U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Wednesday, April 23, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Screening and Monitoring of Chronic Kidney Disease (CKD) in Diabetes

Quiz for CE Credit

This quiz consists of multiple choice questions with one correct answer.
Please select one answer for each question, then click the Submit Answers button at the end of the quiz.
1. Chronic Kidney Disease is defined as 3 months or longer of:




2. Why is treatment to maintain kidney function so important in AI/AN diabetes care?





3. Why is the UACR the test of choice for evaluating proteinuria?




4. When would a referral to a nephrologist be indicated?




5. Resources and tools for CKD for professionals can be found at:




6. Consider a 38 yr old woman with type 2 diabetes diagnosed 5 yrs ago. She is otherwise healthy and a non-smoker. Her A1C is 8.2%, BP 138/82, lipids are at target, meds include low-dose ACE inhibitor. On routine annual diabetes testing: UACR 127 mg/g, eGFR>60. What do you do for this patient?






7. Consider a 42 yr old man diagnosed with diabetes 6 months ago. His A1C is 7.2%, BP is 146/90 on maximum ACE inhibitor dose. Two months ago his eGFR >60, UACR 527 mg/g and now the UACR is 617 mg/g. Negative retinal exam for retinopathy. What do you do for this patient?






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Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov