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A Comparative Study of Random Urine Protein: Creatinine Ratio with 24 Hour Urine Protein Excretion in Diabetic Nephropathy


Affiliations
1 Department of Biochemistry, Sree Siddhartha Medical College and Research Center, Tumkur, Karnataka, India
2 Department of Pathology, Sree Siddhartha Medical College and Research Center, Tumkur, Karnataka, India
     

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Renal involvement in diabetes is one of the long term complications leading to morbidity and premature mortality. Proteinuria is the most widely accepted clinical sign of diabetic nephropathy. The present study was a correlation between 24 hour urine protein excretion and random urine protein: creatinine ratio in diabetic subjects for predicting renal involvement. A total of 69 diabetic subjects were studied. It was observed that protein excretion in 24 hr sample correlated significantly with random urine protein: creatinine ratio in physiological and also in nephrotic range of proteinuria. This may have important clinical applications as single urine specimens, which can be collected easily in outpatient clinics and field studies, could replace the more traditional timed urine collections that have been used to assess the risk of clinical diabetic renal disease.

Keywords

Diabetic Nephropathy, Protein:Creatinine Ratio
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  • Ronald CK, Gordon CW. Joslin’s Diabetes Mellitus. 13th edn : B.I. Waverly Pvt Ltd (New Delhi) 1994; 624.
  • Indira Agarwal, Chellam Kirubakaran, Markandeyulu, Selvakumar. Quantitation of proteinuria by spot urine sampling. Indian journal of Clinical Biochemistry 2004; 19(2): 45-47.
  • Schwab SJ, Chirstensen RL, Dougherty K, Klahr S. Quantitation of proteinuria by the use of protein to creatinine ratios in single urine samples. Arch Intern Med 1987; 147:943-944
  • Rodby RA, Rohde RD, Sharon Z, Pohl MA, Bain RP, Lewis EJ. The urine protein to creatinine ratio as a predictor of 24-hour urine protein excretion in type 1 diabetic patients with nephropathy. American Journal of Kidney diseases 1995; 26(6): 904-909.
  • Price CP, Newall RG, Boyd JC. Use of protein : creatinine ratio measurements on random urine samples for prediction of significant proteinuria : A systematic review. Clinical Chemistry 2005; 51(9): 1577-1586.
  • Abuelo JG. Proteinuria : Diagnostic principles and procedures. Annals of Internal Medicine 1983; 98: 186-191.
  • Sadjadi SA & Jaiparel N. Correlation of random urine Protein: Creatinine ( P:C) ratio with 24 hour urine protein and protein : creatinine ratio based physical activity : a pilot study. Ther Clin Risk Mana 2010; 6: 351- 357.
  • Xing, Wang M, Jiao L, Xu G, Wang H. Protein-to-creatinine ratio in spot urine samples as a predictor of quantitation of proteinuria. Clinica Chimica Acta 2004; 350: 35-39.
  • Kunzelman CL, Knowler WC, Pittitt DJ, Benett PH. Incidence of proteinuria in type 2 diabetes mellitus in the Pima Indians. Kidney international 1989 ; 35: 681-687.
  • Ginsberg JM, Chang BS, Matarese RA, Garella S. Use of single voided urine samples to estimate quantitative proteinuria. N Engl J Med. 1983; 309: 1543-1546.
  • Mark G et al. Protein and albumin : creatinine ratios in random urine accurately predict 24 hour protein and albumin loss in patient with kidney disease. Ann Clin Biochem 2009;46: 468- 472.

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  • A Comparative Study of Random Urine Protein: Creatinine Ratio with 24 Hour Urine Protein Excretion in Diabetic Nephropathy

Abstract Views: 434  |  PDF Views: 0

Authors

Hamsaveena
Department of Biochemistry, Sree Siddhartha Medical College and Research Center, Tumkur, Karnataka, India
M. V. Rashmi
Department of Pathology, Sree Siddhartha Medical College and Research Center, Tumkur, Karnataka, India

Abstract


Renal involvement in diabetes is one of the long term complications leading to morbidity and premature mortality. Proteinuria is the most widely accepted clinical sign of diabetic nephropathy. The present study was a correlation between 24 hour urine protein excretion and random urine protein: creatinine ratio in diabetic subjects for predicting renal involvement. A total of 69 diabetic subjects were studied. It was observed that protein excretion in 24 hr sample correlated significantly with random urine protein: creatinine ratio in physiological and also in nephrotic range of proteinuria. This may have important clinical applications as single urine specimens, which can be collected easily in outpatient clinics and field studies, could replace the more traditional timed urine collections that have been used to assess the risk of clinical diabetic renal disease.

Keywords


Diabetic Nephropathy, Protein:Creatinine Ratio

References