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Re: [IPk] Urine testing for kidney function - children/adolescents

They definitely do dipstick tests at my clinic (Royal Hallamshire in 
Sheffield) because I watch the consultant do it every time!

Caroline Batistoni wrote:

> I'd be very surprised if there were any diabetes clinic in the UK that 
> actually does protein 'dipstick' tests anymore. That sample they 
> always ask you to take with you is usually used for an ACR test - 
> Albumin to Creatine Ratio. The results of this test correlate closely 
> to the results of the 24 hour collection, especially, if you provide a 
> morning specimen. (This information was given to me by a biomedical 
> scientist working with this test.)
> Not only is the ACR the test endorsed by NICE (sorry, them again) but 
> if you read closely it is also included in the ISPAD document that 
> Melissa mentioned as an accepted alternative to overnight or 24 hour 
> collections.
> Besides that, it can be performed at a fraction of the cost in terms 
> of patient time and effort, laboratory resources as well as 
> financially - leaving more funds for insulin pumps, better glycaemic 
> control and reduced risk!
> Before asking for a 24 hour collection, it might be wise to check that 
> the ACR test is being performed and what recent results have been.
> Caroline
> Type 1 23+ Pumper 4+
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