Nephropathy in Diabetes

Table—1

Definitions of abnormalities in albumin excretion

Category	Spot collection (μg/mg creatinine)	24-h collection (mg/24 h)	Timed collection (μg/min)
Normal	<30	<30	<20
Microalbuminuria	30–299	30–299	20–199
Clinical albuminuria	≥300	≥300	≥200

Because of variability in urinary albumin excretion, two of three specimens collected within a 3- to 6-month period should be abnormal before considering a patient to have crossed one of these diagnostic thresholds. Exercise within 24 h, infection, fever, congestive heart failure, marked hyperglycemia, marked hypertension, pyuria, and hematuria may elevate urinary albumin excretion over baseline values.