Diabetic Kidney Disease Prevention Care Model Development.
Nuha A ElSayedRaveendhara R BannuruGeorge BakrisJoan BardsleyIan H de BoerRobert A GabbayJanet GockermanRozalina G McCoyElaine McCrackenJoshua J NeumillerScott Jordan PillaConnie M RheePublished in: Clinical diabetes : a publication of the American Diabetes Association (2023)
More than one-third of people with diabetes develop diabetic kidney disease (DKD), which substantially increases risks of kidney failure, cardiovascular disease (CVD), hypoglycemia, death, and other adverse health outcomes. A multifaceted approach incorporating self-management education, lifestyle optimization, pharmacological intervention, CVD prevention, and psychosocial support is crucial to mitigate the onset and progression of DKD. The American Diabetes Association convened an expert panel to develop the DKD Prevention Model presented herein. This model addresses prevention and treatment, including screening guidelines, diagnostic tools, and management approaches; comprehensive, holistic interventions; well-defined roles for interdisciplinary health care professionals; community engagement; and future directions for research and policy.
Keyphrases
- healthcare
- cardiovascular disease
- type diabetes
- mental health
- glycemic control
- randomized controlled trial
- physical activity
- quality improvement
- public health
- palliative care
- risk assessment
- clinical practice
- social media
- wound healing
- adipose tissue
- chronic pain
- weight loss
- insulin resistance
- coronary artery disease
- electronic health record
- affordable care act
- health insurance