P401 Managing diabetic kidney disease (DKD) in the community: Lessons and experiences from a community clinic in Lambeth, South LondonA HODGKINSON, M Allen‐Taylor, C Rook, I Reece, D McGowan, S Newall, M Chamley and J KarallieddeDiabetes, Lambeth Diabetes Intermediate Care Team, London, UKBackground: DKD is an independent risk factor for premature morbidity and mortality for people with diabetes. Renal dysfunction adds complexity to clinical management of diabetes and is often challenging. The prevalence of Type 2 diabetes in Lambeth is nearly twice the UK average with a propensity to risk factors that drive cardiorenal complications.Aims: To evaluate the feasibility of managing DKD in the community and develop pathways to promote early referral for patients at high‐risk of progression.Results: A monthly multidisciplinary clinic commenced in 2017. In parallel to evaluation of glycaemic and blood pressure indices, we established point‐of‐care testing to obtain up to date estimated glomerular filtration rate (eGFR) and evaluate eGFR trend. To date, we have evaluated 63 patients with Type 2 diabetes (50% males), mean (range) age 65 (38 to 85) years, eGFR of 44.1 (5 to 116) ml/min, ˜30% had macroalbuminuria. Mean HbA1c was 75.5 (41 to 146) mmol/mol, systolic BP 134.6 (99 to 187) mm Hg and diastolic BP 74.1
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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