Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nImage coming soon<\/p>\n\neGFRcr<\/sub> = 142 x min(Scr<\/sub>\/κ, 1)α<\/sup> x max(Scr<\/sub>\/κ, 1)-1.200<\/sup> x 0.9938Age<\/sup> x 1.012 [if female]<\/p>\n\nwhere:<\/p>\n\nScr<\/sub> = standardized serum creatinine in mg\/dL<\/p>\n\nκ = 0.7 (females) or 0.9 (males)<\/p>\n\nα = -0.241 (female) or -0.302 (male)<\/p>\n\nmin(Scr<\/sub>\/κ, 1) is the minimum of Scr<\/sub>\/κ or 1.0<\/p>\n\nmax(Scr<\/sub>\/κ, 1) is the maximum of Scr<\/sub>\/κ or 1.0<\/p>\n\nAge (years)<\/p>\n\n <\/p>\n\nCKD Risk Stratification Based on eGFR & UACR:<\/p>\n\nLow Risk (G1-G2, A1) → Annual Monitoring<\/p>\n\nModerate Risk (G1-G2, A2 or G3a, A1) → Monitor 1-2 times\/year<\/p>\n\nHigh Risk (G3a, A2 or G3b, A1) → Monitor 2-3 times\/year & Consider Nephrology Referral<\/p>\n\nVery High Risk (G3b, A2 or G4-G5, A3) → Monitor 4+ times\/year & Nephrology Referral<\/p>\n\neGFR <30 or UACR >300 → Immediate Nephrology Referra<\/p>\n<\/body>\n<\/html>\n","additional_explanations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","interpretation":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","recommendations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","original_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nAmerican Diabetes Association Primary Care Advisory Group. 11. Chronic kidney disease and risk management: Standards of Care in Diabetes—2025 Abridged for Primary Care. Clin Diabetes. Published online ahead of print 1 April 2025 (doi: 10.2337\/cd25-a011). ©2025 by the American Diabetes Association.<\/p>\n<\/body>\n<\/html>\n","validation_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","other_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","reference_tool":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","principleValidated":"false","toolLanguage":"1","setAbbreviation":"true","abbreviation_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\n<table class=\"table\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<td>A<\/td>\n\t\t\t<td>Albuminuria<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>CKD<\/td>\n\t\t\t<td>Chronic kidney disease<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>G<\/td>\n\t\t\t<td>GFR<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>GFR<\/td>\n\t\t\t<td>Glomerular filtration rate<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n <\/p>\n<\/body>\n<\/html>\n","setFootnote":"true","footnote_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nRisk of CKD progression, CVD risk, and mortality; frequency of visits; and referral to nephrology according to GFR and albuminuria. Numbers in the boxes are the number of times per year to screen or monitor. Green reflects no evidence of CKD, with screening indicated once per year. Suggested monitoring of prevalent CKD varies from once (yellow) to four or more times (deep red) per year. Adapted from de Boer IH, Khunti K, Sadusky T, et al. Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO). Diabetes Care 2022;45:3075–3090.<\/p>\n\nSuggested citation: American Diabetes Association Primary Care Advisory Group. 11. Chronic kidney disease and risk management: Standards of Care in Diabetes—2025 Abridged for Primary Care. Clin Diabetes. Published online ahead of print 1 April 2025 (doi: 10.2337\/cd25-a011). ©2025 by the American Diabetes Association.