When to screen for diabetic kidney disease (DKD)
After DM is diagnosed, consideration for screening of diabetic kidney disease must commence.
Screening consists of annual measurements of creatinine and urine albumin-to-creatinine ratio (ACR). It should begin 5 years after diagnosis in type 1 DM and at the time of diagnosis in type 2 DM.
Moderately increased albuminuria (ACR between 30 mg/g and 300 mg/g) that persists for more than 3 months means the patient is at risk for progression to overt nephropathy.
