Proteinuria in Chronic Kidney Disease and its Management


  • SS Ahmed Professor & Head of Department of Medicine Bangladesh Institute of Health Sciences, Mirpur-1, Dhaka
  • TR Laila Assistant Professor, Department of Obs & Gyne Bangabandhu Sheikh Mujib Medical University, Dhaka
  • HA Begum Associate Professor, Department of Dermatology & Venereology, Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders, Shahbag, Dhaka
  • M Moniruzzaman Senior Research Fellow, Department of Community Medicine, Bangladesh University of Health Sciences Dhaka



chronic kidney disease, diabetic kidney disease, proteinuria, microalbuminuria, macroalbuminuria


Proteinuria is a marker of kidney damage and an important risk factor for progression of chronic kidney disease as well as cardiovascular morbidity and mortality. Albumin is the principal component of proteinuria in glomerular disease. The presence of persistent albumin in the urine is a clear sign of glomerular abnormality. Microalbuminuria describes the urinary excretion of small amounts of albumin which identifies the very early stage of diabetic kidney disease. The albumin creatinine ratio is the preferred method of detecting microalbuminuria. There is strong evidence that treatment in the early stages of chronic kidney disease reduces progression of kidney damage. The levels of proteinuria in both diabetic and non-diabetic kidney disease at which management should be addressed have been reviewed. This article also reviews the interventions recommended for early stages of chronic kidney disease to reduce the risk of progression to end stage kidney failure. Angiotensin converting enzyme inhibitors and angiotensin 2 receptor blockers are more effective in reducing proteinuria and retarding the progression of kidney disease in comparison to other therapies which lower systemic blood pressure to a similar degree.


Medicine Today 2013 Vol.25(1): 36-41


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How to Cite

Ahmed, S., Laila, T., Begum, H., & Moniruzzaman, M. (2013). Proteinuria in Chronic Kidney Disease and its Management. Medicine Today, 25(1), 36–41.



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