It is essential for a better mamagement. In particular is essential in the first stady when a clear symptomatology is not present. Think that with creatinine 1.3 the insulin sensitivity is already reduced by 50%

agree - here is the evidence-based pathway being implemented in the Province of Alberta, in Canada 

http://www.ckdpathway.ca/

agree - here is the evidence-based pathway being implemented in the Province of Alberta, in Canada 

http://www.ckdpathway.ca/

Thank you for your response. I agree with you. It is useful to assess symptoms with valid and reliable symptom assessment tools.