Podcasts about ckd

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Best podcasts about ckd

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Latest podcast episodes about ckd

UF Health Podcasts
Early diagnosis is key to managing feline CKD

UF Health Podcasts

Play Episode Listen Later Jul 3, 2025


Chronic kidney disease, or CKD, is the most common cause of death in senior…

Diary of a Kidney Warrior Podcast
Episode 137: The Art of Resilience: How Steve Turned Kidney Disease Into Creative Power

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Jun 30, 2025 43:02 Transcription Available


From Diagnosis to Artivism: Steve's Extraordinary Kidney Warrior Journey   In this powerful episode of Diary of a Kidney Warrior Podcast, Dee sits down with Steve — a passionate creative whose life was forever changed by an unexpected diagnosis of chronic kidney disease (CKD).   At just 30% kidney function and no warning signs, Steve's diagnosis came as a shock. He takes us through the moment his world shifted: a sudden phone call that catapulted him into the reality of dialysis. What follows is a deeply human story of resilience — navigating peritoneal dialysis, transitioning to haemodialysis, and balancing the demands of treatment with the challenges of self-employment in web design.   But this is no ordinary journey.   Steve opens up about receiving his first kidney transplant, the hope it brought, and the heartbreak when things took a turn — sending him back to dialysis and confronting the fragility of life with CKD. Throughout it all, he emphasises the critical importance of self-advocacy in the healthcare system, offering insights that every patient or caregiver needs to hear.   What truly sets Steve apart is how he channels pain into purpose. Through painting, he found not just therapy, but a voice — using art as activism to raise awareness about kidney disease. His work, featured in exhibitions supporting Kidney Care UK, is raw, reflective, and at times, joyfully humorous — a visual diary of his fight and spirit.   The episode builds to a beautiful full-circle moment as Steve shares the emotional story of receiving a second transplant — this time from his brother — and the freedom that followed. His message is clear: creativity can be healing, storytelling is powerful, and no one walking this journey is alone.   If you're living with CKD, supporting a loved one, or simply need a reminder of the strength of the human spirit, this episode will leave you inspired, informed, and deeply moved.   Follow Diary of a Kidney Warrior:  

FunktioNIEREN - Wie es auch ohne klappt
#14 Wege zur passenden Unterstützung – Sozialarbeiterin Antonia

FunktioNIEREN - Wie es auch ohne klappt

Play Episode Listen Later Jun 28, 2025 29:09


Wie findest du nach einer Nierendiagnose verlässliche Hilfe? Wer erklärt dir Sozial­leistungen, wenn dein Kopf schon voll ist mit medizinischen Fragen? Antonia erhielt mit 15 die seltene Diagnose C3-Glomerulonephritis. Heute ist sie transplantiert – und als Sozialarbeiterin berät sie Familien in schwierigen Lebens­lagen. In dieser Folge teilt Antonia ihre Erfahrungen und zeigt, welche Möglichkeiten chronisch kranke Menschen wirklich haben. Adrian spricht mit ihr über konkrete Schritte nach der Diagnose, typische Hürden im Behördendschungel und den Mut, sich nicht mit dem ersten „Nein“ zufriedenzugeben. In der Folge sprechen wir über … Erste Schritte nach der Diagnose und warum gutes Timing so wichtig ist Schwerbehindertenausweis: Vorteile von Kündigungsschutz bis Zusatzurlaub Beratung finden: Klinik-Sozialdienst, Nierentelefon, unabhängige Patienten­beratung Power der Selbsthilfe: Wissen teilen, Netzwerke aufbauen, politisch mitgestalten Balance halten: Strategien, um trotz chronischer Erkrankung Lebensfreude zu tanken   Du hast Fragen oder möchtest deine Geschichte mit uns teilen? Folge uns auf Instagram – wir freuen uns auf deine Nachricht!