<\/p>\n<\/body>\n<\/html>\n","setToolProfileBtn":"true","indicated_in_patients":"Type 1 Diabetes Mellitus (T1DM) for \u22655 years Type 2 Diabetes Mellitus (T2DM) Hypertension Cardiovascular Disease Anemia Hyperparathyroidism Urinary Albumin-to-Creatinine Ratio (UACR) >30 mg\/g eGFR <60 mL\/min\/1.73m\u00b2","indicated_in_ff_interventions":"Diabetes management and risk assessment Chronic Kidney Disease (CKD) screening and monitoring Referral to nephrology based on risk stratification Guidance on SGLT2 inhibitors and CKD-specific treatments","predicted_outcomes":"","prediction_period":"","setScoreWarningText":"false","setCustomizeWarningText":"false","customizeWarningText":"","setBlueHighlightForInput":"false","setRecommendationRejection":"false","setFeedbackButton":"false","setMindMapAvailable":"false","setDocumentStatus":"false","setToolTestedStatus":"false","tool_development_supported_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","promo_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nThis Clinical Decision Support (CDS) tool evaluates the risk of Chronic Kidney Disease (CKD) progression, cardiovascular risk, and nephrology referral needs based on estimated Glomerular Filtration Rate (eGFR, calculated using the CKD-EPI Refit Equation) and Urinary Albumin-to-Creatinine Ratio (UACR). The tool is designed for patients with diabetes (T1DM or T2DM) and other CKD risk factors.<\/p>\n<\/body>\n<\/html>\n","sub_title":"Clinical Decision Support (CDS) Tool for CKD Risk Stratification in Diabetes","feedback_link":"","feedback_option":"","feedback_email":"","selected_tool_type":"cdss","index_term":"CKD Risk Assessment in Diabetes","full_text":"","tool_category":"9","translatedLanguages":"","primary_medical_specialty":"105","restorationCompatibleVersions":"","releaseVersion":"NR","releaseDate":"","releaseMode":"1","publishedBy":"Börm Bruckmeier Verlag GmbH"}}

{"metaInformation":{"toolId":"0000000851","toolVersion":"1.1","toolType":"Dashboard","toolName":"CKD Risk Assessment in Diabetes","creationDate":"2025\/Feb\/26","publishedDate":"2025-02-27","expiryDate":"","author":"Shantanu Patil","columnList":["Chronic Kidney Disease Risk Assessment"],"setTimerClock":"false","setPdfbtn":"false","setResetbtn":"true","setCopyRightText":"false","setCustomizeCopyRightText":"false","customizeCopyRightText":"","setMoreInformation":"false","moreInformationLink":"","abbreviated_title":"","synonyms_titles":"","medical_specialty":"105,106,104","medical_device":"","approved_by":"","intended_purposes":"Identify and stratify CKD risk in patients with diabetes Provide recommendations for CKD monitoring frequency based on eGFR and UACR Guide referral to nephrology for high-risk patients Support early intervention strategies to slow CKD progression and reduce cardiovascular risk","indication":"","prediction":"","caution":"","mathematical_formula":"\n\n\n\tDocument<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nImage coming soon<\/p>\n\neGFRcr<\/sub> = 142 x min(Scr<\/sub>\/κ, 1)α<\/sup> x max(Scr<\/sub>\/κ, 1)-1.200<\/sup> x 0.9938Age<\/sup> x 1.012 [if female]<\/p>\n\nwhere:<\/p>\n\nScr<\/sub> = standardized serum creatinine in mg\/dL<\/p>\n\nκ = 0.7 (females) or 0.9 (males)<\/p>\n\nα = -0.241 (female) or -0.302 (male)<\/p>\n\nmin(Scr<\/sub>\/κ, 1) is the minimum of Scr<\/sub>\/κ or 1.0<\/p>\n\nmax(Scr<\/sub>\/κ, 1) is the maximum of Scr<\/sub>\/κ or 1.0<\/p>\n\nAge (years)<\/p>\n\n <\/p>\n\nCKD Risk Stratification Based on eGFR & UACR:<\/p>\n\nLow Risk (G1-G2, A1) → Annual Monitoring<\/p>\n\nModerate Risk (G1-G2, A2 or G3a, A1) → Monitor 1-2 times\/year<\/p>\n\nHigh Risk (G3a, A2 or G3b, A1) → Monitor 2-3 times\/year & Consider Nephrology Referral<\/p>\n\nVery High Risk (G3b, A2 or G4-G5, A3) → Monitor 4+ times\/year & Nephrology Referral<\/p>\n\neGFR <30 or UACR >300 → Immediate Nephrology Referra<\/p>\n<\/body>\n<\/html>\n","additional_explanations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","interpretation":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","recommendations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","original_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nAmerican Diabetes Association Primary Care Advisory Group. 11. Chronic kidney disease and risk management: Standards of Care in Diabetes—2025 Abridged for Primary Care. Clin Diabetes. Published online ahead of print 1 April 2025 (doi: 10.2337\/cd25-a011). ©2025 by the American Diabetes Association.