This activity is intended for diabetologists, endocrinologists, nephrologists, and primary care physicians.
The goal of this activity is for learners to be better able to screen and diagnose patients who have type 2 diabetes (T2D) for kidney disease and initiate appropriate treatment.
Upon completion of this activity, participants will:
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CME / CE Released: 9/22/2022
Valid for credit through: 9/22/2023, 11:59 PM EST
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Josephine, a 56-year-old woman has been referred to a new primary care clinician by her friend. Josephine has a 10-year history of type 2 diabetes, 20-year history of hypertension, class 1 obesity (body mass index [BMI] = 32 kg/m2), dyslipidemia. She has no history of cardiac disease and has a family history of type 2 diabetes, hypertension, and cancer (breast).
Prior medical record: glycated hemoglobin (HbA1c) 7.9%, estimated glomerular filtration rate (eGFR) 50mL/min/1.73m2, serum creatinine 1.5 mg/dL, blood pressure 146/86 mmHg, potassium 4.3 mEq/L, total cholesterol 265 mg/dL.
Current Medications: glyburide 5 mg daily, metformin 1000 mg twice daily, amlodipine 5 mg daily, lisinopril 10 mg daily, hydrochlorothiazide 12.5 mg daily, and atorvastatin 10 mg daily.