Slide 95

Management of chronic kidney disease (CKD) is summarized in two slides1,2 Slide 2 of 2 When the eGFR is <60 mL/min/1.73 m2, screening for complications of CKD is indicated, as summarized on this slide (Table 13) Consultation with a nephrologist when stage 4 CKD develops has been found to reduce cost, improve quality of care, and keep people off dialysis longer3 However, nonrenal specialists should not delay educating their patients about the progressive nature of diabetic kidney disease; the renal preservation benefits of aggressive treatment of blood pressure, blood glucose, and hyperlipidemia; and the potential need for renal replacement therapy95References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S37; Table 13. Adapted from http://www.kidney.org/professionals/KDOQI/guideline_diabetes/. Levinsky NG. Specialist evaluation in chronic kidney disease: too little, too late. Ann Intern Med 2002;137:542–543.