Diabetic Nephropathy Symptoms

With kidney disease, your microalbumin can exceed 20mg/L. But if your microalbumin exceeds 20 mg/L, it does not mean you must have kidney disease.

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Diabetic Patient Appears Microalbuminuria, Is It Diabetic Nephropathy

2018-08-02 03:51

Diabetic Patient Appears Microalbuminuria, Is It Diabetic NephropathyOur glomerular basement membrane is like a very fine mesh, divided into three layers: inner tectorium, compact layer, and outer tectorium. It filters out large molecule substances, such as albumin. If kidney function is not impaired, urine albumin concentration is very low. However, if this mesh is damaged, permeability will change, and then albumin can go into urine, leading to the continuous increase of albumin in urine.

If albumin in urine is 20mg/L - 200mg /L, it belongs to microalbuminuria, and the urine routine albumin is shown as (-) or (+-). Many diabetics ask: "my microalbuminuria is at the boundary, or perhaps has a bit exceed standard, does it mean I get Diabetic Nephropathy certainly?"

With kidney disease, your microalbumin can exceed 20mg/L. But if your microalbumin exceeds 20 mg/L, it does not mean you must have kidney disease.

There are many causes of microalbuminuria. Even if you have diabetes, it is not necessarily caused by diabetes.

1. Temporary proteinuria. For example, when you are under the condition of dehydration, fever, cold weather, strenuous exercise, pain reliever intake, or high fever, acute illness, pregnancy and elevated blood pressure, you may have transient proteinuria. Besides, proteinuria is also present in urinary tract infections such as urethritis, cystitis, or pyelonephritis.

This kind of proteinuria is temporary. When inducement disappears, it can restore normally in a few hours or days. No treatment is required.

2. Postural proteinuria. As the name implies, it is related to body posture. For example, when getting up in the morning to urinate, you do not have proteinuria. After a long period of activity, walking, strenuous exercise, standing, or forward flexion, proteinuria will appear. However, after lying on your back for a while, it will disappear.

3. Pathological proteinuria, which is the most common.

One is proteinuria due to kidney disease. When there is persistent proteinuria, the glomerulus or tubules of the kidney are usually affected, and most of the diabetics will have primary or secondary glomerular damage. Primary glomerulonephritis includes acute or chronic glomerulonephritis, while secondary causes are too many, such as Lupus Nephritis, Diabetic Nephropathy, Hypertensive Nephropathy.

The second one is proteinuria caused by overloading. It is mainly some malignant diseases that produce too much small immune proteins, which can pass through the glomerulus to the renal tubule, exceeding the maximum absorption of the renal tubule, as a result, it is passed out with urine.

It does not matter that albumin is detected in the urine once. The most important thing is the subsequent multiple reviews. If there are two positive tests, the symptoms and other test results will be comprehensively determined.

All in all, you should attach importance to microalbuminuria if you have diabetes. If you can make a clear diagnosis in the early stage, it is possible for you to reverse it and stay away from kidney failure. For more information on Diabetic Nephropathy treatment, please leave a message below or contact online doctor.

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