Chronic Kidney Disease in Diabetes

by Mark Morgan on October 27, 2011

in Nephrology

Tagged as: , ,

summary, references, & relevant links
Summary: This decision tool assists with management of patients with diabetic nephropathy (diabetes mellitus-related chronic kidney disease, stages III, IV, and V). It is not intended to manage CKD patients on dialysis.
Note: Detection of kidney disease should prompt a workup to determine the cause. A recommended initial evaluation is at www.soapnote.org/kidney/ckd-initial/.
Indian Health Service Guideline (2010) Type 2 Diabetes – Chronic Kidney Disease.
FP notebook page: Renal Osteodystrophy.

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  • maintained at soapnote.org.
  • Step 1 of 3: Enter lab and objective findings
    Item 1: What is the Glomerular Filtration Rate?
    GFR levels
    60 and above: stage II, stage I, or no CKD
    30 - 59: stage III CKD
    15 - 29: stage IV CKD
    0 - 14: stage V CKD
  • note: Chronic Kidney Disease (CKD) is estimated Glomerular Filtration Rate (eGFR) < 60 ml/min or kidney damage for ≥ 3 months (e.g. urine sediment, abnormal imaging, or albuminuria (Urine Albumin to Creatinine Ratio (UACR) < 30mg/g = nl, 30-300 = micro, >300 = macro))
  • Item 2: Male or Female?
  • Item 3: What is the bicarbonate level?
  • Item 5: What is the Blood Pressure?
  • Item 6: What is the Calcium level?
  • Item 9: What is the 25(OH)D (Vitamin D) level?
  • Step 2 of 3: Review and select from recommendation checklists.
  • Step 3 of 3: Click "Submit" to build the note!
    (and see it below under "Result")

Result - Paste this into your EHR:

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