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. 2022 Fall;40(4):401-412.
doi: 10.2337/cd21-0119.

Role of Primary Care Clinicians in the Management of Patients With Type 2 Diabetes and Cardiorenal Diseases

Pamela R Kushner  1 , Matthew A Cavender  2 , Christian W Mende  3
Affiliations

Role of Primary Care Clinicians in the Management of Patients With Type 2 Diabetes and Cardiorenal Diseases

Pamela R Kushner et al. Clin Diabetes. 2022 Fall.

Abstract

Individuals with type 2 diabetes are at increased risk of both renal and cardiovascular events. The convergence of type 2 diabetes, chronic kidney disease, and cardiovascular disease, including heart failure, requires management by a multidisciplinary health care team. Primary care clinicians are likely to be the first and most frequent point of contact for individuals with type 2 diabetes who are at high risk of cardiorenal disease and therefore play a pivotal role in early diagnosis, establishment of effective treatment strategies, and coordination of care. This article presents a clinical perspective with multidisciplinary collaboration on a patient case representative of those seen in routine clinical practice. The authors assess reasons why patients may not receive evidence-based care and identify opportunities to initiate therapies that reduce cardiovascular and renal events in the primary care setting.

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Figures

FIGURE 1
FIGURE 1
Case presentation and opportunities for earlier diagnosis and improved treatment of cardiorenal disease in a patient with type 2 diabetes. ACEi, ACE inhibitor; ARB, angiotensin receptor blocker; BP, blood pressure; CT, computed tomography; IV, intravenous; TSH, thyroid-stimulating hormone.
FIGURE 2
FIGURE 2
Multidisciplinary care for patients with type 2 diabetes and cardiorenal disease.
See this image and copyright information in PMC

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