It is critical to pay attention to early stage Diabetic Kidney Disease as some patients are at higher risk of progression.
It's also very important to risk stratify; options include eGFR and Microalbuminuria measurement. Use the following table (based on NKF guidance) for staging and treatment decisions.
KidneyIntelX blood testing is also available, please contact MSHP for more information.
Primary Interventions Include
ACE/ARB if eGFR <60 or UACR >30
Consider use of SGLT-2i or GLP-RA
Intensify diabetes medications to optimize glycemic control
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Mount Sinai Health System's Chronic Condition Management Hub is an online resource center for primary care physicians, specialists, and other care providers with resources and information to help them manage chronic health conditions
