What is Nephrology - What is a simple bedside diagnostic test that can detect underlying diabetic nephropathy?
Funduscopy. The association of typical microvascular problems found in people with diabetes mellitus is thought to be due to parallels in vascularization between the retina and the kidneys. Patients with type 2 diabetes with proliferative retinopathy frequently have kidney involvement, which is characterized as either microalbuminuria (in the early stages) or overt proteinuria (in the later stages). As a result, all individuals with diabetes and proliferative retinopathy should have their kidney function evaluated, including microalbuminuria tests. Although the presence of retinal suggests a diabetic source of proteinuria, the absence of diabetic retinopathy does not rule out the possibility of diabetic nephropathy.
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