Improving glycaemic management in people with diabetes on maintenance haemodialysis

Authors

  • Apexa Kuverji John Walls Renal Unit, Leicester General Hospital, Leicester, UK
  • Jo Reed Imperial College Healthcare NHS Trust UK
  • Harpreet Sawhney Imperial College Healthcare NHS Trust UK
  • June James Leicester Diabetes Centre, Leicester General Hospital, Leicester, UK
  • Rob Gregory Leicester Diabetes Centre, Leicester General Hospital, Leicester, UK
  • James Burton John Walls Renal Unit, Leicester General Hospital, Leicester, UK
  • Andrew Frankel Imperial College Healthcare NHS Trust UK

DOI:

https://doi.org/10.15277/bjd.2022.343

Keywords:

audit, haemodialysis, standards, Diabetes Care in Haemodialysis, end-stage kidney disease

Abstract

The Diabetes Care in Haemodialysis (DiH) working group aims to improve the care of people with diabetes mellitus on the haemodialysis unit by supporting the implementation of the 2016 JBDS guidelines. In order to support the implementation of the guideline recommendations the DiH working group have established a set of standards, developed an audit tool to demonstrate adherence to standards, and have developed educational support for haemodialysis staff both online and delivered face-to-face.

We publish audit findings from five distinct haemodialysis units, highlighting the impact of the educational programme on the achievement of guideline standards. We also report the impact of the COVID-19 pandemic on diabetes care and quality improvement.

References

UK Renal Registry. UK Renal Registry 23rd Annual Report - Data to 31/12/2019. 2021.

Eggers PW, Gohdes D, Pugh J. Nontraumatic lower extremity amputations in the Medicare end-stage renal disease population. Kidney Int 1999;56(4): 1524-1533. https://doi.org/10.1046/j.1523-1755.1999.00668.x

Palanca A, Castelblanco E, Betriu À et al. Subclinical atherosclerosis burden predicts cardiovascular events in individuals with diabetes and chronic kidney disease. Cardiovascular Diabetology 2019;18(1):93. https://doi.org/10.1186/s12933-019-0897-y

Byrne C, Davenport A, Dawnay A et al. UK Renal Registry - 20th Annual. Report of the Renal Association. NEPHRON 2018;139(suppl1):2018. https://doi.org/10.1159/000490958

JBDS. Management of adults with diabetes on the haemodialysis unit. 2016; Available at: https://abcd.care/sites/abcd.care/files/resources/JBDS_RenalGuideAbbreviated_2016.pdf.

Frankel A. Caring about diabetes on the haemodialysis unit. 2020; Available at: https://www.kidneycareuk.org/news-and-campaigns/news/caring-about-diabetes-haemodialysis-unit/. Accessed Sept, 2021.

The Diabetes Care in Haemodialysis Group. Diabetes Care in Haemodialysis Programme. 2020; Available at: https://www.edendiabetes.com/new-page-3. Accessed June, 2021.

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Published

2022-06-29

Issue

Vol. 22 No. 1 (2022): June 2022

Section

Learning from practice

License

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