U-M Medical School
U-M School of Nursing
Departments & Programs
For Health Providers
CONSULT REQUEST GUIDELINES
Suggested Pre-Referral Evaluation and Management Guidelines
Assure recent ophthy eval (nephropathy often found with retinopathy).
Control BP to 125/75 if possible & tolerated, often with multiple agents.
Consider ACEI/ARB as 1st line, then diuretic and ß-blocker.
Assure tight blood sugar control as appropriate.
Suggested Additional Test/Management Prior to Specialty Visit
Quantify proteinuria with spot protein: creatinine ratio. For patients age >45 years with protein: creatinine > 0.5, spot urine for Bence Jones protein advised.
Patient Education/Information (includes preps)
NKF Diabetes and Kidney Disease
National Institute of Diabetes and Digestive and Kidney Diseases
If renal function is stable, this is not an emergency (30-60 days).
How to Get Results to Consultant
UMHS Patients: See Careweb
External Patients: Hand carry results including ultrasound report
Clinic Contact Information
Or 888-287-1084 (toll free)
Clinic Location Sites
Taubman Health Care Center
UM Consulting Physician
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