Precautions for diabetic patients when testing 24 hour urine protein and microalbumin content, urgen

1.with preservatives. It doesn't matter if it's the first bubble of urine. Because it's 24-hour urine. For example, 8:00 a.m. today - 8:00 a.m. tomorrow

2.Go and have your blood drawn on an empty stomach. Then eat breakfast + take the usual medicinal insulin, and then go to measure the blood sugar 2 hours after the meal. Try to do it as usual as you normally would.

First, put it in the refrigerator. Second, the first bubble of urine. Third, don't take insulin or medicine for fasting checkups, and take medicine and meals after taking blood.

It's good to use preservatives, and if you take hypoglycemic drugs on an empty stomach, you are guaranteed to be fluttery, sweating, dizzy, and weak. Go for a check-up on an empty stomach without taking medicine.

There are three methods for the detection of microalbuminuria: (1) the determination of albumin and creatinine (ACR mg g) in urine samples at any time; (2) quantitative determination of 24-hour urine albumin, with preservatives; (3) Quantitative determination of albumin in timed urine samples, such as bladder retention for 4 hours or overnight urine. The first of these tests is the easiest to perform, so it is often used for clinical diagnosis.

The main indicators recommended by the DKD guidelines for screening for DN are ACR and creatinine clearance (EGFR) values obtained from serum creatinine. Microalbuminuria is defined if the ACR is 30 299 mg g, and macroalbuminuria is diagnosed if the ACR is 30 299 mg g, and the urine protein is often qualitatively positive.

Because of the large variation of albumin in urine during the day, two more urine tests should be done within 3 to 6 months, and if more than 2 of the 3 tests are positive, the diagnosis of microalbuminuria can be confirmed.

Exercise, infection, fever, cardiac insufficiency, hyperglycemia, hypertension, pyuria, hematuria, and other conditions that may cause increased albuminuria should be excluded during urine microalbumin screening. For details, please refer to the Tang People blog.

Answer] Patients with massive proteinuria in :d diabetic nephropathy should be given angiotensin-converting enzyme inhibitors (ACE inhibitors), which can reduce protein in urine without relying on lowering systemic blood pressure by reducing intraglomerular pressure and directly affecting the permeability of glomerular basement membranes to macromolecules.

Answer] :d collect a 24-hour urine sample for a quantitative test of urine celery protein, you should add sannai toluene to the urine after the first time you tease the urine to pour it, which helps to form a thin film on the surface of the urine, prevent bacterial contamination, and keep the chemical composition of the urine unchanged.

Microalbuminuria is an early sign of diabetes affecting the kidneys and is diabetic nephropathy.

Urine microalbumin is a sign of early kidney damage such as diabetic nephropathy and hypertensive nephropathy. Urine microalbumin caused by any disease is the damage to the intrinsic cells of the kidney caused by different initial causes, which changes the structure of the intrinsic cells of the kidney, and the function changes with the change of structure, which is reflected in the urine. The clinical examination generally includes assessment of immune dysfunction, monitoring of inflammatory status, cardiovascular risk assessment, and rheumatoid arthritis and streptococcal infection.

For microalbuminuria, Western medicine is widely used as hormones to anti-inflammatory and reduce the progressive damage to the inherent cells of the kidney. The hormone ** microalbuminuria, in a short period of time, will produce a good effect. However, because the innate cells of the kidney that have been damaged are not repaired.

Therefore, when encountering the effects of colds and infections, the disease usually recurs and progressively worsens.

Microalbuminuria is also a sign of changes in the entire vascular system and can be considered a "window" for arterial disease, as it is an early indication of changes in the renal and cardiovascular systems. Urine microalbumin (U-MA) should be measured regularly, once a year for the general population, and every 3 months for patients who are already elevated. In this way, it plays a positive role in the prevention and early stage of kidney disease.

In addition to eating active cooperation, pay attention to the principle of low salt, low fat, high quality and low protein in the diet, limit salt within 3g, do not eat vegetable protein, mainly bean products; You can eat more animal protein, such as milk, freshwater fish, egg whites, etc.

Answer]: A The main point of diagnosis of nephrotic syndrome is that the amount of protein in the urine is more than 50 mg kg in 24 hours.

B2 microglobulin is high. Check your urine microalbumin regularly. Control blood sugar, especially blood pressure; Combine work and rest. For the time being, there is no need to take oral drugs such as kidney protection, Kang, lead, and Yunwang. Huai Tsai.

309 Hospital Zhao Lin.

I have already said before, and I will repeat it again, please rest assured that this 24-hour urine protein quantification will not exceed the normal value.

Don't redo it, your current ration is 113 mg, then you press 22Hourly calculation, 113 22*24 = mg. Your 24-hour urine protein limit is less than 124 mg.

You calculate it in 20 hours, 113 20*24 = milligrams. Your 24-hour urine protein size is less than 136 mg.

Because between 5:30 and 7:00, the urine protein does not exceed the average. Generally, this is the most time in the middle of the day.

If you are not at ease, you can do a 24-hour urine protein ration in a month. We usually do a quantitative dose every 3 months.

Analysis: Hello, the 24-hour urine output of a normal person is about 2000 ml.

Suggestions:

If the albumin is low and the globulin is too high, there should be a liver problem.

24-hour urine protein, urine routine is estimated to be at least 3 pluses, a large amount of proteinuria, it is estimated that there is also kidney problems.

Hello sj, at present, renal insufficiency ** generally uses hormones, but the effect is not good, it is recommended to use traditional Chinese medicine for external use**, due to the loss of kidney function, the nitrogen waste produced by metabolism in the body can not be excreted from the body, and the accumulation and water and electricity balance imbalance in the body, water retention, and electrolyte disorders cause uremia. The reasons are: first, various diseases that can cause kidney damage, if they continue to develop progressively, can cause uremia Second, uremia caused by acute drug or poison poisoning, massive blood transfusion and other reasons.

Prevention of uremia: avoid the abuse of painkillers or contrast agents, and avoid the use of various home remedies or ethnic medicines from unknown sources, such as ** medicines. When suffering from various diseases with kidney damage, it is necessary to systematically control the disease and avoid the development of uremia.