Diabetic kidney disease is a challenge for many diabetes care and education specialists. Learn the essentials of chronic kidney disease (CKD) in diabetes in this 5-hour course from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH). Includes disease identification, slowing its progression, working with complications, and how to educate patients with chronic kidney disease.
Learners will be able to recognize and articulate the essentials of diabetic kidney disease (DKD) management, including basic kidney physiology, kidney disease epidemiology and strategies for identifying DKD based on kidney function and damage, implementing
appropriate therapy to slow DKD progression, screen for and manage DKD complications, and educating patients.
This self-paced online course is an application-based learning activity.
Module 1: Identify Diabetic Kidney Disease
A discussion of the burden of disease, the pathophysiology of diabetic kidney disease (DKD), diagnosis, and monitoring.
Module 2: Slowing Progression of Kidney Disease
Slowing progression of kidney disease reviews treatment of hypertension, glycemic control, efforts to reduce albuminuria, and reducing cardiovascular disease risk factors.
Module 3 Complications of Kidney Disease
Complications increase as kidney function declines. This module reviews identification and management of common CKD complications, including anemia, hyperkalemia, hypoalbuminemia, metabolic acidosis, and abnormal mineral metabolism and bone disease.
The module continues to follow case studies, walking participants through identification and management of complications for each case.
Module 4: Kidney Failure Treatment, Patient Education, and Course Summary
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.
At the end of this course, the learner will be able to:
- Review the association of kidney function with estimated glomerular filtration rate (eGFR), and kidney damage with urine albumin-to-creatinine ratio (UACR).
- Recognize abnormal urine albumin (albuminuria) as a continuous risk factor for kidney disease progression in diabetes.
- Define the basic evaluation of kidney disease.
- Articulate the interventions (medications, lifestyle, diet) that may reduce albuminuria.
- Determine the presence of chronic kidney disease in patients, including those with pre-diabetes.
- Identify classes of anti-hypertensive medications which lower blood pressure and albuminuria and increase risk for hyperkalemia in diabetes.
- Explain the appropriate choices to treat hypoglycemia in kidney disease.
- Interpret basic laboratory data related to the ABCs of diabetes and kidney disease.
- Discuss the management of common complications of chronic kidney disease (CKD).
- Analyze basic laboratory data used to evaluate and monitor CKD complications.
- Illustrate the use of common medications used to treat these complications.
- Explain the nutrients that play a role in CKD complications.
- Discuss the treatment choices for kidney failure.
- Identify medications that may increase risk for new onset diabetes after kidney transplant.
- Explain dextrose in peritoneal dialysis fluid as source of carbohydrate.
- Describe in-center hemodialysis with numerous diet restrictions.
AADE educational activities are designed for diabetes care and education specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, MDs, and other health care providers interested in staying up
to date on current practices of care for their patients with diabetes and other related conditions.
Continuing Education Credit
This educational program will provide 5 contact hours of continuing education credit.
You will have access to this learning activity for a period of six months after you enroll, or whenever the activity's CE credits expire (whichever comes first).
Effective dates for CE credit: 12/11/2019 - 12/11/2022