{"id":4888,"date":"2020-02-26T07:18:23","date_gmt":"2020-02-26T07:18:23","guid":{"rendered":"http:\/\/www.mymedicplus.com\/news\/?p=4888"},"modified":"2020-02-26T07:18:23","modified_gmt":"2020-02-26T07:18:23","slug":"patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test","status":"publish","type":"post","link":"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/","title":{"rendered":"Patients with type 2 diabetes may have missed out on a vital kidney test"},"content":{"rendered":"\n<p>Source: healtheuropa.eu<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/#A_UK-wide_survey_conducted_by_Napp_Pharmaceuticals_suggests_that_over_half_of_GPs_and_nurses_treating_patients_with_type_2_diabetes_do_not_carry_out_a_vital_kidney_test\" >A UK-wide survey, conducted by\u00a0Napp Pharmaceuticals, suggests that over half of GPs and nurses treating patients with type 2 diabetes do not carry out a vital kidney test.<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/#Why_are_these_tests_not_being_carried_out\" >Why are these tests not being carried out?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/#Awareness_and_action\" >Awareness and action<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/#The_importance_of_being_open_to_testing\" >The importance of being open to testing<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"A_UK-wide_survey_conducted_by_Napp_Pharmaceuticals_suggests_that_over_half_of_GPs_and_nurses_treating_patients_with_type_2_diabetes_do_not_carry_out_a_vital_kidney_test\"><\/span>A UK-wide survey, conducted by\u00a0Napp Pharmaceuticals, suggests that over half of GPs and nurses treating patients with type 2 diabetes do not carry out a vital kidney test.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The Urine Albumin-to-Creatinine Ratio (UACR) test is used to detect protein in the urine, signalling\u00a0kidney damage\u00a0which can lead to fatal complications, and according to survey respondents, the UACR test, which is recommended by UK guidelines for diabetes management, is not being administered annually. Over half (54%) of GPs and nurses who treat patients with type 2 diabetes do not carry out the vital routine test annually.<\/p>\n<p>The urine test, which identifies early markers of kidney damage, is not routinely carried out by GPs and nurses in annual reviews, mainly because many patients are reluctant to provide a urine sample.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_are_these_tests_not_being_carried_out\"><\/span>Why are these tests not being carried out?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The UACR test is recommended by UK guidelines for diabetes management and, according to the study, is not being administered annually to all patients as it should be because many patients (38%) are unwilling to provide a urine sample (which is the most frequent reason given by healthcare professionals).<\/p>\n<p>Diagnosis, prevention and slowing the rate of\u00a0decline in kidney disease\u00a0is critical to the successful management of the known co-morbidities in type 2 diabetes . It is also an important factor in reducing the strain on services used to type 2 diabetes. Diabetes is estimated to cost the NHS \u00a314bn per year, and over 80% of those costs are the result of managing complications of the disease, including those associated with the kidney and the heart. Routine kidney function testing is an important way of identifying those people who are at risk of disease progression.<\/p>\n<p>Dr Kevin Fernando, GP with Specialist Interests in Diabetes &amp; Medical Education, North Berwick Health Centre said: \u201cThe kidneys are often overlooked in favour of the heart in the treatment of type 2 diabetes. However, if you protect the kidneys, you can help protect the heart. Any sign of accelerated kidney damage, no matter how early, multiplies the risk of death.<\/p>\n<p>\u201cBy making a small change to clinical practice to routinely measure kidney function and motivate patients to provide samples, doctors and nurses have an opportunity to spot damage early and positively intervene in those patients who are identified as being at risk.\u201d<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Awareness_and_action\"><\/span>Awareness and action<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>As mentioned, according to the healthcare professionals surveyed, the most frequent reason given for not conducting the UACR test is that patients are unwilling to provide a urine sample.<\/p>\n<p>Dr Aisling McMahon, Executive Director for Research, Innovation &amp; Policy at Kidney Research UK said: \u201cThese survey results are sadly unsurprising, indeed they bear out findings from our own research among people with diabetes. Large numbers of people within this patient group are unaware that they are at increased risk of developing kidney problems, and how life-limiting those kidney problems can become. Having a simple urine test can help diagnose kidney problems early, and treatment and adjustments to lifestyle can make an enormous difference.\u201d<\/p>\n<p>Awareness and action on kidney damage are a partnership between the healthcare professional and patients. According to the study:<\/p>\n<ul>\n<li>Despite 79% of healthcare professional\u2019s surveyed admitting that they knew the UACR test should be used as best practice;<\/li>\n<li>75% underestimated the impact of kidney disease on cardiovascular mortality; and<\/li>\n<li>Once they were told the level of risk, 85% responded that their colleagues would be more likely to conduct kidney function testing if they were aware of the true increase in risk of death.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"The_importance_of_being_open_to_testing\"><\/span>The importance of being open to testing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A spokesperson from the National Kidney Federation said: \u201cEffective diabetes management means more than just blood sugar control. So many patients and doctors are unaware that kidney damage is occurring and just how serious it can be for someone with diabetes. If patients knew the true impact of kidney disease, they may be more willing to provide a urine sample to help prevent further decline.<\/p>\n<p>\u201cWe call on patients to learn about their health and for doctors and nurses to take the time to explain that by giving a urine sample we can identify any kidney disease, to monitor its progression and predict future health.\u201d<\/p>\n<p>The survey, commissioned by\u00a0Napp Pharmaceuticals, was conducted online via the physician network, SERMO during October and November 2019. Only UK Practice nurses and GPs who confirmed they were actively involved in the management of patients with type 2 diabetes were able to participate.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":4889,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[1963],"class_list":["post-4888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diabetes","tag-type-2-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patients with type 2 diabetes may have missed out on a vital kidney test - MyMedicPlus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mymedicplus.com\/blog\/patients-with-type-2-diabetes-may-have-missed-out-on-a-vital-kidney-test\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patients with type 2 diabetes may have missed out on a vital kidney test - 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