1) Welcome to a new series on the fundamentals of #CKD in the patient with #T2D. This #accredited #tweetorial series is supported by an educational grant from Boehringer Ingelheim Pharmaceuticals Inc & Eli Lilly Company and is intended for healthcare providers.
— @CKD_ce (@ckd_ce) January 4, 2022
The above should read “This #accredited #tweetorial series is supported by an independent educational grant from the Boehringer Ingelheim/Lilly Alliance.”
3) We are in the middle of a pandemic….
— @CKD_ce (@ckd_ce) January 4, 2022
but NO–NOT #COVID19.
It’s a #diabetes pandemic! pic.twitter.com/eocNXUWVUj
5) The focus for this program is diabetic kidney disease #DKD so let’s start with a case.
— @CKD_ce (@ckd_ce) January 4, 2022
74F with 12y history of #T2DM
PMH: HTN, Dyslipidemia, Osteoarthritis
Meds: Metformin 1000 mg BID, sitagliptin 100 mg D, insulin glargine 45 units
7) SO . . . Does this patient have DKD? What do YOU think?
— @CKD_ce (@ckd_ce) January 4, 2022
a. No, her creatinine and urine protein are normal
b. Yes, because her eGFR is low
c. Yes, because her urine albumin/creatinine ratio is abnormal
d. Yes, because both her eGFR and urine albumin/creatinine are abnl
9) See 🔓 https://t.co/evD9NWGGon and find easy calculators at https://t.co/ZxRzpw2wXv or https://t.co/viURLQi9H8 pic.twitter.com/iYrhavHmgq
— @CKD_ce (@ckd_ce) January 4, 2022
11) And so, DOES she have #DKD? The answer is YES: pic.twitter.com/69t59FwOOY
— @CKD_ce (@ckd_ce) January 4, 2022
13) This simple scheme from the @KIDGO group helps us classify risk for progression of DKD: pic.twitter.com/xMxjAqSMeW
— @CKD_ce (@ckd_ce) January 4, 2022
15) So just how common is chronic kidney disease #CKD in patients with type 2 diabetes #T2D?
— @CKD_ce (@ckd_ce) January 4, 2022
17) Welcome back! Expert author @RpratleyMD is providing foundational knowledge on #CKD in patients with #T2D. And YOU are earning CE/#CME! Nods to @edgarvlermamd @GoggleDocs @LangoteAmit @divyaa24 @ChristosArgyrop @SantosGallegoMD @mvaduganathan @AgarwalRajivMD @VelezNephHepato
— @CKD_ce (@ckd_ce) January 5, 2022
19) So it turns out that choice (d)–a whopping 40%–is the best answer: pic.twitter.com/g6ntFY5fIf
— @CKD_ce (@ckd_ce) January 5, 2022
21) And, with the aging of the population and the steadily ⬆️ing incidence of #TDM . . . well, remember that pandemic we spoke about earlier? pic.twitter.com/AtA4c9y6Ry
— @CKD_ce (@ckd_ce) January 5, 2022
23) . . . patients who are at increased risk for adverse health outcomes, including frailty, reduced quality of life, end-stage renal disease (ESRD), progressive end-organ damage at other sites and premature mortality. pic.twitter.com/2A891m4owG
— @CKD_ce (@ckd_ce) January 5, 2022
25) What did you answer? It’s actually SIXTEEN years! pic.twitter.com/963xGuKomq
— @CKD_ce (@ckd_ce) January 5, 2022
27) Make your choice and return TOMORROW for the correct answer, a program wrap-up, and your credit grab: FREE 🇺🇸🇨🇦🇪🇺🇬🇧 0.5h CE/#CME! Hello to @SABOURETCardio @docmaltese @AmarPut @drpatrickholmes @AmarPut @drjamesboyle @iamritu @pecoitsfilho @ADA_DiabetesPro @zbloomgarden
— @CKD_ce (@ckd_ce) January 5, 2022
29) Re yesterday’s poll (#26): the most common culprit i.e. cause of death in #CKD is #cardiovascular disease, by a factor of 2 – 5 fold! And the event rate follows ⬇️ing #eGFR: pic.twitter.com/T6qO0eLALf
— @CKD_ce (@ckd_ce) January 6, 2022
31) It all goes to what our favorite expert-of-experts @BakrisGeorge is fond of saying: “The heart and the kidneys are married!”
— @CKD_ce (@ckd_ce) January 6, 2022
Oh, and you know what comes with marriage: SPENDING! 💰💰 pic.twitter.com/r6tZQ1bHiM
33) If we are going to make an impact on the terrible toll exacted by #CKD in #T2D, we must screen earlier: pic.twitter.com/hniB91wX2s
— @CKD_ce (@ckd_ce) January 6, 2022
35) So, summing up:
— @CKD_ce (@ckd_ce) January 6, 2022
Diabetes is the leading cause of #CKD
Up to 40% of patients with diabetes will develop some degree of DKD#DKD is associated with an increased risk of #CVD
CVD is the main driver of increased mortality in patients with #T2D
37) And now you have made it! Free CE/#CME! #Physicians #pharmacists #nurses #PAs: go to https://t.co/2xGEOLIWu4 and claim your credit! I am @RPratleyMD. Follow @ckd_ce (and @cardiomet_CE) for more #tweetorials! #medtwittter #cardiotwitter #diabetickidneydisease #nephtwitter
— @CKD_ce (@ckd_ce) January 6, 2022
— @CKD_ce (@ckd_ce) January 6, 2022