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Related Experiment Videos

Screening diabetic patients for microalbuminuria.

J C Konen1, L G Curtis, Z K Shihabi

  • 1Department of Family and Community Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina.

The Journal of Family Practice
|November 1, 1990
PubMed
Summary

Screening for microalbuminuria, an early sign of kidney disease in diabetes, is feasible in family practice settings. Over 40% of screened diabetic patients showed elevated albumin excretion, indicating a high prevalence.

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Area of Science:

  • Nephrology
  • Endocrinology
  • Family Medicine

Background:

  • Abnormal urinary albumin excretion predicts diabetic nephropathy and atherosclerotic disease.
  • Early detection of microalbuminuria is crucial for managing diabetic complications.

Purpose of the Study:

  • To assess the feasibility of measuring microalbuminuria in a large family practice population of diabetic patients.
  • To determine the prevalence of elevated albumin excretion rates in this cohort.

Main Methods:

  • A free screening for microalbuminuria was offered to 473 diabetic patients.
  • Urine samples were collected for albumin-to-creatinine ratio measurement.
  • Demographic and clinical data were compared between participants and non-participants.

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Main Results:

  • Approximately 50% of eligible diabetic patients participated in the screening.
  • Participating patients were representative of the overall diabetic population in the practice.
  • Over 40% of screened patients exhibited abnormally elevated albumin excretion rates (>0.02 g/g creatinine).
  • Participants found the screening process useful and complied with overnight urine collection instructions.

Conclusions:

  • Screening for microalbuminuria in diabetic patients within family practice is feasible, simple, and cost-effective.
  • A significant proportion of diabetic patients in primary care settings have elevated albuminuria, highlighting the need for screening.
  • Further interventions are being developed to manage abnormal microalbuminuria and reduce nephropathy risk.