WEBVTT

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Denise has type two diabetes.

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Her blood test shows an
estimated filtration rate of

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seventy eight, but no urine
albumin result is recorded.

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The missing step is not
another glucose measurement.

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Kidney assessment needs both
filtration and urine albumin.

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One abnormal result requires
interpretation and confirmation, not an

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automatic lifelong diagnosis. Ask whether
infection, menstruation, strenuous exercise,

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or acute illness could affect the sample.

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Document the repeat testing
plan and the clinician who

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will review it. Denise's
pregnancy history belongs in her

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heart story, but it does
not replace the kidney

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tests. The clinical takeaway: obtain
both measures, establish persistence,

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and explain what happens next.