Annual screening for micro-albuminuria and eGFR

Micro-albuminuria
Send first-pass early morning urine for albumin:creatinine ratio (ACR)

eGFR
Measure serum creatinine and calculate estimated glomerular filtration rate (eGFR)

Diagnosis of Chronic Kidney Disease (CKD)

eGFR<60 mL/min/1.73m2, and/or
ACR>3 mg/mmol

Drug therapy

ACE-I (or ARB)