a.k.a. macro-albuminuria

Measured by:

• Urine Albumin (gold standard)
• ACR (<3) > 30

DDx

• Diabetic Nephropathy
• Transient increase in ACR (<3) can be caused by
  • Major exercise
  • UTI
  • Fever
  • Decompensated HF - Heart Failure
  • Menstruation
  • Acute severe elevation of blood glucose
  • Acute severe elevation of BP

Empiric Management

• RAAi