What Clinical Indicators Should Be Monitored in Patients with Diabetic Nephropathy
Diabetic Nephropathy refers to kidney damage caused by chronic hyperglycemia, which may involve the whole kidney, including glomerulus, renal tubule, renal interstitium and renal vessels. What clinical indicators should be monitored in patients with Diabetic Nephropathy? Read on to learn more information.
1. Urinary albumin to creatinine radio (ACR)
ACR has a good correlation with the gold standard 24-hour urinary albumin excretion rate. The results are stable and cost less, which is especially conducive to early detection, treatment and follow-up of diabetic nephropathy patients in outpatient clinics. The control objectives are < 2.5 mg/mmol for males and < 3.5 mg/mmol for females.
2. 24-hour urinary microalbumin testing
Increased urinary protein is one of the clinical features of diabetic nephropathy and the main diagnostic basis. Early monitoring of urinary microalbumin is the main method. If the urinary albumin excretion rate (UAER) is between 30 and 300 mg/24h twice in half a year, the early diabetic nephropathy can be diagnosed by excluding other possible causes of increased urinary microalbumin excretion. If the urinary routine protein is positive, the urinary albumin quantity is > 0.5 g/24h, and the urinary albumin excretion is > 300 mg/24h, clinical Diabetic Nephropathy can be identified if you exclude other possible kidney disease.
3. Glomerular filtration rate (GFR)
Renal function change is an important manifestation of diabetic nephropathy, and GFR is the main indicator of renal function. Chronic Kidney Disease (CKD) can be staged according to GFR and other evidence of renal injury. The evaluation methods of GFR include the determination of renal clearance rate of exogenous markers and the estimation of endogenous markers. The latter is more suitable for clinical application. Serum creatinine is the most commonly used index for estimating GFR. Serum creatinine should be examined at least once a year in all adults with diabetes, and GFR should be estimated with serum creatinine.
4. Other examinations
Including monitoring blood and urine beta 2-microglobulin, urea nitrogen, radionuclide renography and so on.
What clinical indicators should be monitored in patients with Diabetic Nephropathy? Now you get the answer. If you are looking for its treatment, you can try systemic Chinese Medicine Treatment, which can help you stabilize blood sugar level and reduce its damage to kidneys so as to avoid Kidney Failure. For more information on its treatment, please leave a message below or contact online doctor.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***