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Helping Diabetes Educators Care for Patients with Kidney Disease

Diabetes educators are critical members of the kidney health care team. Because diabetes is the leading cause of chronic kidney disease (CKD), diabetes educators have a crucial role both in supporting early detection and slowing progression of CKD. Additionally, diabetes educators often have well established relationships with patients when they are diagnosed with kidney disease. These existing relationships may allow educators to be a trusted source of information and support to patients with diabetic kidney disease (DKD).

CKD Training Program for Diabetes Educators

Because diabetes educators are likely to encounter numerous patients with kidney disease, it is important for them to have a solid understanding of DKD. To help prepare diabetes educators to address the kidney complications of diabetes, NKDEP has developed a four-module training program in partnership with the American Association of Diabetes Educators (AADE). The program covers implementation of the AADE Practice Advisory for DKD, with each of the four modules focused on a specific aspect of kidney disease management, including identification, slowing progression, addressing complications, and educating patients. Additionally, the program reviews content from the perspective of the AADE 7 self-care behaviors. The module content is available to review below. To earn Continuing Education credits, individuals—especially diabetes educators—can register for the course from AADE.

Module 1 – Identify Diabetic Kidney Disease

Download Module 1 (PPT, 6.49 MB)

This module reviews kidney anatomy and physiology and provides an overview of the two tests used to identify kidney disease: the estimated glomerular filtration rate (eGFR) and the urine albumin-to-creatinine ratio (UACR). Additionally, the module covers diabetes as the leading cause of CKD and the factors to consider when determining whether kidney disease is caused by diabetes.

Module 2 – Slowing Progression of Kidney Disease

Download Module 2 (PPT, 4.35 MB)

This module covers key disease management factors in slowing the progression of DKD, including treatment of hypertension, glycemic control, efforts to reduce albuminuria, and reducing cardiovascular disease risk factors. The module introduces three case studies and walks participants through key considerations around slowing progression for each case.

Module 3 – Complications

Download Module 3 (PPT, 4.36 MB)

Complication increase as kidney function declines. This module reviews identification and management of common DKD complications, including anemia, hyperkalemia, hypoalbuminemia, metabolic acidosis, and abnormal mineral metabolism and bone disease. The module continues to follow the case studies, walking participants through identification and management of complications for each case.

Module 4 – Kidney Failure Treatment, Patient Education, and Course Summary

Download Module 4 (PPT, 3.51 MB)

This module covers key considerations for educating patients with DKD, including an overview of advantages and disadvantages of each kidney failure treatment option: hemodialysis, peritoneal dialysis, transplant, and supportive care without renal replacement therapy. The module concludes with a brief summary of the four-module program.

PDF files require Adobe Acrobat

June 22, 2015

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