Patient's question:
What diseases are indicated by high levels of urine N-acetyl-D-glucosaminidase and glutamyltransferase? The patient is a 56-year-old female with a six-year history of diabetes. Currently, she is undergoing tests at a nephrology hospital: urine N-acetyl-D-glucosaminidase (UNAG) 171, glutamyltransferase (UGGT) 44, urine microalbumin (mALB) 7.40, and urine microglobulin (BMG) 0.03. Is this damage to the epithelial cells of the renal tubules? Is the condition serious?Doctor's answer:
Your condition is diabetes, and some indicators in your urine are abnormal. It is likely that you may have early-stage diabetic nephropathy, which is not too severe. It can be controlled with treatment.Medical advice: Elevated N-acetyl-D-glucosaminidase is an indicator of tubular damage, while diabetic nephropathy is primarily characterized by glomerular sclerosis. It is recommended that you control your blood sugar to normal levels and use valsartan for kidney protection treatment. Pay attention to lifestyle interventions, such as controlling dietary intake, balancing meat and vegetables, managing portion sizes, and limiting the consumption of soy products. Engage in appropriate exercise to control your weight. Regular follow-up is necessary.