Screening, Monitoring, Prevention, and Treatment Strategies for Chronic Kidney Disease in Patients with Type 2 Diabetes

Diabetes is a major risk factor for chronic kidney disease (CKD), and an estimated 20–40% of people with diabetes have evidence of CKD (109,201–205). In people with type 1 diabetes, CKD usually develops ≥10 years after diagnosis of diabetes. Because the exact time of onset of type 2 diabetes is often unclear and many patients may have had the condition for several years before diagnosis, CKD can manifest at diagnosis of type 2 diabetes.