Home | Wikikidney | Dialysis Units | Physicians | RNS & Administrators | Nutrition | KidneyDisasters | Patient Education | MDRD GFR | AAKP | K DOQI | Epocrates | UpToDate | HDCN | Bills | Translate
 
TEXT SEARCH STRUCTURED SEARCHES
for:

PICO | Hubmed - RIS |Citematch Search by Citation |
Cochrane
CR
IDMS
mg/dL
μmol/L
AGE yrs W
B
F
M
MDRD
GFR:
??? mL/min/1.73 m2
 
web site
Epocrates | TouchCalc
Clin Queries | AdvScholar | Scholar |
 

6 eGFR Equations (beta)

PEDIATRIC GFR
CKD-EPI.COM

Diabetic Nephropathy

How is diabetic nephropathy detected?

By testing the urine. Diabetic nephropathy should be detected as early as possible. One of the first findings is the presence of very small amounts of protein in the urine. Therefore a urine albumin creatinine ratio (ACR) is an excellent test to determine who has early disease and who will respond to therapy. The urine albumin is measured, preferably on a first voided morning specimen, and compared to the urine creatinine level. This ratio corrects for fluid intake. Normal is < 30 mg albumin/gram creatinine. Microalbuminuria is associated with incipient nephropathy if the ratio is between 30 and 300 mg/gm. Levels over 300 mg suggest overt diabetic nephropathy. Note the difference between albumin and protein. Albumin is one of the proteins in the body, and is more selective for damage to the glomerular filter of the kidney. There are tests that show the amount of protein in the urine. A routine urinalysis performed with "dipstix." shows trace proteinuria, and is equivalent to < 30 mg protein per 24 hours. + protein is equivalent to 30 mg protein.

References

Frequently Asked Questions Index



This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.



Search only trustworthy HONcode health websites:

About The Nephron Information Center | Contact the webmaster: fadem@nephron.com
© 2004-13 Nephron Information Center. All Rights Reserved. No part of this page can be reproduced without permission of the author. | Page coding updated May 10 2014. Content last updated dynamically at Last updated Mon, 26 Dec 2016 23:20:50 -0800. .