Diagnosis of Diabetic Nephropathy (Diabetic Kidney Disease)

How to detect Diabetic Kidney Disease as early as possible?

1.Detection of urine and sugar, which is the easiest method to detect Diabetic Nephropathy. However, sometimes the result could be false negative or false positive. Hence we mainly detect the disease by measuring the blood sugar.

2. Urinary albumin excretion rate. Urine protein is a very common symptom of Diabetic Nephropathy and mainly occurs in the early stage, so urinary albumin excretion rate becomes an important indicator of diagnosing Diabetic Nephropathy. When albumin is more than 200μg/min continuously or the result of urine protein test is positive in routine examination (urine protein ration is more than 0.5g/24h), one can be diagnosed with Diabetic Nephropathy. Urine sediment always has no unobvious changes and more white blood cells indicate there is urinary tract infection; while large amount of red blood cells indicate presence of hematuria possibly caused by other reasons.

3. In the late stage of Diabetic Nephropathy, some symptoms will present, like increasing of creatinine clearance rate, blood urea nitrogen and creatinine.

4. Increase of nuclide renal dynamic glomerulus filtration rate and enlarged kidney in ultrasound. In the stage of Uremia, GFR decrease obviously with unconspicuous kidney volumn.

5. Do the ocular fundus examination. You can do fluorescence fundus angiography if necessary which can detects Diabetic eye disease like microaneurysm.

Diabetic Nephropathy mainly occurs on those who have suffered from Diabetes for 6 to 10 years. Besides, there are people who are diagnosed with Diabetic Nephropathy shortly after suffering from Diabetes. If you can detect in the early stage, it is completely reversible. Early detection and early treatment may help you get better soon.

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