Which of the following statement on microalbuminuria is not true?

A. Cannot be detected by routine lab tests

B. Urine protein less than 30-299 pg/day is called microalbuminuria

C. Microalbuminuria is an independent risk factor for cardiovascular risk in diabetic patients

D. Microalbuminuria is the earliest marker of diabetic nephropathy.

Correct Answer: Urine protein less than 30-299 pg/day is called microalbuminuria

Description: The significance of microalbuminuria: Microalbuminuria is the finding of albumin in the urine not detectable by the urine dipstick which is sensitive to protein concentration > 1gm%. It precedes the decline in GFR and indicates the presence of renal and cardiovascular complications. Annual screening for microalbuminuria will allow the identification of patients with nephropathy at a point very early in its course. Definition of abnormalities in albumin excretion Category 24-hr-urine albumin (mg/24h) Dipstick analysis Spot collection (ug/mg creatinine) Normal Microalbuminuria Clinical albuminuria <30 30-299 >300 Negative Negative, trace, 1+ 1+ to 3+ <30 30-299 >300

Category: Medicine

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