DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
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Version 4.0<br />
Table D-9. Chronic Kidney Disease (CKD): A <strong>Clinical</strong> Action Plan<br />
<strong>VA</strong>/<strong>DoD</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Guideline</strong><br />
for the Management of Diabetes Mellitus<br />
Stage Description GFR<br />
Action*<br />
(mL/min/1.73m 2 )<br />
At increased risk<br />
≥90<br />
(with CKD risk factors)<br />
Screening,<br />
CKD risk reduction<br />
1 Kidney damage with<br />
Normal or ↑ GFR<br />
≥90<br />
Diagnosis and treatment,<br />
Treatment of comorbid conditions,<br />
Slowing progression,<br />
Cardiovascular disease risk reduction<br />
2 Kidney damage<br />
60 – 89 Estimating progression<br />
with Mild ↓ GFR<br />
3 Moderate 30 – 59 Evaluating and treating complications<br />
4 Severe ↓ GFR 15 - 29 Preparation for kidney<br />
replacement therapy<br />
5 Kidney failure
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