Very high ACR with normal eGFR
Hello. I am confused. Im a 39 year old male and have been told since I was 27 that I have protien levels in my urine that signal kidney damage but my eGFR has always been nothing lower than 109. I've been to multiple kidney specialist due to moving and new pcp would want me to see one and they all said the same thing that regardless of my protien levels in my urine my eGFR show my kidneys are working fine and that it just need to be monitored. So I have not worried about it for years. I have to say I'm over 400lbs and am only 5'10" so im obviously morbidly obese and ive been that way for over 10 years and have struggled to manage my blood pressure since I was 23. I have always had stints of wanting to get healthy but always fallen back into old habits. I also have been diabetic for the past 5 years and my A1C is 7.0. I have been feeling bad for the past couple months and the past 4 days I have felt horrible. I had blood work and urine test done 3 days ago and my ACR was 591 but my eGFR was 115. Creatinine test itself was ok too. I looked back on my past labs and last April my ACR was 344 and eGFR was 119 and in 2023 my ACR was 622 and my eGFR was 109. I know it's not good at all to have them kind of levels of protein in your urine and to shows sign of a problem but my function numbers have always been good. I can remember being 23 years old and using the bathroom and my urine would foam up like crazy. Sorry for the long post. Im not asking for someone to play doctor here I just wonder if others have dealt with this over the years so maybe I can have so clarity. I know my neglect of my body is the main factor but I just terrified now that I feel horrible that im in late stage kidney failure and my test on my kidney function has always tol me otherwise.