Renal biopsy in patients with long-standing diabetes and nephrotic proteinuria

Jürgen Floege

When is renal biopsy recommended in patients with a long-standing history of diabetes mellitus and nephrotic proteinuria?

Jürgen Floege: Normally, if you are diabetic and you go through all the usual stages – that is, you develop microalbuminuria, then some proteinuria, then you become nephrotic – it usually takes a while. Usually, by the time the patients are nephrotic, their kidney function is going down. I would become suspicious and do a kidney biopsy if the patient is nephrotic with normal kidney function or if nephrotic syndrome develops very quickly. Then the suspicion is that you have other disease than diabetes.

We would love to hear from you

Comments, mistakes, suggestions?


Industry Partners

We use cookies to ensure you get the best browsing experience on our website. Refer to our Cookies Information and Privacy Policy for more details.