Denise has type two diabetes. Her blood test shows an estimated filtration rate of seventy eight, but no urine albumin result is recorded. The missing step is not another glucose measurement. Kidney assessment needs both filtration and urine albumin. One abnormal result requires interpretation and confirmation, not an automatic lifelong diagnosis. Ask whether infection, menstruation, strenuous exercise, or acute illness could affect the sample. Document the repeat testing plan and the clinician who will review it. Denise's pregnancy history belongs in her heart story, but it does not replace the kidney tests. The clinical takeaway: obtain both measures, establish persistence, and explain what happens next.