Standard 10
All people with diabetes should have regular checks of renal function (eGFR) and albuminuria or proteinuria (ACR or PCR) with appropriate management and/or referral if abnormal.
Key practice points
Chronic kidney disease affects 10% of the population with a higher burden of disease in Māori, Pacific, Asian and South Asian populations.
People with diabetes are at risk of developing renal disease.
Early intervention slows progression to end stage renal failure.
Albuminuria is a marker of renal damage, ranging from normoalbuminuria through microalbuminuria to macroalbuminuria and heavy proteinuria.
There are minimum screening and monitoring requirements – refer to New Zealand Primary Care Handbook 2012 along with Kidney Health New Zealand and Best Practice Advocacy Centre NZ.
Read this standard in conjunction with the equality and diversity section in the Introduction to the Toolkit.
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