The earliest finding in Diabetic nephropathy is?
For early diagnosis of Diabetic Nephropathy, Quantification of 24-h urinary excretion of albumin is the best screening test. Initiation of ACE inhibitors will prevent progression to ove proteinuria and decline in GFR. Macroalbuminuria(Urinary protein > 550 mg/day) in 3 consecutive samples- A reliable indicator of Diabetic nephropathy. Earliest manifestation of diabetic nephropathy is increased GFR
Shrunken kidney is hallmark
Fibrin Caps
Elevated Creatinine Clearance
Urine albumin > 30 mg/dl
Diabetes Mellitus