New CKD finding at diabetic review — CCE clinical encounter

Objectives

1. Confirm the diagnosis properly — repeat eGFR within 2 weeks; repeat ACR on early-morning sample before staging. ^[24]
2. Stage using cause, GFR category and albuminuria category, and explain risk without catastrophising. ^[24]
3. Start an ACE inhibitor or ARB with correct safety monitoring, and set blood pressure targets. ^[24]
4. Plan SGLT2 inhibitor addition with trial evidence and counselling points. ^[9]
5. Deliver a written sick-day plan and agree the monitoring interval. ^{[19] [24]}