Question: Antihypertensive (ACEI
group) can slow the deterioration of the kidney in DM (diabetes mellitus) patients
with renal impairment, is it true or not? And the microalbumin test has
advantages over serum creatinine test, is it yes or not?
Answer: Currently, there
is evidence believed that ACEI drugs can slow the deterioration of the kidneys
as well as reducing the complications of the cardiovascular system in diabetes patients
with microalbuminuria.
Microalbuminuria is a condition which albumin is
excreted in the urine 30-300 mg / day. It is a sign of kidney dysfunction in
the early stages that can be detected by common method.
Although, the serum creatinine will be monitored easily,
but it has a low sensitivity to see the efficiency of the kidney. The serum
creatinine will increase, only when the kidneys are already degenerative
extremely. In addition, there are many factors that influence serum creatinine
values, such as muscle mass, age of patient, protein content in the diet and so
on.
Reference:
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