Need to Know! Screening and Diagnosis of Kidney Disease in Diabetes

Program Goals

Incident Counts and Adjusted Rates of ESRD by Primary Diagnosis

Adjusted 5-Year Survival by Modality and Primary Diagnosis: 1997-2001

Natural History of Diabetic Nephropathy

Percentage Chance of CV Event in 5 Years: No Diabetes

Patients Diagnosed as Having CKD Have a Greater Likelihood of Death than ESRD

Screening for Nephropathy

CKD Progresses in Stages Defined by Kidney Function: GFR

CKD Resets the Focus on CV Risk Reduction Strategies

Good Glycemic Control (Lower HbA1c) Reduces Complications

DCCT: Relationship of HbA1c to Risk of Microvascular Complications

Challenges to Screening for CKD

Other Screening and Diagnosis Considerations

Referral Considerations

Referral Considerations (cont)

Summary Points

Abbreviations

References

References (cont)

References (cont)