[Why and how should the renal risk of patients with type 2 diabetes be assessed ?].

WHY AND HOW SHOULD THE RENAL RISK OF PATIENTS WITH TYPE 2 DIABETES BE ASSESSED ? In patients with type 2 diabetes, regular screening for chronic kidney disease is essential, using estimated glomerular filtration rate and the albuminuria/creatinuria ratio. Use of the KDIGO matrix (kidney disease: improving global outcomes) and KFRE score (kidney failure risk equation) enables fine stratification of renal risk, leading to appropriate referral to specialized nephrology consultations. The general practitioner, as a key player, can initiate a lifestyle adjustments and appropriate treatments from the very first signs. This early management can delay the progression to renal failure and reduce cardiovascular risk, thus optimizing specialized resources and patients' quality of life.