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What Does Froath In Urine Indicate?

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Posted on Mon, 29 Dec 2014
Question: two month back i make random blood sugar and find 444 after that i consult doctor and start medicine now it is like fasting 103 and PP 109 medicines are amaryl 3 mg at morning and glycomet 1 gm. again i find foaming in urine just when i diagnosed with blood sugar, my query is though i controlled sugar why still foaming is occurring in urine, is it because it already effect kidney ??
doctor
Answered by Dr. Ajish TP (24 minutes later)
Brief Answer:
You can do urine examination for albumin excretion

Detailed Answer:
Hi XXXXXXX

Welcome to HCM. I have gone through the question and understand your concerns.

It is great that your blood sugars under control now. How is your HbA1c (3 month average blood glucose)?

The froathing of urine in diabetics is mostly due to increased albumin (protein) excretion from kidney. I suggest you to do the following tests to confirm that - urine albumin creatinine ratio, 24 hour urine protein and serum creatinine. This will confirm if the froathing is due to kidney damage or not.

Don't worry. Control of blood glucose and some drugs (ACE inhibitors and ARBs) can revert it back to normal. Your diabetologist will be able to help you with this.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajish TP (20 minutes later)
hb1ac done 1month back was 11.

but if something happened to kidney there might be some other sysmptoms also can you tell me those.

my diabetogist asked me to do hba1c, lipid, tsh, Ft4, XXXXXXX lft, kft.

can you tell me what are those stands for and why required.
and if done all above did i need extra what you prescribed.

thnkx
doctor
Answered by Dr. Ajish TP (23 minutes later)
Brief Answer:
No symptoms will be there at this stage.

Detailed Answer:
Hi XXXXXXX

Noted your concerns.

No symptoms will be there in early kidney damage other than froathing of urine.

The investigations ordered by your diabetologist cover everything. The investigations ordered by your doctor are :

LFT - Liver function tests
KFT - kidney function tests
Ft4 and TSH - Thyroid function
HbA1c -average blood glucose
Lipids - your cholesterol values.

These tests are usually done in the follow up of diabetes to see if your liver and kidneys are functioning normally and if you have other diseases like increased cholesterol or hypothyroidism commonly seen with diabetes.

He has also ordered mau- microalbumin in urine - which is a test for albumin excretion in urine ( similar to albumin creatinine ratio that I have suggested) for the froathing of urine. If it is very high we can do a 24 hour urine protein to assess the severity.

So don't worry. Your diabetologist is thinking in right direction.

Regards
Dr Ajish TP
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajish TP (43 minutes later)
if anything happened to kidney that can be curable na??

again howshall i take care of foot. i find that sugar can affect foot also.

in natural way how to reduce sugar level other than walking.?
doctor
Answered by Dr. Ajish TP (8 hours later)
Brief Answer:
It is curable in early stages

Detailed Answer:
Hi XXXXXXX ,

Thanks for the follow up question.

1. Diabetic kidney damage is curable at early stages and we can prevent the progression of it. The key to it is good diabetic control and periodic check ups

2. Regarding diabetic foot
This is mainly due to damage to the nerves and blood vessels in diabetes. Again diabetic control is the key in prevention. Use moisturisers to prevent dryness of feet, have proper foot wear and regularly check your feet to see for any injuries.

3. Other than diet and exercise, few natural therapies are found to be good in diabetes. Fig leaves, fenugreek seeds, cinnamon, grape seed extract, bitter melon, garlic, alovera etc are tried. The benefits vary in patients. No good proofs for long term benefits in diabetes.

Hope I have answered your questions

Wishing you good health

Dr Ajish TP
Consultant Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

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What Does Froath In Urine Indicate?

Brief Answer: You can do urine examination for albumin excretion Detailed Answer: Hi XXXXXXX Welcome to HCM. I have gone through the question and understand your concerns. It is great that your blood sugars under control now. How is your HbA1c (3 month average blood glucose)? The froathing of urine in diabetics is mostly due to increased albumin (protein) excretion from kidney. I suggest you to do the following tests to confirm that - urine albumin creatinine ratio, 24 hour urine protein and serum creatinine. This will confirm if the froathing is due to kidney damage or not. Don't worry. Control of blood glucose and some drugs (ACE inhibitors and ARBs) can revert it back to normal. Your diabetologist will be able to help you with this. Hope I have answered your questions. If you have any further queries I will be happy to help you. Regards, Dr Ajish TP [MD,DM] Consultant Endocrinologist