Yumlish: Diabetes and Multicultural Nutrition
How to Eat for Metabolic Health with Dr. Chaturvedi

Yumlish: Diabetes and Multicultural Nutrition

Play Episode Listen Later Jun 26, 2025 29:05


In this episode of the Yumlish podcast, Shireen Abdullah speaks with Dr. Anshu Chaturvedi—a renal clinical dietitian with over 12 years of experience—and discusses how personalized nutrition can transform chronic disease management. Sharing both professional insights and personal experience with IBS, she explains how intermittent fasting and thoughtful meal sequencing can improve metabolic health and reduce blood sugar levels. Dr. Chaturvedi emphasizes that food is not “good” or “bad,” but should be tailored to individual needs. She provides practical strategies for portion control, timing and plant-based eating while also revealing her own daily routine for managing wellness. This episode is full of accessible, culturally inclusive guidance for anyone looking to eat smarter and live healthier.Dr. Anshu Chaturvedi is a highly experienced Renal Clinical Dietitian with a Ph.D. in Renal nutrition, over 12 years of expertise in clinical nutrition, specializing in the management of various lifestyle disorders including diabetes mellitus, chronic kidney disease (CKD) and related conditions. She focuses on the development of personalized nutritional interventions that enhance the health outcomes of patients “Every food is good—until and unless your body is accepting that food. It's not about good or bad food. It's about what works for you and how you care for your health with intention.” Question of the Day:Have you made any changes to your diet recently? What do those changes look like?On This Episode You Will Learn:How intermittent fasting can be tailored to different body types and health needs.The importance of meal sequence (fiber → protein → carbs) for better blood sugar control.Why inflammation and poor metabolic health are core contributors to diabetes.How plant-based diets can reduce inflammation and support diabetes management.Practical tips for portion control and timing your meals for long-term health benefits.Connect with Yumlish!Yumlish Website: YumlishYumlish on Instagram: @yumlish_Yumlish on Facebook: YumlishYumlish on Twitter: @yumlish_Connect with Dr. Chaturvedi!Instagram URL: https://www.instagram.com/anshu_chaturvedii?igsh=MW00eG5rMmVxazBmMA==Facebook URL: https://www.facebook.com/share/18s6KR9T9t/LinkedIn URL: https://www.linkedin.com/in/anshu-chaturvedi-1027a796?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=android_app

HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast
191 - The Ultimate Guide to ARBs: An In-depth Drug Class Review

HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast

Play Episode Listen Later Jun 23, 2025 32:33


In this episode, we review the pharmacology, indications, adverse effects, monitoring, and unique drug characteristics of angiotensin receptor blockers (ARBs).  Key Concepts ARBs are equally efficacious as ACE inhibitors when used for hypertension, heart failure with reduced ejection fraction (HFrEF), chronic kidney disease (CKD) with proteinuria, and post-MI care. Some limited evidence suggests that they might be better in reducing albuminuria in patients with diabetes. ARBs are generally better tolerated than ACEi due to a lower risk of angioedema and dry cough.  While most ARBs are comparable to each other, small differences exists regarding hepatic metabolism (CYP metabolism for losartan, telmisartan, and azilsartan), degree of blood pressure lowering (generally better with azilsartan, olmesartan, valsartan, and candesartan), and additional pharmacological effects (telmisartan with PPAR-Y agonism, losartan with uricosuric effect). ARBs are contraindicated in pregnancy, those with bilateral renal artery stenosis, and those with previous angioedema to ARBs. The most common adverse effects include hypotension and hyperkalemia, but in rare cases acute renal impairment can also occur. Baseline serum creatinine and potassium should be monitored in patients taking ARBs. After initiation or dose adjustment, blood pressure, serum creatinine, and potassium should be repeated in 1-2 weeks. Signs and symptoms of hypotension as well as angioedema should be monitored throughout the treatment period.

ASN Kidney News Podcast
nephSAP Guest Editor Interview: Benefits and risks of intensive blood pressure control in patients with chronic kidney disease: what does the current evidence tell us?

ASN Kidney News Podcast

Play Episode Listen Later Jun 18, 2025 25:47 Transcription Available


Alice Sheridan, MD, FASN, and Martina McGrath, MD, FASN, speak with guest editors Dr. Reaves and Dr. Sarnak on "Benefits and risks of intensive blood pressure control in CKD patients: what does the current evidence tell us?" from nephSAP Vol 24, No 2.

