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This document presents a study on urinary microRNA profiles in patients with Type 1 Diabetes and varying stages of diabetic nephropathy, highlighting their potential as biomarkers for early diagnosis
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How to fill out Urinary MicroRNA Profiling in the Nephropathy of Type 1 Diabetes

01
Obtain the Urinary MicroRNA Profiling Kit specific for nephropathy.
02
Collect urine samples from the patient, preferably in the morning.
03
Centrifuge the urine samples at a specified speed to remove any sediment.
04
Extract microRNA from the supernatant using the provided extraction protocol.
05
Quantify the microRNA concentration using a nanodrop or similar device.
06
Prepare the microRNA profiling assay according to the manufacturer’s instructions.
07
Load the samples onto the assay plates and incubate as directed.
08
Analyze the results using the provided software to interpret microRNA expression levels.

Who needs Urinary MicroRNA Profiling in the Nephropathy of Type 1 Diabetes?

01
Patients diagnosed with Type 1 Diabetes who are showing signs of nephropathy.
02
Healthcare providers looking to assess the severity of kidney damage in diabetic patients.
03
Researchers conducting studies on the role of microRNA in diabetic nephropathy.
04
Clinicians aiming to tailor treatment strategies based on microRNA profiles.
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The current gold standard diagnostic test for DN is the amount of albuminuria seen on 24-hour collection. A more common and convenient estimation consists of the spot albumin to creatinine ratio (ACR) that can be performed in an office setting and is often used as a surrogate to the 24-hour collection.
To test for protein, your pee sample goes to a lab for testing. Lab technicians compare how much protein and creatinine are in your pee (protein-to-creatinine ratio). If your sample has a much higher ratio of protein to creatinine, it may indicate diabetes-related nephropathy.
MicroRNAs are small RNA molecules that act in post-transcriptional gene regulation by attaching to the complementary sequence in the 3'-untranslated region of their target genes. Alterations in the expression of microRNA coding genes are extensively reported in several diseases, such as type 1 diabetes.
The historical definition for nephrotic-range proteinuria appears reasonable in diabetic kidney disease. The equivalent thresholds for nephrotic-range albuminuria and albumin-creatinine ratio are 2.2 g/d and 2.2 g/g, respectively.
Core tip: Microalbuminuria (MA) is the earliest and most commonly used clinical index of diabetic nephropathy (DN), however its sensitivity and specificity for early disease detection are limited.
To lower your risk of developing diabetic nephropathy: See your health care team regularly to manage diabetes. Treat your diabetes. Manage high blood pressure or other medical conditions. Take medicines you get without a prescription only as directed. Stay at a healthy weight. Don't smoke.
Health care professionals use blood and tests to check for diabetic kidney disease. Your health care professional will check your for albumin and will also do a blood test to see how well your kidneys are filtering your blood.
Diagnosis Urinary albumin test. This test can detect a blood protein called albumin in . Albumin/creatinine ratio. Creatinine is a chemical waste product that healthy kidneys filter out of the blood. Glomerular filtration rate (GFR).

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Urinary MicroRNA Profiling refers to the analysis of specific microRNA molecules found in urine, which can serve as biomarkers for the detection and monitoring of nephropathy (kidney damage) in patients with Type 1 Diabetes. It helps in understanding the underlying mechanisms of kidney injury and aids in early diagnosis.
Individuals diagnosed with Type 1 Diabetes who are at risk for developing nephropathy may be required to undergo urinary microRNA profiling. This includes those with elevated protein levels in the urine or worsening kidney function, as well as healthcare providers involved in their treatment.
To conduct urinary microRNA profiling, a healthcare provider collects a urine sample from the patient. The sample is then processed and analyzed in a laboratory where specific microRNA levels are quantified. Results are compiled in a report format indicating the presence and levels of specific microRNAs associated with nephropathy.
The purpose of urinary microRNA profiling is to provide insights into the presence and progression of nephropathy in patients with Type 1 Diabetes. It aims to enable earlier detection, assess the severity of kidney damage, guide treatment decisions, and potentially predict outcomes.
The report on urinary microRNA profiling should include the levels of specific microRNAs detected, comparison to normal ranges, implications for kidney function, recommendations for further monitoring or interventions, and any clinical correlations that may apply based on the patient's overall health status.
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