol and LDL might as well be little hai but you are already taking medications for them as well as for Hypertension so what you need is to understand the concept of hypertension and high cholesterol and try and keep them strictly under control with regular monitoring and keeping a record also you need to check out the risk factors like diabetes prediabetes and environmental factors like dust and smoking if any. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out latent cardiac issues and signs of other complications 3) unless any recent evaluation has been done I would advice these test ECG ECHO TMT Lipid profile TSH Fundoscopy Usg KUB high LDL high cholesterol put you on a higher risk of atherosclerotic diseases and heart attacks especially if you have other is factors including hypertension diabetes or a history of smoking so I would advise you to start taking statins which are cholesterol medications the doors of which depends upon your cholesterol levels also you need to start changing your dietary habits and include a regular physical exercise at least 45 minutes a day 5 days a week into your schedule nonetheless you have to stop taking fatty and junk food good luck. 

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