Hot topics in diabetic kidney disease – a primary care perspective

The primary care management of diabetic kidney disease (DKD) is increasingly complex; I will distill the key take home messages from the NICE CKD guideline relevant to primary care and discuss the latest evidence guiding optimal glycemic targets in those with DKD. Finally, I will provide an overview of the pharmacological management of hyperglycaemia in DKD focusing on cardiovascular and renal protection as well as the safe use of the different classes of hypoglycaemic agent.

Learning outcomes:

  • It is important to individualise the approach to HBA1c target setting in the context of DKD
  • DKD is associated with an increased risk of cardiovascular disease and cardiovascular risk management is vital
  • Patients with DKD are at increased risk of hypoglycaemia and thus we need to tailor our treatment approach
  • There are many options available to treat diabetes in the setting of DKD with dose modifications where needed
  • There is exciting emerging evidence that some of the newer agents for treating diabetes may be renal protective and potentially have a very important role to play in DKD management in future

Thursday 15th November 2018

12:40 - 13:10

Diabetes Co-Morbidities: Cardiovascular & Retinopathy

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GPwSI Diabetes, Woodlands Medical Centre, Cardiff

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