CHRONIC KIDNEY DISEASE – THE HIDDEN FACE OF DIABETES MELLITUS

Abstract

The epidemic evolution of chronic kidney disease (CKD) is a major health problem. CKD affects up to 10% of the adult population of Great Britain (of which 40% are in stage 3 of evolution), and 13% in the United States. For the diagnosis of CKD, two consultations are necessary in a period of over 3 months, with the measurement of serum creatinine and the estimation of GFR (eGFR <60mL/min/1.73m2 is considered a diagnosis element), measurements of albumin and urinary creatinine in the spontaneous urine and the calculation of albumin/ urinary creatinine ratio (ACR). ACR ≥30mg/g is another diagnosis element. Therefore, at least one of these tests needs to be repeatedly modified after three months.