Earliest finding in diabetic nephropathy
Diagnosis and screening of Diabetic nephropathy Microalbuminuria is the presence in the urine of small amounts of albumin, at a concentration below that detectable using a standard urine dipstick. Ove nephropathy is defined as the presence of macroalbuminuria (urinary albumin > 300 mg/24 hrs, detectable on urine dipstick). Microalbuminuria is a good predictor of progression to nephropathy in type 1 diabetes. It is a less reliable predictor of nephropathy in older patients with type 2 diabetes, in whom it may be accounted for by other diseases, although it is a potentially useful marker of an increased risk of macrovascular disease. Ref - Davidsons 23e p779
Shrunken kidney is hallmark
Fibrin caps
Elevated serum Creatinine
Urine albumin > 300mg/ 24 hrs
Endocrinology