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]
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Last updated: July 13, 2024
Citation
Knicely, Daphne H. "Algorithms for Screening and Management of Diabetic Kidney Disease." Johns Hopkins Diabetes Guide, The Johns Hopkins University, 2024. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547190/all/Algorithms_for_Screening_and_Management_of_Diabetic_Kidney_Disease.
Knicely DH. Algorithms for Screening and Management of Diabetic Kidney Disease. Johns Hopkins Diabetes Guide. The Johns Hopkins University; 2024. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547190/all/Algorithms_for_Screening_and_Management_of_Diabetic_Kidney_Disease. Accessed April 5, 2026.
Knicely, D. H. (2024). Algorithms for Screening and Management of Diabetic Kidney Disease. In Johns Hopkins Diabetes Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547190/all/Algorithms_for_Screening_and_Management_of_Diabetic_Kidney_Disease
Knicely DH. Algorithms for Screening and Management of Diabetic Kidney Disease [Internet]. In: Johns Hopkins Diabetes Guide. The Johns Hopkins University; 2024. [cited 2026 April 05]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547190/all/Algorithms_for_Screening_and_Management_of_Diabetic_Kidney_Disease.
* Article titles in AMA citation format should be in sentence-case
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T1 - Algorithms for Screening and Management of Diabetic Kidney Disease
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A1 - Knicely,Daphne,M.D.
Y1 - 2024/07/13/
BT - Johns Hopkins Diabetes Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547190/all/Algorithms_for_Screening_and_Management_of_Diabetic_Kidney_Disease
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Johns Hopkins Diabetes Guide

