Algorithms for Screening and Management of Diabetic Kidney Disease

Daphne H. Knicely, M.D., Mark D. Corriere, M.D., Donna Myers, M.D.

Algorithms for Screening and Management of Diabetic Kidney Disease is a topic covered in the Johns Hopkins Diabetes Guide.

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INTRODUCTION

Diabetic nephropathy (DN) of diabetic kidney disease is one of the most common microvascular complications of diabetes occurring in 20-40% of patients with diabetes.
≤ 12% of patients with type 1 diabetes have evidence of kidney disease by 7 years.[2]
25% of patients with type 2 diabetes have evidence of kidney disease by 10 years.[2]
A family history of parental hypertension is a risk factor for developing DN.[6]
Screening to identify DN and initial treatment is commonly performed by primary care providers and endocrinologists.[7]
Appropriate and timely referral of patients to a nephrologist is important to ensure high-level care.[7]

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INTRODUCTION

Diabetic nephropathy (DN) of diabetic kidney disease is one of the most common microvascular complications of diabetes occurring in 20-40% of patients with diabetes.
≤ 12% of patients with type 1 diabetes have evidence of kidney disease by 7 years.[2]
25% of patients with type 2 diabetes have evidence of kidney disease by 10 years.[2]
A family history of parental hypertension is a risk factor for developing DN.[6]
Screening to identify DN and initial treatment is commonly performed by primary care providers and endocrinologists.[7]
Appropriate and timely referral of patients to a nephrologist is important to ensure high-level care.[7]

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