<\/p>\n<\/body>\n<\/html>\n","validation_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","other_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","reference_tool":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","principleValidated":"false","toolLanguage":"1","setAbbreviation":"true","abbreviation_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\n<table class=\"table\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<td>A<\/td>\n\t\t\t<td>Albuminuria<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>CKD<\/td>\n\t\t\t<td>Chronic kidney disease<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>G<\/td>\n\t\t\t<td>GFR<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>GFR<\/td>\n\t\t\t<td>Glomerular filtration rate<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n <\/p>\n<\/body>\n<\/html>\n","setFootnote":"true","footnote_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nRisk of CKD progression, CVD risk, and mortality; frequency of visits; and referral to nephrology according to GFR and albuminuria. Numbers in the boxes are the number of times per year to screen or monitor. Green reflects no evidence of CKD, with screening indicated once per year. Suggested monitoring of prevalent CKD varies from once (yellow) to four or more times (deep red) per year. Adapted from de Boer IH, Khunti K, Sadusky T, et al. Diabetes management in chronic kidney disease: a consensus report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO). Diabetes Care 2022;45:3075–3090.<\/p>\n\nSuggested citation: American Diabetes Association Primary Care Advisory Group. 11. Chronic kidney disease and risk management: Standards of Care in Diabetes—2025 Abridged for Primary Care. Clin Diabetes. Published online ahead of print 1 April 2025 (doi: 10.2337\/cd25-a011). ©2025 by the American Diabetes Association.<\/p>\n<\/body>\n<\/html>\n","setToolProfileBtn":"true","indicated_in_patients":"Type 1 Diabetes Mellitus (T1DM) for \u22655 years Type 2 Diabetes Mellitus (T2DM) Hypertension Cardiovascular Disease Anemia Hyperparathyroidism Urinary Albumin-to-Creatinine Ratio (UACR) >30 mg\/g eGFR <60 mL\/min\/1.73m\u00b2","indicated_in_ff_interventions":"Diabetes management and risk assessment Chronic Kidney Disease (CKD) screening and monitoring Referral to nephrology based on risk stratification Guidance on SGLT2 inhibitors and CKD-specific treatments","predicted_outcomes":"","prediction_period":"","setScoreWarningText":"false","setCustomizeWarningText":"false","customizeWarningText":"","setBlueHighlightForInput":"false","setRecommendationRejection":"false","setFeedbackButton":"false","setMindMapAvailable":"false","setDocumentStatus":"false","setToolTestedStatus":"false","tool_development_supported_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","promo_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\">\nThis Clinical Decision Support (CDS) tool evaluates the risk of Chronic Kidney Disease (CKD) progression, cardiovascular risk, and nephrology referral needs based on estimated Glomerular Filtration Rate (eGFR, calculated using the CKD-EPI Refit Equation) and Urinary Albumin-to-Creatinine Ratio (UACR). The tool is designed for patients with diabetes (T1DM or T2DM) and other CKD risk factors.<\/p>\n<\/body>\n<\/html>\n","sub_title":"Clinical Decision Support (CDS) Tool for CKD Risk Stratification in Diabetes","feedback_link":"","feedback_option":"","feedback_email":"","selected_tool_type":"cdss","index_term":"CKD Risk Assessment in Diabetes","full_text":"","tool_category":"9","translatedLanguages":"","primary_medical_specialty":"105","restorationCompatibleVersions":"","releaseVersion":"NR","releaseDate":"","releaseMode":"1","publishedBy":"Börm Bruckmeier Verlag GmbH"}}