Algorithms for Screening and Management of Diabetic Kidney Disease

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]