Q: If a diabetic person is detected to have microalbuminuria and is being treated for the same, then what are the chances of developing end-stage renal disease (ESRD)? What is the time period for the onset of ESRD from the time of detecting microalbuminuria?

A:If albuminuria is detected in a diabetic patient, then aggressive control of blood sugar and BP can make microalbuminuria disappear. The aim of detecting microalbuminuria is to take energetic steps to prevent kidney involvement, which is possible. If microalbuminuria (i.e. on routine urine examination) develops, then multiple factors are involved in worsening kidney function. Time-span is variable, mean may be 15-20 years (ranging from 5-30 years). Not all cases will develop ESRD.