Do we continue to follow microalbumin after diagnosing microalbuminuria?
YES – the ADA does recommend yearly checking of the eGFR and microalbumin.
At T2DM – start at time of dx
At T1DM – start 5 years after dx
- Glucose control
- BP control < 140/90
Microalbuminuria = 30-300 Macroalbuminuria > 300
Expert recommendation: it is “reasonable” to check albumin levels regularly after initiation of ACE/ARB to track progress and response to treatment
Table: eGFR vs albumin –> referral to nephrology (dark gray and black boxes at following site)
Check a (+) microalbumin a couple more times in 3-6 mo period to confirm the diagnosis. Causes: exercise, infection, fever, CHF, hyperglycemia, menstruation, hypertension.