Let's Talk About CKD
Chronic kidney disease (CKD) is a common1 yet widely underrecognized and potentially deadly condition2,3 and is estimated to affect more than 160 million people with type 2 diabetes (T2D) worldwide.4,5,6 CKD progresses silently and unpredictably, with many symptoms not appearing until the disease is well-advanced.7,8
Regular testing for the earliest signs of kidney disease is essential to slow progression, and early referral of CKD patients has been shown to improve outcomes.9 The KDIGO, ADA, and EASD guidelines recommend testing both eGFR and UACR at least once a year in patients with CKD and T2D.9,10,11
Hear from leading experts below on how outcomes can be improved for patients living with CKD and T2D, alongside insights from their experience and best practices.
Diabetologist
Professor Peter Rossing
Head of Complications Research at Steno Diabetes Center Copenhagen, Denmark
Cardiologist
Professor Carolyn Lam
Senior Consultant of the National Heart Centre, Singapore
Primary Care Physician
Professor Richard Hobbs
Nuffield Professor of Primary Care Health Sciences, UK
Nephrologist
Professor Christoph Wanner
Professor of Medicine and Head of the Division of Nephrology University Hospital of Würzburg, Germany
THE SILENT NATURE OF CKD IN T2D
With CKD in T2D being the leading cause of end-stage kidney disease12, more needs to be done to support these patients. Watch the video below to learn more about the silent nature of CKD in T2D.
Early Detection & Intervention in CKD and T2D
The panel discusses the type of tests and the testing protocols that are involved in diagnosing CKD early.
Increased Cardiovascular Risk in Patients with CKD and T2D
Professor Carolyn Lam (Senior Consultant of the National Heart Centre, Singapore) and Professor Richard Hobbs (Nuffield Professor of Primary Care Health Sciences,UK) discuss the close link between CKD and T2D.
The Need for a Collaborative Multidisciplinary Approach in CKD in T2D
The panel discusses what comprises a collaborative approach for patients with CKD in T2D that need multidisciplinary care.
Patient Education in CKD in T2D
The panel discusses the key challenges when clinicians discuss kidney health with patients with CKD and T2D.
The Role of Healthcare Providers Beyond the Specialists
The panel discusses the different roles of health care providers to support the management of patients with CKD and T2D as a broader team.
References:
- NHS.UK. Chronic kidney disease. Available at: https://www.nhs.uk/conditions/kidney-disease/. 2019. [Last Accessed: April 2022]. Return to content
- Breyer MD et al. Developing Treatments for Chronic Kidney Disease in the 21st Century. Seminars in Nephrology. 2016. 36(6), 436–447. Return to content
- National Kidney Foundation. 2021. Chronic Kidney Disease Goes Undetected in Those Most at Risk. Available at: https://www.kidney.org/news/newsroom/nr/CKD-Goes-Undetected-in-Those-Most-at-Risk. Last Accessed: April 2022. Return to content
- Zheng Y, et al. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature Reviews Endocrinology. 2018. 14(2), 88-98. Return to content
- Wu B, et al. Understanding CKD among patients with T2DM: prevalence, temporal trends, and treatment patterns-NHANES 2007-2012. BMJ Open Diabetes Research and Care. 2016. 4(1), e000154. Return to content
- International Diabetes Federation. IDF Diabetes Atlas, 9th ed. Brussels, Belgium; 2019. Return to content
- Khan et al. Prevalence of Chronic Kidney Disease in Asia: A Systematic Review of Population-Based StudiesJ Coll Physicians Surg Pak. 2018. 28(12):960-966. Return to content
- Zhong J, et al. A perspective on chronic kidney disease progression. American Journal of Physiology-Renal Physiology. 2017. 312(3), F375-F384. Return to content
- KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International. 2013. 3, 1-150. Return to content
- American Diabetes Association Professional Practice Committee. Chronic kidney disease and risk management: Standards of Medical Care in Diabetes—2022. Diabetes Care 2022. 45(Suppl.1): S175–S184. Return to content
- Cosentino, Francesco et al. 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD. European heart journal. 2020. vol. 41,2. 255-323. Return to content
- Doshi S M, et al. Diagnosis and Management of Type 2 Diabetic Kidney Disease. Clinical Journal of the American Society of Nephrology. 2017. 12(8), 1366-1373. Return to content