ASN NephWatch
nephSAP Guest Editor Interview: Benefits and risks of intensive blood pressure control in patients with chronic kidney disease: what does the current evidence tell us?

ASN NephWatch

Play Episode Listen Later Jun 18, 2025 25:47 Transcription Available


Alice Sheridan, MD, FASN, and Martina McGrath, MD, FASN, speak with guest editors Dr. Reaves and Dr. Sarnak on "Benefits and risks of intensive blood pressure control in CKD patients: what does the current evidence tell us?" from nephSAP Vol 24, No 2.

Diary of a Kidney Warrior Podcast
Episode 136: Living with Chronic Kidney Disease: Christy's Inspiring 20 Year Journey.

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Jun 16, 2025 37:53 Transcription Available


In this powerful and deeply personal episode of Diary of a Kidney Warrior Podcast, we meet Christy—an extraordinary kidney warrior whose story of resilience will inspire anyone facing life's toughest battles.   Christy takes us back to 2006, when a life-threatening crisis landed her in a coma, leading to kidney failure caused by septicaemia and peritonitis. What followed was nearly two decades of living with chronic kidney disease (CKD)—a journey marked by dialysis as a young adult, the heartbreak of a failed transplant, and the constant balancing act of managing additional health complications.   But Christy's story doesn't stop at survival. She shares how she transformed her adversity into advocacy, building a vibrant online community and launching her own podcast, Chronically Christy, to connect with and uplift other kidney patients.   With honesty and wisdom, Christy speaks about:

This Week in Cardiology
Jun 13 2025 This Week in Cardiology

This Week in Cardiology

Play Episode Listen Later Jun 13, 2025 27:15


Listener feedback on cardiac sarcoidosis, SA node ablation, surgical AF ablation, chronic kidney disease protection, and recruiting for clinical trials are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback EHJ paper Mathijssen et al https://doi.org/10.1093/eurheartj/ehaf338 Nordenswan et al https://www.ahajournals.org/doi/full/10.1161/CIRCEP.117.006145#tab-contributors II IST HR Case Reports https://doi.org/10.1016/j.hrcr.2025.05.017 Lakkireddy et al https://doi.org/10.1016/j.hrthm.2021.07.010 III Survival After Surgical AF ablation during CABG McClure et al https://doi.org/10.1093/europace/eux336 Schaffer et al https://doi.org/10.1016/j.athoracsur.2025.03.044 IV Finerenone with Empagliflozin in CKD and DM The Confidence Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2410659 V Recruiting for Important Trials and the Stature of EP as a Profession Two UK Cardiology Trials Struggle to Recruit Patients https://www.medscape.com/viewarticle/two-uk-cardiology-trials-struggle-recruit-patients-2025a1000ffs CRAFT HF https://clinicaltrials.gov/study/NCT06505798 BRITISH https://doi.org/10.1016/j.ahj.2023.09.008 PROFID https://profid-project.eu/profid-ehra-trial/ You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

BetterHealthGuy Blogcasts
Episode #217: Addressing the Kidneydemic with Renology: Part 1 with Dr. Robin Rose, MD

