PromarkerD

A new blood test is designed to identify your risk of CKD up to four years before symptoms appear.
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Predict future kidney disease risk in patients with type 1 and 2 diabetes

The Diabetes-related Kidney Disease Test is an innovative blood test designed to assess future risk of chronic kidney disease (CKD) in adults with type 2 diabetes, providing insight into future kidney disease risk up to four years before symptoms may appear.

Clinical Need

Approximately one in two people with type 2 diabetes will develop chronic kidney disease during their lifetime.

Current standard-of-care tests such as estimated glomerular filtration rate (eGFR) and albumin creatinine ratio (ACR) assess current kidney function and kidney damage but may not identify future renal decline.

Early identification of patients at increased risk may support:

  • More proactive monitoring
  • Earlier intervention
  • Personalised management strategies
  • Improved patient engagement and education

Patient Eligibility

Suitable for adults who:

  • Have been diagnosed with type 2 diabetes
  • Have an eGFR greater than 30 mL/min/1.73m²
  • Have not progressed to advanced kidney disease
  • Would benefit from future CKD risk assessment to support treatment planning

How the test works

The test measures protein biomarkers associated with kidney disease and combines these results with clinical information, including age and eGFR, to generate an individualised risk score.

Results are reported as:

  • Low Risk
  • Moderate Risk
  • High Risk

With corresponding guidance to support clinical management and monitoring decisions.

Role alongside current assessment

The Diabetes-related Kidney Disease Test may assist clinicians by:

  • Identifying patients at increased risk of future CKD
  • Supporting risk-based treatment decisions
  • Informing monitoring frequency
  • Supporting personalised diabetes management discussions
  • Complementing standard kidney health assessment including eGFR and ACR testing

How to request and access the test

PromarkerD can be requested by using a standard pathology request form. The test is exclusively available through pathology network and is performed on a routine blood sample.

Results are reported as Low, Moderate or High Risk of future kidney function decline, providing additional information to support monitoring, treatment optimisation and patient management discussions.

Please refer to the clinical guide for eligibility criteria and result interpretation resources.

Price and Medicare status

PromarkerD is currently a privately funded test and is not covered by Medicare. Please refer to current pricing information for patient out-of-pocket costs and payment arrangements.

Sample collection requirements

PromarkerD requires a routine blood sample collected at a participating Laverty Pathology collection centre.

No specialised collection procedure is required. Specimens are transported to the testing laboratory under validated conditions for analysis.

Resources

FAQ

Who is eligible for this test?
How is this test different from eGFR and ACR testing?
Does this test diagnose chronic kidney disease?
How is the sample collected?
How often should patients be retested?