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

2. Program Goals

3. Incident Counts and Adjusted Rates of ESRD by Primary Diagnosis

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

5. Natural History of Diabetic Nephropathy

6. Percentage Chance of CV Event in 5 Years: No Diabetes

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

9. Screening for Nephropathy

10. CKD Progresses in Stages Defined by Kidney Function: GFR

11. CKD Resets the Focus on CV Risk Reduction Strategies

12. Good Glycemic Control (Lower HbA1c) Reduces Complications

13. DCCT: Relationship of HbA1c to Risk of Microvascular Complications

14. Challenges to Screening for CKD

15. Other Screening and Diagnosis Considerations

16. Referral Considerations

17. Referral Considerations (cont)

18. Summary Points

19. Abbreviations

20. References

21. References (cont)

22. References (cont)