Diabetes has a significant consequence called diabetic nephropathy. Most diabetes patients, especially those with a history of the disease longer than five years, have some degree of kidney damage. The primary reason for dialysis in recent years has been diabetic nephropathy. Finding diabetic nephropathy in its early stages is therefore crucial.
The main justification for delaying early therapy is that patients with diabetic nephropathy do not have overtly aberrant clinical symptoms in the early stages of the disease.
The primary approach for diagnosing diabetic nephropathy in its early stages is radioimmunoassay, which gauges the frequency of urine albumin excretion. The rate of urine albumin excretion is often less than 20 g/min. You are advised to perform routine urine tests within six months in order to receive an accurate diagnosis of early diabetic nephropathy.
You may be diagnosed with early-stage diabetic nephropathy if the urinary albumin excretion rate is greater than 20 g/min and less than 200 g/min and other reasons that can increase urinary albumin excretion rate are ruled out, such as urinary tract infection, exercise, heart failure, and so on.
In order to prevent the early stage of Diabetic Nephropathy, it is very essential for patients with Diabetes to take preventive measures as early as possible-
1. Patients with diabetes should routinely undergo PRO, protein collection in 24 hours, and renal function exams, especially those with more than five years of disease history. They should also take fundus exams and improve measuring their blood pressure.
2. If at all possible, they should regularly monitor their levels of urine albumin and 2-microglobulin to identify diabetic nephropathy as soon as possible.
3. They should maintain strict blood pressure and glucose control to lessen the factors that trigger diabetic nephropathy.
Diabetes patients will be able to prevent the development of early-stage diabetic nephropathy if they can implement appropriate preventative measures to prevent kidney damage.
Patients with diabetes for more than 10 to 15 years are more likely to develop diabetic nephropathy. However, because patients are ignorant of this illness, the majority of them wait to seek therapy until their urine contains a significant amount of protein.
What is the early marker of diabetic nephropathy?
The earliest indicator of diabetic nephropathy has been recognised as microalbuminuria; nonetheless, a significant amount of renal deterioration happens in non-albuminuric states.
Early diabetes nephropathy: How is it identified?
For the diagnosis of diabetic nephropathy, determining the amount of albumin in a 24-hour urine collection has been regarded as the gold standard.
What symptoms of diabetic nephropathy exist?
Diabetic nephropathy warning signs and symptoms
Proteinuria that is otherwise undiagnosed. diabetic retinal disease. fatigue and subsequent foot edoema from hypoalbuminemia (if nephrotic syndrome is present) Other related conditions include hypertension, coronary artery disease, or peripheral vascular occlusive disease.
What lab test can identify diabetic nephropathy in its early stages?
albumin test in the urine.
The blood protein albumin can be found in your urine using this test. Albumin is not removed from the blood by the kidneys. A high level of protein in the urine can point to impaired kidney function.
When should I begin performing diabetic nephropathy tests?
Since 7% of individuals with type 2 diabetes have microalbuminuria at the time of diagnosis, screening for diabetic nephropathy must begin very away. The first screening for those with type 1 diabetes is advised to be done five years after diagnosis.
Alert: Treating kidney disease as soon as possible will improve the therapeutic effect and quality of life. The most crucial thing is to boost your self-assurance so you can combat illness.