J Med Assoc Thai 2002; 85 (5):604

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Screening for Microalbuminuria in Type 2 Diabetes : A Reconsideration
Soonthompun S Mail, Rattarasam C , Leelawattana R , Setasuban W , Thammakumpee N

CHATCHALIT RA TT ARASARN, M.D.*,
WORA WONG SETASUBAN, M.D.*,
NATA WAN THAMMAKUMPEE, B.Sc.*
To study the effect of timing of urine collection in determination of microalbuminuria in
type 2 diabetic patiems, timed urine (night time and daytime) as well as spot urine (first morning
and random morning) samples were collected from 44 type 2 diabetic patients, 21 with norma-
albuminuria and 23 with microalbuminuria. The methods of spot urine albumin expression for
microalbuminuria were also compared between albumin concentration (AC) and albumin to creati-
nine ratio (ACR). Night time albumin excretion rate (AER) was 16 per cent lower and daytime AER
was 13 per cent higher than 24-h AER (p

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