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What are the criteria for diagnosing diabetic nephropathy?

2017-08-17 14:40

The complications of diabetes, I believe many people have heard of, doctors often say that patients with diabetes, diabetes itself will not endanger human life, so good glycemic control reduces diabetic complications, is the treatment of diabetes significance.

That prolonged illness, I believe that many patients are very understanding of this disease, and some even more than some doctors are still unclear, but on diabetic nephropathy diagnosis standard, presumably there are still many patients don't know, now let us take a look at.

The diagnostic criteria of diabetic nephropathy mainly include:

1, calculate the urinary albumin excretion rate (UAE) of 20 ~ 200 g/min to confirm: This is one of the important index for the diagnosis of early diabetic nephropathy; when UAE is consistently greater than 200 g/min or routine examination of urine protein positive (urine protein greater than 0.5g/24h), which is for the diagnosis of diabetic nephropathy. Urinary sediment generally does not change significantly, more white cells suggest urinary tract infection; there are a large number of red blood cells, suggesting that there may be other causes of hematuria.

2, fundus examination: if the patient is necessary in the diagnosis, then you can also be artificial fundus fluorescein angiography, then you can see the micro aneurysm and other diabetic lesions.

3, once the patients with radionuclide renal dynamic glomerular filtration rate (GFR) increased and B ultrasound measurement of renal volume increased, then the condition is consistent with early diabetic nephropathy. In uremia, GFR decreased significantly, but the volume of the kidneys tended to decrease markedly.

4, urine qualitative examination: the examination method for screening of early diabetic nephropathy, is a relatively simple method, but in diabetic nephropathy can appear false negative or positive, so the determination of blood glucose is the main basis for the diagnosis.

5, once the patient's endogenous creatinine clearance rate decreased and blood urea nitrogen and creatinine increased, that represents the patient's condition is late diabetic nephropathy.

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