Donna Stevens, DNP, CRNP, BC-ADM, CDE, has an important message to share with her fellow diabetes educators: early control of diabetes is vital to preventing diabetes-related kidney disease (DKD).
Dr. Stevens will share her expertise on diabetes and kidney disease during Saturday’s session “DKD…Doesn’t Stand for Don’t Know Diddly…Or Does It?” at 5:00 pm in Ballroom III. Her session will outline ways to identify and monitor for DKD, share strategies to slow progression of DKD, discuss the role of the CDE in the interdisciplinary team, and provide teaching strategies that promote self-management of diabetes in those with DKD. The session will wrap up with a case study discussion.
“DKD develops in about 40 percent of people who have diabetes, and it’s the leading cause of chronic kidney disease worldwide,” she said. “Between 1990 and 2012, the number of deaths that were attributed to DKD rose by 94 percent, which is the highest rise observed for all reported chronic diseases. So, it is so important to bring DKD into the spotlight so that early prevention can improve these staggering statistics.”
Dr. Stevens, who is a nurse practitioner on the Inpatient Glycemic Management team at University of Alabama at Birmingham, worked in nephrology for 16 years before joining her current team. She also worked with Andrew Narva, MD, FASN, director of the National Kidney Disease Education Program, at NIH’s National Institute of Diabetes and Digestive and Kidney Diseases, and two other diabetes educators (Mary M. Julius, RD, LD, CDE, and Lois Hill, MS, RD, LD, CSR, LDE) on the AADE practice paper on kidney disease and diabetes.
She will introduce elements of the practice paper in her discussion to highlight tools that educators can use in their practice. She also plans to discuss recent peer-reviewed research that shows that diabetes and kidney disease are related. In addition, she will discuss the legacy effect or metabolic memory as described in the Clinical Journal of the American Society of Nephrology in 2017.
“Research has shown that intensive blood glucose control early in the course of the disease exhibits a long lasting, favorable effect (the legacy effect or metabolic memory) on the risk of development of DKD,” she said. “DKD is so prevalent and is growing so rapidly, it is important for educators to be knowledgeable about kidney disease so that they can affect change. My goal is for the participants to ‘know diddly.’ Although this session is being held on Saturday evening, it will be well worth delaying your dinner just a little to hear important information and gain new tools for your diabetes education and management toolbox.”