Urinary ACR and a serum creatinine, with eGFR, are the recommended tests for assessing diabetic renal disease. General practitioners should aim to perform the tests on all patients with diabetes at diagnosis and then at diabetes check-ups at least annually.
Created on 30 July 2012 byPrimary Health Care Quality Research Unit, Wellington School of Medicine and Health Sciences, University of Otago.
This measure is one of two diabetes indicators that are intended to improve management of diabetic nephropathy in primary care. This measure identifies the proportion of patients with diabetes with proteinuria, or with two out of three abnormal albumin:creatinine ratio test results within 4 months that are prescribed an Angiotensin Converting Enzyme inhibitor or Angiotensin II antagonist. See more at: www.hqmnz.org.nz/measures/long-term-conditions.