Poor adherence to clinical practice guidelines: A call to action for increased albuminuria testing in patients with type 2 diabetes

J Diabetes Complications. 2023 Aug;37(8):108548. doi: 10.1016/j.jdiacomp.2023.108548. Epub 2023 Jun 15.

Abstract

We describe the substantial shortfall in adherence to guideline-recommended albumin-to-creatinine ratio (uACR) testing for people in the United States with type 2 diabetes. Poor compliance with current guidelines leads to delays in diagnosis-and treatment- of chronic kidney disease, which adversely affects clinical outcomes and contributes to incremental economic burden.

Keywords: Albuminuria; Chronic kidney disease; T2D; Type 2 diabetes; uACR.

MeSH terms

  • Albuminuria / diagnosis
  • Albuminuria / etiology
  • Creatinine
  • Diabetes Mellitus, Type 2* / complications
  • Diabetes Mellitus, Type 2* / diagnosis
  • Diabetes Mellitus, Type 2* / therapy
  • Glomerular Filtration Rate
  • Humans
  • Renal Insufficiency, Chronic* / complications
  • Renal Insufficiency, Chronic* / diagnosis
  • Renal Insufficiency, Chronic* / epidemiology
  • United States / epidemiology
  • Urinalysis

Substances

  • Creatinine