Need%20to%20Know!%20Screening%20and%20Diagnosis%20of%20Kidney%20Disease%20in%20Diabetes

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Need to Know! Screening and Diagnosis of
Kidney Disease in Diabetes
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Program Goals
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Incident Counts and Adjusted Rates of ESRD by
Primary Diagnosis
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Adjusted 5-Year Survival by Modality and Primary
Diagnosis 1997-2001
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Natural History of Diabetic Nephropathy
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Percentage Chance of CV Event in 5 Years No
Diabetes
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Patients Diagnosed as Having CKD Have a Greater
Likelihood of Death than ESRD
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Screening for Nephropathy
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CKD Progresses in Stages Defined by Kidney
Function GFR
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CKD Resets the Focus on CV Risk Reduction
Strategies
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Good Glycemic Control (Lower HbA1c) Reduces
Complications
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DCCT Relationship of HbA1c to Risk of
Microvascular Complications
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Challenges to Screening for CKD
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Other Screening and Diagnosis Considerations
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Referral Considerations
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Referral Considerations (cont)
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Summary Points
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Abbreviations
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References
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References (cont)
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References (cont)