Conversation: The conversation between human and AI assistant.
[|Human|] Yes, I just received some test results from my endocrinologist in the mail today. I am a type 2 diabetic but technically considered a type 1 because I have had chronic pancreatitis for 8 years and my whole pancreas is diseased I produce no insulin & have to take creon to eat. Anyway my question is about what my kidney function results mean. It says U microalbumin conc is 85 & my U microalbumin /G creat is 86 can you tell me what this means about my kidneys?
[|AI|]  Hi, From above narration it is clear that you have pancreatic diabetes mellitus.  Though in it there is no insulin production by pancreas (B cell), it is different from Type I DM because of low level of glucagon (anti insulin hormone produced by pancreatic alpha cells) in pancreatic DM that's why low chances of development of diabetic ketoacidosis (acute complication of Type I DM) in pancreatic diabetes. In pancreatic DM pancreas also cannot produce enzymes needed for digestion and hence enzymes are supplied in form of tab Creon. In pancreatic diabetes development of microvascular complications of diabetes (diabetic retinopathy, nephropathy, neuropathy) is same as in Type II DM, though development of macro vascular complication (heart attack, CVS (paralytic attack)) are very less in pancreatic DM. For screening of development of diabetic nephropathy there is test called as renal function test which includes serum creatinine, urea, BUN, electrolytes, uric acid, calcium, phosphorus, urine examination for microalbumin or SPT urine urinary albumin creatinine excretion ratio. In your case Urinary microalbumin concentration of 85 & Urinary microalbumin to creatinine ratio of 86 denote presence of microalbunuria, which is early predictor of development of diabetic nephropathy and other microvascular complications. You should also screen for diabetic retinopathy by doing endoscopy, foot examination for neuropathy.