Glucosuria

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2] Luke Rusowicz-Orazem, B.S.

Overview

Glucosuria refers to the urinary secretion of glucose. Glucose appears in the urine only when the blood glucose level surpasses 160-190 mg/dl.

To view a comprehensive algorithm of common findings of urine composition and urine output, click here

Causes

Life Threatening Causes

• Raised intracranial pressure
• Subarachnoid hemorrhage

Common Causes

• Abnormal renal transport syndrome
• Acute tubulointerstitial nephritis
• Nephropathic early-onset cystinosis
• Proximal renal tubular acidosis
• Renal glycosuria

Causes by Organ System

Cardiovascular	No underlying causes
Chemical/Poisoning	No underlying causes
Dental	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	Amitraz , Cadmium , Canagliflozin, Dapagliflozin, Empagliflozin
Ear Nose Throat	No underlying causes
Endocrine	Hyperthyroidism
Environmental	No underlying causes
Gastroenterologic	Gastrectomy, Liver disease
Genetic	Autosomal recessive disorders, Fanconi-bickel syndrome, Glucose-galactose malabsorption, Glutaric aciduria , Shwachman-diamond syndrome
Hematologic	Diabetes mellitus type 2, Hyperglycemia, Subarachnoid hemorrhage
Iatrogenic	Gastrectomy
Infectious Disease	No underlying causes
Musculoskeletal/Orthopedic	No underlying causes
Neurologic	Raised intracranial pressure, Subarachnoid hemorrhage
Nutritional/Metabolic	Diabetes mellitus type 2, High sugar diet, Hyperglycemia
Obstetric/Gynecologic	Pregnancy
Oncologic	No underlying causes
Ophthalmologic	No underlying causes
Overdose/Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal/Electrolyte	Abnormal renal transport syndrome, Acute tubulointerstitial nephritis , Nephropathic early-onset cystinosis, Proximal renal tubular acidosis, Renal glycosuria
Rheumatology/Immunology/Allergy	No underlying causes
Sexual	No underlying causes
Trauma	No underlying causes
Urologic	No underlying causes
Miscellaneous	No underlying causes

Causes in Alphabetical Order

• Abnormal renal transport syndrome
• Acute tubulointerstitial nephritis
• Amitraz 
• Autosomal recessive disorders
• Cadmium 
• Canagliflozin
• Dapagliflozin
• Diabetes mellitus type 2
• Empagliflozin
• Fanconi-bickel syndrome
• Gastrectomy
• Glucose-galactose malabsorption
• Glutaric aciduria
• High sugar diet
• Hyperglycemia
• Hyperthyroidism
• Liver disease
• Nephropathic early-onset cystinosis
• Pregnancy
• Proximal renal tubular acidosis
• Raised intracranial pressure
• Renal glycosuria
• Shwachman-diamond syndrome
• Subarachnoid hemorrhage

Differential Diagnosis

In alphabetical order.

• Acute glomerulonephritis
• Brain tumor
• Cushing's Disease
• Benign glucosuria
• Diabetes Mellitus
• Drugs, toxins

• Amcinonide

• Diflorasone
• Encephalitis
• Excessive enteral sugar supply
• Fanconi's Syndrome
• Fructosemia
• Galactosemia
• Hyperthyroidism
• Increased glomerular filtration rate (GFR) without tubular damage
• Increased intracranial pressure
• Lead poisoning
• Mercury intoxication
• Nephrosis
• Nephrotic syndrome
• Pancreatitis
• Pentosuria
• Pregnancy glucosuria
• Severe hepatopathy
• Starvation
• Tetracycline
• Trauma

False Positive

• Ascorbic acid
• Cephalosporins
• Nalidixic acid
• Probenecid

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]

List of contributors:

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