The presence of urine microalbumin 44mg/L should first clarify the cause of the production of urinary protein, according to the etiology of the follow-up treatment. Generally can be divided into physiological and pathological causes.
1. Physiological causes: physiological conditions, excessive fatigue, mental stress, after strenuous exercise and other reasons may cause elevated urinary protein, generally can be relieved after removing the triggering factors, this situation does not require treatment.
2. Pathologic causes: caused by various types of glomerulonephritis, diabetes mellitus, hypertension resulting in increased permeability of the glomerular basement membrane, the need to control the intake of protein, through the general treatment, drug treatment.
(1) Glomerulonephritis: Patients with glomerulonephritis can use ACEI or ARB drugs to reduce urinary protein, such as enalapril, valsartan, etc. Meanwhile, dietary attention should be paid to low-salt, low-fat, high-quality, low-protein diet.
(2) diabetes: diabetic patients need to pay attention to blood glucose control, under the guidance of the doctor to choose the appropriate hypoglycemic treatment, such as metformin, but may cause nausea, diarrhea, abdominal pain, dizziness, rash and other adverse reactions, renal failure, severe shock, infection, etc., prohibited, and to control the intake of protein.
(3) Hypertension: elevated urinary microalbumin due to renal failure caused by long-term high blood pressure, need to control blood pressure, choose the appropriate antihypertensive drugs under the guidance of a doctor, such as captopril tablets, but may cause skin rashes, palpitations, dullness of taste and other adverse reactions, allergy is prohibited.
When urinary microalbumin is elevated, it is necessary to go to the hospital in a timely manner, under the guidance of the doctor to complete the relevant examinations, to clarify the cause, and symptomatic treatment.