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Screening for Microalbuminuria in Type 2 Diabetes : A Reconsideration

SUPAMAI SOONTHORNPUN, M.D.*, CHATCHALIT RAT TA RASARN, M.D.*, RATTANA LEELAWATTANA,M.D.*, WORA WONG SETASUBAN, M.D.*, ATCHARA THAMPRASIT, B.N.*, NATAW AN THAMMAKUMPEE, B.Sc.*

Affiliation : * Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Prince of Songkla Univer sity, Songkhla 90110, Thailand. t Presented at the 12'h Annual Meeting of the Endocrine Society of Thailand, Bangkok, November 16, 2000.

Abstract
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

Keywords : Microalbuminuria, Type 2 Diabetes, Screening


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