BetterHealthGuy Blogcasts

Play Episode Listen Later Jun 3, 2025 98:24


Why You Should Listen:  In this episode, you will learn about chronic kidney disease and how to address the Kidneydemic with Renology. About My Guest: My guest for this episode is Dr. Robin Rose.  Robin Rose, MD began a journey into holistic healing in her teens in the mid-sixties beginning with nutrition and botanical medicine and yoga and meditation.  Over the years her journey included time living in India and working with both village doctors and healers.  She became a health food chef and inspired many to change their habits.  Before long she was enrolled in an RN program and then a family nurse practitioner program.  Aware that the education wasn't complete, she attended University of Arizona College of Medicine; while also serving as a medical student board member for the American Holistic Medical Association.  During residency, she continued learning Chinese medicine, acupuncture, osteopathy, energy medicine, and herbal medicine.  Her main practice was in Ashland, Oregon where she served a community eager to integrate many healing modalities into the conventional setting, including innovative care in the hospital.  In the past decade after her own alarming health challenges with kidney cancer and advanced kidney disease, she became agile in regenerative medical approaches to kidney care.  She created a new specialty called Renology; a new concept of "Kidney Success" not Kidney Failure.  When she discovered peptides and especially bioregulator peptides, she led the brigade to new heights of seeing success in a field that had not embraced this kind of care.  Her recent book "Renology Peptides" is a nearly 800 page text on how to achieve this renewal of health.  Her current intention is to raise awareness of the role of kidney in wellbeing and how we can all celebrate this success.  Key Takeaways: What is the purpose of the kidneys? What symptoms are observed in chronic kidney disease? Is kidney disease a catabolic process? Is kidney disease genetic or epigenetic? What are the stages of kidney disease? What are the best tests and lab markers? What might elevations or phosphorous or potassium suggest? What is the kidney-gut axis? What is the role of endothelial health in kidney disease? What role do the mitochondria play?  How do infections and environmental toxicants contribute to kidney disease? What is the role of oxalates in kidney health? How might carbon dioxide guide treatment? Does cellular senescence play a role? What is the connection between the kidneys and the teeth? How do the limbic system and mental/emotional health impact the kidneys? What treatment intervention warrant exploration? Where do dialysis and transplantation come into the discussion? What role might peptides and peptide bioregulators play? Connect With My Guest:  RenologyIsKidneySuccess.com Interview Date: May 21, 2025 Transcript: To review a transcript of this show, visit https://BetterHealthGuy.com/Episode217. Additional Information: To learn more, visit https://BetterHealthGuy.com. Follow Me on Social Media: Facebook - https://facebook.com/betterhealthguy Instagram - https://instagram.com/betterhealthguy X - https://twitter.com/betterhealthguy TikTok - https://tiktok.com/@betterhealthguy Disclaimer:  The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority. 

BetterHealthGuy Blogcasts
Episode #218: Addressing the Kidneydemic with Renology: Part 2 with Dr. Robin Rose, MD

BetterHealthGuy Blogcasts

Play Episode Listen Later Jun 3, 2025 118:32


Why You Should Listen:  In this episode, you will learn about chronic kidney disease and how to address the Kidneydemic with Renology. About My Guest: My guest for this episode is Dr. Robin Rose.  Robin Rose, MD began a journey into holistic healing in her teens in the mid-sixties beginning with nutrition and botanical medicine and yoga and meditation.  Over the years her journey included time living in India and working with both village doctors and healers.  She became a health food chef and inspired many to change their habits.  Before long she was enrolled in an RN program and then a family nurse practitioner program.  Aware that the education wasn't complete, she attended University of Arizona College of Medicine; while also serving as a medical student board member for the American Holistic Medical Association.  During residency, she continued learning Chinese medicine, acupuncture, osteopathy, energy medicine, and herbal medicine.  Her main practice was in Ashland, Oregon where she served a community eager to integrate many healing modalities into the conventional setting, including innovative care in the hospital.  In the past decade after her own alarming health challenges with kidney cancer and advanced kidney disease, she became agile in regenerative medical approaches to kidney care.  She created a new specialty called Renology; a new concept of "Kidney Success" not Kidney Failure.  When she discovered peptides and especially bioregulator peptides, she led the brigade to new heights of seeing success in a field that had not embraced this kind of care.  Her recent book "Renology Peptides" is a nearly 800 page text on how to achieve this renewal of health.  Her current intention is to raise awareness of the role of kidney in wellbeing and how we can all celebrate this success.  Key Takeaways: What is the purpose of the kidneys? What symptoms are observed in chronic kidney disease? Is kidney disease a catabolic process? Is kidney disease genetic or epigenetic? What are the stages of kidney disease? What are the best tests and lab markers? What might elevations or phosphorous or potassium suggest? What is the kidney-gut axis? What is the role of endothelial health in kidney disease? What role do the mitochondria play?  How do infections and environmental toxicants contribute to kidney disease? What is the role of oxalates in kidney health? How might carbon dioxide guide treatment? Does cellular senescence play a role? What is the connection between the kidneys and the teeth? How do the limbic system and mental/emotional health impact the kidneys? What treatment intervention warrant exploration? Where do dialysis and transplantation come into the discussion? What role might peptides and peptide bioregulators play? Connect With My Guest:  RenologyIsKidneySuccess.com Interview Date: May 21, 2025 Transcript: To review a transcript of this show, visit https://BetterHealthGuy.com/Episode218. Additional Information: To learn more, visit https://BetterHealthGuy.com. Follow Me on Social Media: Facebook - https://facebook.com/betterhealthguy Instagram - https://instagram.com/betterhealthguy X - https://twitter.com/betterhealthguy TikTok - https://tiktok.com/@betterhealthguy Disclaimer:  The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority. 

