Urinary protein VS urine trace albumin, diabetic sitadown?

Is urine protein and urine trace albumin one thing?have a relationship between the two, but not the same thing, people with diabetes should first test the urine trace protein, urine protein and urine trace proteinkidneys are the body's "filter", the body's blood every day through the kidneys filter, metabolic waste excretedkidney filter membrane aperture of 5.5 nm, only allow small molecular substances such as water, electrolytes (potassium, sodium, chlorine) and metabolic waste (creatinine, urea nitrogen, uric acid, etc.) through, and blood cells and macromolecules such as proteins, fats and so on can not pass through the hole, so there are no cells in the urine, no protein, uin protein detection is negativehowever, after various causes of kidney damage, the membrane aperture of the kidneys increases, and proteins in the blood leak into the urine to form proteinuriakidney damage process from light to heavy, damaged aperture from small to large, leakage of protein is also from small molecular weight to large molecular weightThere are many proteins in the blood, of which albumin has a small molecular weight of 7.2 nm in diameter, so in the event of kidney damage, the first leakage is albuminmethods of detecting proteins in urine, traditionally there are urine routine and urine protein quantificationUrine routine is also called qualitative examination, the results of the examination with 1 plus, 2 plus, 3 plus, 4 plus to describe, urine protein quantification is to leave 24 hours of urine, to determine the total protein content in urineHowever, only after the amount of protein in the urine reached a certain amount, using these two methods can be detected, early, mild kidney damage leakage of albumin with urine routine and urine protein quantitative methods can not be checked outlater, with a special technique, specifically to detect trace amounts of albumin in the urine, can be earlier than the urine routine and urine protein quantitative detection of mild kidney damage, this is the urine trace proteinwhen the amount of albumin in the urine is 20 to 200 mg/L, or 30 to 300 mg/24h, it belongs to trace albuminuriaBelow this value is normal, and exceeding this value is (dominant) proteinuriauin protein is the general term of protein in the urine, urine trace protein is one of the lightest cases, in general, when the urine protein quantitative at 0.3g/24h or less, is trace protein urine, diabetics should routinely detect urine trace protein diabetes easy to cause kidney damage, in recent years, with the rapid increase of diabetes, diabetes kidney disease is also rapidly increasing, diabetic nephropathy has now become the most common kidney disease in China diabetic nephropathy is one of the complications of diabetic microvascular disease, when the occurrence of diabetic nephropathy, often also combined with other microvascular complications such as diabetic retinopathy In general, people with type 1 diabetes develop diabetes nephropathy about 10 to 15 years after the onset of diabetes, while patients with type 2 diabetes develop diabetes for an average of 7.5 years has just been mentioned that a trace amount of albumin in urine indicates a slight kidney injury, a sign of early kidney disease Therefore, people with diabetes should check for small amounts of urine protein If you just do a routine urine test, such as the appearance of urine protein often indicates that kidney damage has been more serious urine microprotein sin uin is the most important clue and basis for early detection of kidney damage and diagnosis of diabetic nephropathy diabetes guidelines recommend that type 2 diabetes, once diagnosed, should be checked for trace amounts of urine protein, and should be screened for kidney lesions every year thereafter if diabetics have a trace amount of protein increase, the situation is more serious first, indicates that there has been diabetes kidney complications diabetes, second, the kidney filter membrane is mainly composed of vascular endothelial, urine trace protein increase indicates vascular endothelial damage, meaning that diabetes has caused the body's vascular endothelial damage, which is the main risk sign of cardiovascular complications so, once the presence of micro-protein urine, diabetes should be taken seriously, timely treatment but, when diabetic nephropathy gradually worsens, more and more urine protein, be sure to do a quantitative examination of urine protein three, urine trace protein increase how to treat? if the original no diabetes, hypertension, systemic lupus and rheumatoid arthritis and other systemic diseases, the appearance of small amounts of urine albumin is mostly mild glomerular nephritis, this situation generally do not need to worry too much Particularly light urine trace proteins, even without treatment, regular observation can be but if there are systemic diseases such as diabetes, high blood pressure, systemic lupus erythematosus and rheumatoid arthritis, a few years later, the presence of microproteins in the urine, indicating that the kidneys have been damaged, and these diseases have complications, the situation should be actively treated 1, treatment of primary disease diabetes should control blood sugar, the preferred column of the sugar-lowering drug Cargrenet, Dagre net and engrenet, this type of drug in the sugar-lowering at the same time there is a reduced uric protein effect; systemic lupus and rheumatoid arthritis treated with hormones or hydroxychloroquine 2, satan or Prie antihypertensive drugs whether it is not the cause of hypertension, as long as blood pressure is not low, treatment of urine protein, you can choose satan or Puli class antihypertensive drugs, these two types of antihypertensive drugs in the buck at the same time, with the role of urine-lowering protein and kidney protection Only one of the two can be chosen diabetics should start kidney protection treatment only if they have trace amounts of urine protein, and don't wait for a lot of proteinuria or elevated blood creatinine to protect their kidneys Li Qing Source: