This site is intended for healthcare professionals only

Guarding the glomerulus: Diabetes and the kidney

Written by: | Published:

Renal impairment may severely impact managemen Renal impairment may severely impact management of diabetes

A recent survey has highlighted the fact that too many patients with diabetes are missing out on key tests for kidney disease which could influence the way in which they are treated.1 The survey suggests that over half (54%, n=403) of GPs and nurses who treat patients with type 2 diabetes (T2D) do not carry out a vital routine test annually. The urine albumin-to-creatinine ratio (UACR or ACR) test is used to detect protein in the urine, indicating kidney damage which can lead to serious and even fatal renal and cardiovascular complications.2

According to survey respondents, the UACR test, is not being carried out as recommended by national guidance3 because many patients are unwilling to provide a urine sample (38%, most frequent reason given by healthcare professionals). General practice nurses (GPNs) are in an ideal position to support people with diabetes to understand the importance of kidney health and the role of this simple test in identifying potential problems early.

In this article we consider:

Please login or register to read the rest of the article and to have access to downloads and comments.

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Read a free issue from Practice Nursing

Register to read a free issue from our sister publication, Practice Nursing.

Including articles on asthma, diabetes and more. Read your copy.


Sign up to the newsletter


Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.


Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.


Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team


Find out how to contribute to Independent Nurse here.