Diary of a Kidney Warrior Podcast
Episode 135: Navigating Work & Well-being: Occupational Health for Kidney Patients with Dr. Jacquie

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Jun 2, 2025 53:54 Transcription Available


Struggling to balance work and kidney disease? You're not alone — and this episode is your essential guide to thriving professionally and medically. We're joined by Dr. Jacquie, a leading expert in occupational health, to explore the critical intersection of employment, rights, and wellbeing for people living with chronic kidney disease (CKD).  

Rheumnow Podcast
Rx Update - Lupus Nephritis

Rheumnow Podcast

Play Episode Listen Later May 30, 2025 58:16


New Steroid Rules for Lupus - Dr. Michelle Petri Management of CKD in Lupus Nephritis - Dr. HJ Anders HCQ Levels and Adherence - Dr. Nathalie Costedoat-Chalumeau Lupus Nephritis Guidelines - a debate - Drs. Michelle Petri and Maria Dall'Era Nephrologists Approach to Lupus Nephritis - Dr. Brad Rovin Voclosporin and Steroids in Lupus Nephritis - Dr. Jack Cush

Keeping Current CME
The Evolving Role of Nonsteroidal MRAs for Heart and Kidney Disease

Keeping Current CME

Play Episode Listen Later May 30, 2025 46:25


Targeting the cardiovascular (CV)-kidney-metabolic (CKM) axis may improve outcomes in patients with type 2 diabetes (T2D) and chronic kidney disease (CKD) by addressing interconnected metabolic, kidney, and CV risks.   Credit available for this activity expires: 5/30/2026 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1002559?ecd=bdc_podcast_libsyn_mscpedu

The Podcast by KevinMD
Surviving kidney disease and reforming patient care

The Podcast by KevinMD

Play Episode Listen Later May 22, 2025 19:07


Health care executive and patient advocate Aja Best discusses her article, "How early CKD diagnosis can save lives: a transplant survivor's journey." She shares her harrowing personal experience with a delayed diagnosis of IgA nephropathy during pregnancy, which led to a challenging path through dialysis and ultimately to a life-saving kidney transplant. Aja highlights the often-silent progression of chronic kidney disease (CKD), a growing global health crisis, and points to critical gaps in the health care system that prevent timely intervention. The conversation explores the importance of early screening, proactive and coordinated care, the potential of technology and predictive analytics to improve patient outcomes, and the power of patient advocacy. Aja passionately calls for systemic changes and greater awareness to ensure others don't face the same missed opportunities she did. The key takeaway is: Early CKD detection through routine screening and a more integrated, patient-centered health care approach can significantly alter disease progression, improve lives, and reduce the burden of this widespread condition. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Giftiger Podcast
Das ABC der CKD– Von Diagnose bis Behandlung diskutiert von Dr. Hülsmann und Dr. Saemann

Giftiger Podcast

Play Episode Listen Later May 21, 2025 22:32


In dieser Folge von MedConnect diskutieren Dr. Hülsmann und Dr. Saemann fundiert und praxisnah alle wichtigen Aspekte der chronischen Nierenerkrankung (CKD). Von ersten Anzeichen über diagnostische Kriterien bis hin zu aktuellen Behandlungsansätzen beleuchten die beiden Experten das gesamte Spektrum der CKD – kompakt, verständlich und evidenzbasiert. Eine wertvolle Episode für alle, die ihr Wissen rund um die Nephrologie vertiefen möchten.

