Have you or your child ever had a microalbumin test?
Yes, and the results indicated kidney problems
Yes, and the results indicated no kidney problems
I haven't had this test
I don't know what a microalbumin test is
Total votes: 326
Have you or your child ever had a microalbumin test?Poll dates: July 13 - 20, 2008
Total Votes: 326
It's disappointing that 42% of responders say they don't know what a microalbumin test is. Perhaps many who answered this way didn't know the name of the test, but knew that they did have a test done to see if any kidney damage is occurring. This procedure is called a microalbumin test.
According to ADA and ISPAD guidelines, any person who has had diabetes for more than 5 years or who is past puberty should have a microalbumin test to screen for nephropathy on an annual basis. Initial screening may be in the form of a simple urine dipstick preferably performed on a first morning void. If positive, a timed 12 or 24 hour collection needs to be done for quantitative analysis.
A positive "screen" is not always indicative of kidney disease. Vaginal secretions in women, urinary tract infections and heavy exercise within 24-48 hours prior to sample collection can all yield false positives.
Screening for nephropathy is extremely important. Early detection of quantified microalbumin excretion exceed the range of normal in that lab (depending on the type of test done, the normal range will vary), along with initiation of ACE inhibitor therapy, can prevent or slow the occurrence of diabetic nephropathy.
As a follow on to this week's poll, we're interested in how your diabetes team checks for kidney health:
To check for kidney health, what does your diabetes team do? 24 hour urine collection 25% 5 In-office spot urine 55% 11 Spot urine followed by 24-hour collection if needed 15% 3 Something else 5% 1
Total votes: 20
Last Updated: Sunday July 20, 2008 09:59:29
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