Rinsho Kensa Volume 54, Issue 9 (September 2010)

Diagnosis of diabetic kidney disease Tetsuya Babazono 1 1Diabetes Center, Tokyo Women's Medical University School of Medicine Keyword: 糖尿病性腎症 , アルブミン尿 , 糸球体濾過量 pp.1017-1022
Published Date 2010/9/15
DOI https://doi.org/10.11477/mf.1542102385
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Albuminuria is a fundamental manifestation of diabetic kidney disease. Urinary ACR (albumin-to-creatinine ratio) is usually measured in random spot urineu;uhowever, using a first-morning urine specimen is recommended to minimize intraindividual variation. Normo-, micro, and macroalnuminuria are defined as an ACR < 30, 30-299, and ≥ 300 mg/g, respectively. Recently, CKD (chronic kidney disease) has been defined, irrespective of cause, as the presence of kidney damage that is most frequently detected as persistent albuminuria and/or decreased GFR (glomerular filtration rate). GFR is estimated using the equation proposed by the Japanese Society for Nephrology. Clinical significance of estimated GFR in diabetic patients needs to be determined.

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54巻9号 (2010年9月)
電子版ISSN 1882-1367 印刷版ISSN 0485-1420 医学書院