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UMHS Home/Logo Consult Request Guidelines

for Diabetic Nephropathy

   
Diabetic Nephropathy
Suggested Pre-Referral Evaluation and Management Guidelines
1) Assure recent ophthy eval (nephropathy often found with retinopathy).
2) Control BP to 125/75 if possible & tolerated, often with multiple agents.
3) Consider ACEI/ARB as 1st line, then diuretic and ß-blocker.
4) Assure tight blood sugar control as appropriate.
Suggested Additional Test/Management Prior to Specialty Visit
1) Renal Ultrasound
2) 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)
1) NKF Diabetes and Kidney Disease
2) National Institute of Diabetes and Digestive and Kidney Diseases
Appointment Timeframe 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 Physicians: 800-962-3555
Patients: 734-647-9160
Or 888-287-1084 (toll free)
Clinic Location Sites Taubman Health Care Center 
UM Consulting Physician General Nephrology
Revised on: 03/21/2011