Revista de la Sociedad Argentina de Diabetes (Aug 2018)

DIABETIC KIDNEY DISEASE IN PEDIATRIC PATIENTS

  • Valeria Hirschler

DOI
https://doi.org/10.47196/diab.v51i3.112
Journal volume & issue
Vol. 51, no. 3
pp. 120 – 122

Abstract

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Albuminuria is an early marker of the kidney disease, its diagnosis is defined when the range of albumin/creatinine is greater than 30 mg/g and persists in at least two or three determinations like in the adult population. The conclusions of various pediatric studies are contradictory, some find associations between obesity, cardiovascular risk factors and albuminuria and others not. It is suggested that urinary albumin excretion may be increased in children with normal weight vs obese children, likely caused by increased physical activity in children with normal weight compared with obese children. A study in adolescents with type 2 diabetes, observed that those presenting albuminuria, developed kidney insufficiency in the early adulthood. In type 1 diabetes, screening is recommended for microalbuminuria annually after 10 years old or at 5 years from the onset of disease and in type 2 diabetes at the moment of diagnosis.

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