Chapter 1: Diagnosis of diabetes mellitus and chronic kidney disease
DOI:
https://doi.org/10.47196/diab.v58i2Sup.782Keywords:
chronic kidney disease, diabetes mellitusAbstract
Chronic kidney disease (CKD) is defined by the presence of alterations in kidney structure and/or function for a period of more than 3 months and with implications for health1,2.
The glomerular filtration rate (GFR) category is established in five stages (from E1 to E5); E3 is subdivided into E3a and E3b, depending on whether the GFR (GFR) is between 59 to 45 or between 44 to 30 mL/min/1.73 m2, respectively.
Additionally, albuminuria should be categorized for any degree of GFR. To simplify evaluation and prognosis, three categories of albuminuria were proposed: A1, A2, or A3, as appropriate: A1 <30, A2 30-300, or A3 >300 mg/g. The equivalences in mg/mmol are A1 <3, A2 3-30 and A3 >30, and in albuminuria in 24-hour urine (h) they are A1 <30, A2 30-300 and A3 >300 mg/24 hours.
The appropriate classification of CKD must consider the cause, the GFR categories (E1-E5) and in the absence of other markers of kidney damage, persistent urinary albumin excretion (A1-A2-A3).
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