Relación Albuminuria/Creatinuria para detección de enfermedad Renal Oculta en pacientes del Club de Ciabéticos IESS, Riobamba 2014

Abstract

It was determined the degree of relationship albuminury/creatininury for the detection of hidden kidney disease in patients of diabetic club of the Ecuadorian Institute of Social Security at Riobamba city, Chimborazo province. It was performed some colorimetric exams of urea and creatinine in blood serum, and albumin and creatinine in urine of 83 patients, in order to detect the microalbuminury, having the relationship albuminury/creatinury, with values higher to 30 mg/g, this determination was performed twice more in three months in order confirm microalbuminury. This way it was determined that 28.57% showed persistent microalbuminury which revealed the presence of hidden kidney disease in stage III and, 71.43% showed kidney disease in stages I and II, taking into account that diabetes causes damage to the kidney from the very beginning although it is evident. The diabe tic nephropathy has higher inceidence in male patients, in patients older than 71 years old and, in patients who have been diagnoses diabetes for more than eight years. The results of albuminury/creatinury are not related to the values of urea and creatini ne. For instance, it is concluded that the relationship albuminury/creatinury is a reliable, cheap test and less uncomfortable for the diagnosis of hidden kidney disease in diabetic patients. It is recommended not to consider the urea test and creatinine t est in blood as tests to evaluate kidney function sice they are definitely altered when the kidney damage is advanced.