Diabetic Kidney Disease Prevention Care Model Development
Nuha A. ElSayed, Raveendhara R. Bannuru, George L. Bakris, Joan K. Bardsley, Ian H. de Boer, Robert A. Gabbay, Janet P. Gockerman, Rozalina G. McCoy, Elaine McCracken, Joshua J. Neumiller, Scott J. Pilla, Connie M. Rhee
Abstract
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.