Importance Diabetic kidney disease is the leading cause of chronic and end-stage kidney
disease in the United States and worldwide. Changes in demographics and treatments may
affect the prevalence and clinical manifestations of diabetic kidney disease. Objective To
characterize the clinical manifestations of kidney disease among US adults with diabetes
over time. Design, Setting, and Participants Serial cross-sectional studies of adults aged 20
years or older with diabetes mellitus participating in National Health and Nutrition …