Abstract

FIGUEROA, Valentín; URROZ-CARCAMO, Karla M  and  ARGUEDAS-CHAVERRI, Carlos. Importancia clínica de la proteinuria en diabetes mellitus. Acta méd. costarric [online]. 2001, vol.43, n.2, pp.50-54. ISSN 0001-6002.

Background: Due to the growing incidence of Diabetes Mellitus in a younger population, and in view of the poor level of metabolic control reached worldwide for this illness, it is necessary to find simple and practical methods, within our reach, in order to detect the appearance of the chronic complications of Diabetes in very early stages to avoid or at least slow down the natural evolution of them. Aim: To review the most recent evidence of the utility and readiness of different methods to evaluate albuminuria, in order to improve the approach of the diabetic patient, with or without nephropathy. Methodology: Bibliographical review of publications of the last 10 years. Conclusions: a) All patient with DM type 1, 5 years after their diagnosis and all diabetic patient type 2 at the moment of the diagnosis should have a measurement of their proteinuria. b) The reactivate strips to determine the micro and macro-albuminuria are reliable and correlate well with the meansurement of albuminuria in a 24 hours orine. c) The most important factors that inside in the evolution of the diabetic nephropathy and that demand an aggressive management are: a good metabolic control and the control of the blood presure.

Keywords : Diabetes Mellitus; Nefropatía Diabética; Albuminuria; Insuficiencia Renal.