1. fundus examination, receiving fluorescence fundus angiography when necessary, the examination can check out diabetic nephropathy fundus lesions such as micro-aneurysm.
2. Glucose is a kind of simple method to screen early diabetic nephropathy, but there will be false negative or false positive condition in examination of diabetic nephropathy, so blood glucose measurement is the main basis of diagnosis.
3. Using nuclide renal dynamic imaging to measure glomerular filtration rate and using B ultrasound to measure kidney size can be taken in the early stage of diabetic nephropathy. When patients get uremia, their GFR can obviously decline, but their kidney size usually has no obvious shrink.
4. Urinary albumin excretion rate(UAE) is a important indicator of early diabetic nephropathy diagnosis. When UAE level exceed 200 μg/min for long time or urine protein volume more than 0.5g/24h, the patient can be diagnosed with diabetic nephropathy.
Diabetes patients need to be beware of diabetic nephropathy, they should receive routine inspections regularly to ensure their health.
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