32-year-old woman with diabetes has microalbuminuria. Urine specimen reveals an albumin excretion of 50 mg (an albumin excretion of >30 mg/day is abnormal). Strict control of blood sugar and treatment of hypertension have been shown to decrease the progression of kidney disease in persons with diabetes. Explain the physiologic rationale for these two types of treatments.
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This can result in the leakage of albumin (a protein) into the urine, which is known as microalbuminuria. Strict control of blood sugar is important because high blood sugar levels can cause damage to the blood vessels in the kidneys, leading to diabetic Show more…
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