In this episode of the Primary Care Knowledge Boost (PCKB) podcast, doctors Lisa and Sara talk to consultant nephrologist, Dr Darren Green, about patients with type 2 diabetes who also have chronic kidney disease (CKD) and heart failure.
Sara, Lisa and Darren go through a hypothetical case to illustrate some of the finer points of management that can commonly get missed, or might not be fully appreciated.
The podcast is a really detailed talk full of useful practice enhancing tips for this complex group of patients.
Listen to the podcast episode on the Primary Care Knowledge Boost (PCKB) podcast website.
Useful resources:
- Dr Kevin Fernando counselling diabetic patients starting an SGLT2 Inhibitors like Dapagliflozin or Empagliflozin
- Diabetes UK counselling sheets on SGLT2 inhibitors
- Kidney Care UK Patient Booklets
- Pumping Marvellous Heart Failure Charity with patient resources
- International Society for Nephrology Toolkit for Initiating or Changing RAASi – Renin Angiotensin Aldosterone System Inhibitors (like ACEis such as Lisinopril or Ramipril, or ARBs like Candesartan on Losartan)
- Royal College of General Practitioners Acute Renal Failure Toolkit
- CONFIDENCE trial: Finerenone with Empagliflozin in Chronic Kidney Disease and Type 2 Diabetes | New England Journal of Medicine
- ATLAS trial: Efficacy and safety of high-dose lisinopril in chronic heart failure patients at high cardiovascular risk, including those with diabetes mellitus
- Metformin lactic acidosis Metformin in Patients With Type 2 Diabetes and Kidney Disease: A Systematic Review
- UK AKI Summit report UKKA AKI Summit Report + Recommendations
- RCGP AKI follow up post discharge recommendations
