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A free online accredited CPD program for healthcare professionals

Meeting the Challenges of Diabetes Management in Patients with Chronic Kidney Disease

1.00 Canadian Council On Continuing Education In Pharmacy (CCCEP) CEU(s)

Program available online until: October 18, 2018

This continuing education lesson is designed primarily for pharmacists and has been accredited by the Canadian Council on Continuing Education in Pharmacy (CCCEP)
for 1.00 CEU(s).

Diabetes Management in Patients with Chronic Kidney Disease


Chronic Kidney disease (CKD) in patients with diabetes has major implications for patient care. Newer antihyperglycemic agents may offer reno-protective benefits that are independent of their glucose-reducing effects. The leading cause of kidney disease in Canada is diabetes, which is also the leading cause of end stage renal disease (ESRD). In patients with diabetes, CKD represents an important complication that is associated with impaired quality of life and earlier mortality. Kidney disease in people with diabetes may include diabetic nephropathy, ischemic damage related to vascular disease and hypertension, as well as other renal diseases unrelated to diabetes.

Planning Committee

  • Alice Cheng, MD, FRCPC.
  • Jordan Weinstein, MD.
  • Henry Halapy, Pharm D, CDE.
  • Robert S. Roscoe, BSc. Pharm, ACPR, CDE, CPT.

Learning Objectives

Upon completion of this program, participants will be able to:

  1. Recognize the role of albumin to creatinine ratio (ACR) and estimated glomerular filtration rate (eGFR) in defining and assessing the different stages of chronic kidney disease (CKD) in type 2 diabetes
  2. Discuss which patients with kidney disease and diabetes are at highest risk of CKD progression
  3. Identify characteristics/risk factors in patients with CKD that influence diabetes management
  4. Discuss pharmacotherapy for patients with CKD and type 2 diabetes
  5. Describe sick day management principles

Ask the Expert

  • How is chronic kidney disease (CKD) defined?
  • What are the Diabetes Canada recommendations for screening for CKD in patients with diabetes?
  • What strategies can help to delay progression of CKD in patients with diabetes?
  • Which medications should be withheld in CKD patients who feel unwell and unable to maintain adequate fluid intake?
  • What factors influence the choice and use of antihyperglycemic drugs in patients with diabetes and CKD?

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