SECTION 5:

Key messages
  • Kidney disease is one of the most common complications of diabetes1
  • The risk of adverse outcomes increases with decreasing GFR and increasing ACR2
  • Early recognition means that DKD can be treated effectively1
  • Measuring albuminuria may identify DKD earlier than eGFR alone,3 but urine testing for albumin is the least frequently completed care process in diabetes4
  • Both blood tests for kidney function and urine tests to measure albuminuria are essential parts of the annual review for patients with type 2 diabetes4

Job code: UK/DIA-19020d DOP: June 2020

References

  1. Couser WG, Remuzzi G, Mendis S, et al. The contribution of chronic kidney disease to the global burden of major non-communicable diseases. Kidney Int 2011;80(12):1258-70
  2. NICE CG182. Chronic kidney disease in adults: assessment and management; July 2014 (Updated January 2015). https://www.nice.org.uk/guidance/cg182 [Accessed June 2020]
  3. Tonneijck L, et al. J am Soc Nephrol 2017;28(4):1023-39
  4. Diabetes UK. Preventing kidney failure in people with diabetes: Position statement; August 2016. https://www.diabetes.org.uk/professionals/position-statements-reports/specialist-care-for-children-and-adults-and-complications/preventing-kidney-failure-in-people-with-diabetes [Accessed June 2020]