Skip Navigation
QualityTool

Diabetes Mellitus Algorithm R: Kidney Function


Description

This algorithm is derived from the evidence-based clinical practice guideline, Management of Diabetes Mellitus, developed by the Department of Veterans Affairs and Department of Defense (VA/DoD). It is intended to:

  • Promote evidence-based management of individuals with diabetes
  • Identify the critical decision points in management of patients with diabetes mellitus, such as glycemic control, evaluation of the eyes and feet, and co-morbid conditions (e.g. hypertension, hyperlipidemia, and renal disease)
  • Allow flexibility so that local policies or procedures, such as those regarding referrals to or consultation with diabetes teams, ophthalmology, optometry, podiatry, nephrology, and endocrinology can be accommodated
  • Decrease the development of complications
  • Improve local management of patients with diabetes and thereby improve patient outcomes

This algorithm on diabetes mellitus addresses the following topics:

  • Kidney evaluation
  • Screening for microalbuminuria
  • Referral of suspected cases of diabetic nephropathy to nephrology
  • Assessing and initiating glycemic control
  • Starting/adjusting treatment of angiotensin-converting enzyme inhibitor
  • Monitoring random urine protein creatine ratio
  • Counseling patient on reduced practice diet
  • Managing blood pressure
Links to the Tool:
This tool is available at: http://www.healthquality.va.gov/diabetes/dm_fulltext.pdf (If you don't have the software to open this PDF, download free Adobe Acrobat ReaderĀ® software External Web Site Policy.)

Developer

Department of Defense; Department of Veterans Affairs; Veterans Health Administration

Funding Sources

Department of Defense; Department of Veterans Affairs; Veterans Health Administration


QualityTool Topic

asp:qt-topic-replace-me


Links to National Guideline Clearinghouse or National Quality Measures Clearinghouse:

This tool is derived from the following guideline in the National Guideline Clearinghouse (NGC): VA/DoD clinical practice guideline for the management of diabetes mellitus:
http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=5185

History

  • Release Date: 03/2003
  • Original Summary: 03/2005
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.

Last updated: November 14, 2012.