Diabetes Mellitus Algorithm R: Kidney Function

QualityTool

Diabetes Mellitus Algorithm R: Kidney Function

Description

This algorithm is derived from the evidence-based clinical practice guideline, Management of Diabetes Mellitus, developed by the Department of Veterans Affairs and Department of Defense (VA/DoD). It is intended to:

  • Promote evidence-based management of individuals with diabetes
  • Identify the critical decision points in management of patients with diabetes mellitus, such as glycemic control, evaluation of the eyes and feet, and co-morbid conditions (e.g. hypertension, hyperlipidemia, and renal disease)
  • Allow flexibility so that local policies or procedures, such as those regarding referrals to or consultation with diabetes teams, ophthalmology, optometry, podiatry, nephrology, and endocrinology can be accommodated
  • Decrease the development of complications
  • Improve local management of patients with diabetes and thereby improve patient outcomes

This algorithm on diabetes mellitus addresses the following topics:

  • Kidney evaluation
  • Screening for microalbuminuria
  • Referral of suspected cases of diabetic nephropathy to nephrology
  • Assessing and initiating glycemic control
  • Starting/adjusting treatment of angiotensin-converting enzyme inhibitor
  • Monitoring random urine protein creatine ratio
  • Counseling patient on reduced practice diet
  • Managing blood pressure

Developer:

Department of Defense; Department of Veterans Affairs; Veterans Health Administration

Funding Sources:

Department of Defense; Department of Veterans Affairs; Veterans Health Administration

History

Release Date: 2003
Original Summary: March 2005
Last Updated: 11/14/12

QualityTool Classification

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