Mikroalbuminuri--en værdifuld diagnostisk parameter.

B. F. Feldt-Rasmussen, K. Borch-Johnsen, T. Deckert, G. Jensen, J. S. Jensen

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

    Abstrakt

    The concept of microalbuminuria is reviewed. Measuring the urinary albumin excretion rate and testing for microalbuminuria is well established in the control and treatment of patients with insulin-dependent diabetes mellitus. Microalbuminuria predicts nephropathy and early cardiovascular death. In the presence of microalbuminuria, frequent examinations are warranted for early detection of retinopathy, hypertension and for optimizing the glycaemic control. In patients with non-insulin dependent diabetes, the independent value of microalbuminuria as a cardiovascular risk factor is not yet clarified. The urinary albumin excretion rate should be measured at diagnosis, because the indications are that presence of microalbuminuria reinforces the urge to intervene against other well-documented cardiovascular risk-factors (hypertension, dyslipidemia, tobacco and obesity). In the non-diabetic population there is accumulating evidence that an elevated urinary albumin excretion rate is associated with early cardiovascular morbidity and mortality. Large scale cross-sectional and prospective studies are needed in order to further clarify the role of microalbuminuria as an independent risk factor in the background population.

    Bidragets oversatte titelMicroalbuminuria--a valuable diagnostic parameter
    OriginalsprogDansk
    Sider (fra-til)4149-4154
    Antal sider6
    TidsskriftUgeskrift for laeger
    Vol/bind155
    Udgave nummer51
    StatusUdgivet - 20 dec. 1993

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