Diabetic Nephropathy is a kind of disease which damages both kidney and other
organs in the whole body. So it is necessary to have an earlier diagnosis so as
to prevent more damage. Which examinations should people take to diagnose
whether they have had Diabetic Nephropathy?
Generally, the examinations which they should take to diagnose Diabetic
Nephropathy are as follows:
The first one is physical examination.
Patients with Diabetic Nephropathy can have different degree of high blood
pressure, edema, and even ascites, hydrothorax and so on. In addition, they also
have complication of Diabetic Retinopathy. The above mentioned are about the
common diagnosis of Diabetic Nephropathy.
The second one is assistant examination, which includes the following
aspects.
1. glucose
Glucose is an easy way to judge whether people have Diabetes. Diabetic
Nephropathy can be false negative or false positive, which is the main diagnosis
evidence of Diabetic Nephropathy.
2. urinary albumin excretion rate (UAER)
Urinary albumin excretion rate is an important index which can be used to
diagnose early-stage Diabetic Nephropathy. When the urinary albumin excretion
rate is more than 200μg/min, or when TUPr is more than 0.5g/24h, people can be
diagnosed with Diabetic Nephropathy. Generally, the sediment in the urine is not
obvious. When there are more white blood cells, it indicates urinary tract
infection. When there are enough red blood cells, it indicates that there is
hematuria caused by other reasons.
3. At the end stage of Diabetic Nephropathy, patients can also have decreased
clearance rate of endogenous creatinine, increased blood urea nitrogen and
increased serum creatinine- High Creatinine Levels.
4. At the early stage of Diabetic Nephropathy, patients can have increased
glomerular filtration rate and increased kidney size. But in uremia stage, the
size of kidney does not become smaller obviously.
5. To diagnose Diabetic Nephropathy, people should also have examination of
eye ground. They should also have a fundus imaging, which can show the diabetic
eye lesion such as microaneurysm.
Last but not least, people who have Diabetes should monitor the blood sugar
strictly, because long time high blood sugar will lead to damage in kidney
easily.