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We collected data relevant to 6 OECD diabetes indicators on processes of diabetes care (annual HbA1c testing, lipid testing, renal function screening and eye examination) and proximal outcomes (HbA1c and lipid control).
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No patient with normal renal function at screening subsequently showed impairment of serum urea and electrolytes.
Some authors have advocated to repeat renal function measurements in screening programmes to prevent overestimation of disease prevalence.
However, serum uric acid levels ≥8 mg/dL with normal renal function at initial screening had a relative risk of 2.91 in men and 10.39 in women for developing a high serum creatinine two years later.
If yes to 3, does the guideline discuss how to screen for renal function?
In renal transplant recipients, some concern has been raised about the usefulness of NGAL as a screening test for renal function impairment [ 34].
Serum creatinine is helpful in screening for compromised renal function.
Thirty-one eligible subjects were stratified into four parallel study groups based on their renal function (Cockcroft Gault creatinine clearance, CrCL) at screening.
Other considerations include anaemia, growth failure, osteoporosis and regular screening of renal function.
Because these techniques are costly and time consuming, their feasibility for clinic-based screening of renal function is limited.
Further work is needed to demonstrate whether improved screening of renal function in people with diabetes leads in a reduction in vascular and renal events and mortality.
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