Diabetic kidney disease: Act now or pay later

In 2003, the International Society of Nephro­logy and the International Diabetes Federation launched a booklet called Diabetes in the Kidney: Time to act [1] to highlight the global pandemic of type 2 diabetes and diabetic kid­ney disease. It aimed to alert governments, health organizations, providers, doctors, and pa­tients to the increasing health and socio-eco­nomic problems due to diabetic kidney disease and its sequelae, end-stage kidney disease re­quiring dialysis, and cardiovascular death. Se­ven years later, the same message has become even more urgent.