Primary care diabetes

How Primary Care Can Screen and Treat Chronic Kidney Disease in People with Type 2 Diabetes

Updated

Abstract

Primary care physicians recommend early and regular screening for chronic kidney disease (CKD) in individuals with type 2 diabetes (T2D).

  • CKD screening should include estimated glomerular filtration rate and urinary albumin-to-creatinine ratio testing.
  • Annual review of CKD risk using a specific heatmap can help optimize treatment and slow CKD progression.
  • Lifestyle modifications are essential for reducing CKD risk in those with T2D.
  • A combination approach to medication is advised, including renin-angiotensin system inhibitors and sodium-glucose cotransporter 2 inhibitors, among others.

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Funding

Competing interests

Conflict of Interest EEW is on the speakers’ bureau for Abbott Diabetes, Bayer, Boehringer Ingelheim, Eli Lilly, GSK, and Sanofi; is on the advisory boards of Abbott Diabetes, Bayer, Boehringer Ingelheim, Eli Lilly, Medtronic, and Sanofi; is a consultant for Abbott Diabetes, Bayer, Boehringer Ingelheim, and Eli Lilly; and is an Associate Editor of Clinical Diabetes. AC is an advisor on scientific boards for AstraZeneca, Boehringer Ingelheim, Eli Lilly, Merck Sharp & Dohme, and Novo Nordisk; lectures for AstraZeneca, Boehringer Ingelheim, Esteve, Janssen, Eli Lilly, Merck Sharp & Dohme, Mundipharma, and Novo Nordisk; and conducts research activities for AstraZeneca, Merck Sharp & Dohme, Mundipharma, Novo Nordisk, and Eli Lilly. DN is a member of the advisory board for AstraZeneca, Bayer, Boehringer Ingelheim, Eli Lilly, and Novo Nordisk; has moderating and speaking engagements for AstraZeneca, Boehringer Ingelheim, Eli Lilly, and Novo Nordisk; has participated in research in the FINE-REAL trial and Pioneer REAL trials, and is a member of the Diabetes Canada Guidelines Steering Committee, Canadian Cardiovascular Society Lipid Guideline Panel, and St. Paul’s Hospital Continued Medical Education (CME) Committee.
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