One of the main complications of diabetes is diabetic nephropathy development
to the late often require dialysis or kidney transplantation is not only
expensive, but also will bring great inconvenience to the patient's life.
Commonly used to check the major clinical urinary albumin excretion rate (UAER),
glomerular filtration rate (GFR) Check Check three blood biochemistry. As for
other specific checks it a lot. For example: a urine. Factors: drug or food can
change the color of urine; diluted urine after drinking can affect specific
gravity and other projects; female patients menstruation and menstrual period
before and after the urine within 2-3 days, can affect the results of urine.
Meaning: without lesions screening of the urinary system, the nature and extent
of the lesion, observation and treatment effects. Second, phase contrast
microscopy examination of urine. Factors: urine place too long (over 30
minutes); leave the urine after a lot of water. Meaning: help clinicians
determine the origin and possible causes of hematuria. Third, urine osmolality.
Factors: not strictly 12 hours water deprivation, did not urinate at night
(between 2-6 points good night to urinate once). Meaning: Learn tubular
concentration function.
There are also some other diabetic nephropathy inspection items, these checks
relatively subtle, and therefore need to be carefully studied. A 3-hour urine
Addison's count. Meaning: Learn urine white blood cells, red blood cell
excretion rate. Second, urinary albumin, transferrin, a1- microglobulin, β2-
microglobulin. Meaning: to determine whether early hypertensive nephropathy mild
renal impairment. Identification of glomerular proteinuria and tubular
proteinuria. Third, clean urine bacterial culture and drug sensitivity test. Factors: No strict aseptic technique, specimens were contaminated. Urine stays
in the bladder for less than 4-6 hours (fortunately not urinate after 14:00). Meaning: Learn urinary tract infection pathogens, provide the basis for clinical
use of drugs.
Read the above, check items for diabetic nephropathy what are the issues that
you understand it, if there is doubt welcome you to our online experts for
consultation or you can send your email: kidneyhospitalabroad@hotmail.com.
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