Microalbumin Creatinine ratio and diabetes Health and social care essay
11.1a At least annually, the albumin-albumin ratio, for example the spot urine-albumin-creatinine ratio, and the estimated glomerular filtration rate should be assessed in patients with diabetes of duration ≥.1. The patient should feel well at baseline. They must not have a urinary tract infection, no acute febrile illness, no intensive physical exertion within a few hours and no menstruation. 2 Recommended urine collection is a fresh urine sample from the first morning. If it is not practical to urinate on the first morning, random sampling is acceptable. A study of urine protein testing in two primary care organizations found that UACR reporting rates were low because some providers were unaware of the difference between UACR and total urine microalbumin, and laboratories also incorrectly reported urine microalbumin results when a UACR test was ordered; The albumin-creatinine ratio serves as a detector for elevated protein levels in the urine, albuminuria, the first test to estimate kidney function. To perform these calculations, the laboratory only needs one sample of your urine. One hour collection, as this is not necessary for calculating the protein to creatinine ratio. A ratio of albumin mcg L to creatinine mg L or less is a normal ratio - microalbuminuria and values are considered macroalbuminuria. On a standard urine dipstick, 10 dL is the minimum detection limit for protein. If the dipstick is positive, the patient probably has microalbuminuria.