Wellness Talk with George Batista
Reversing Chronic Disease at 94 An Orthomolecular Medicine Case Study

Wellness Talk with George Batista

Play Episode Listen Later May 18, 2025 31:44


Modern medicine has made significant strides in managing chronic diseases, yet many elderly patients with multiple conditions continue to deteriorate under standard care. Conventional therapies often overlook the root causes of chronic degeneration, such as oxidative stress, mitochondrial dysfunction, toxin accumulation, and nutritional deficiencies. IntegrativeOrthomolecular Medicine (IOM) offers a solution-oriented framework that emphasizes restoring biochemical balance through therapeutic nutrition, detoxification, metabolic support, and lifestyle interventions. This case study illustrates the practical application and impressive results of an IOM protocol in an elderly woman with T2DM, CKD with renal insufficiency, Parkinsonism, and recurrent infections.In this episode George discusses the case study of a 94 year old woman who made significant improvements using Orthromolecular nutrition. www.georgebatista.com

Healthy Happy Life Podcast With Dr. Frita
EP 81: Dr. Frita's Medical Monday's Replay (5-12-25) Al B. Sure! Comma & Diddy Allegations - NBA's Nate Robinson's Kidney Disease - Celebrity Health News

Healthy Happy Life Podcast With Dr. Frita

Play Episode Listen Later May 14, 2025 69:46


We are giving you a fresh take on celebrity health news and medical news that you can't get anywhere else! We're talking about Al B. Sure!'s wild survival story (coma, liver transplant, and those Diddy rumors), plus Nate Robinson's journey from NBA All-Star to kidney transplant survivor.I misspoke on the LIVE today. I said that it is standard of care for one to be referred to a nephrologist when the eGFR is less than 30. I meant to say that it is standard of care to refer a patient to a nephrologist when the eGFR is less than 60 and when the patient is in stage 3 CKD.This podcast is intended to be informational only.  It is not a medical consultation, nor is it personalized medical advice.  For medical advice, please consult your physician.Did you hear about Fox News commentator Camryn Kinsey fainting on live TV? Let's talk about why fainting happens—and why it's not just about “catching your breath.” Also, have you heard about That's So Raven, Disney Star, Rondell Sheridan's pancreatitis battle? It's a wake-up call for sure, and we'll talk about what you need to know plus so much more!#HealthHappyLifePodcast #DrFrita #MedicalMondays #MedicineInTheNewsHere are a few helpful resources to help on your journey to wellness:▶️ Subscribe so you will never miss a YouTube video.

ACCP JOURNALS
Updates in Chronic Kidney Disease Management - Ep 160

ACCP JOURNALS

Play Episode Listen Later May 6, 2025 22:00


The authors evaluate the efficacy and safety of emerging therapeutic strategies for CKD management, including sodium-glucose cotransporter 2 inhibitors (SGLT2i), glucagon-like peptide-1 receptor agonists (GLP-1RA), finerenone, sacubitril/valsartan, and potassium binders. Read the full text manuscript at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/phar.70014.

JACC Podcast
Interplay of Chronic Kidney Disease and the Effects of Tirzepatide in Patients With Heart Failure, Preserved Ejection Fraction and Obesity: the SUMMIT Trial | JACC

JACC Podcast

Play Episode Listen Later May 5, 2025 8:52


In this podcast, Dr. Valentin Fuster reviews findings from the SUMMIT trial, which examined how tirzepatide impacts patients with obesity-related heart failure with preserved ejection fraction (HFpEF) and chronic kidney disease (CKD). The study revealed that while tirzepatide improved cardiovascular outcomes and slightly boosted kidney function, the benefits in CKD patients may stem from mechanisms beyond glomerular filtration alone.

HeartBEATS from Lifelong Learning™
The Patient Journey and Addressing Optimal VTE Treatment Pathways

HeartBEATS from Lifelong Learning™

Play Episode Listen Later May 5, 2025 22:09


During this episode a panel of experts discuss the patient journey through the interpretation and application of safety and efficacy data to establish and maintain protocols designed to address optimal VTE treatment pathways. Claim CE and MOC Credit at bit.ly/VTEPJ6 

KidneyTalk - An Online Radio Show By Renal Support Network
4/30/2025 - Understanding High Potassium and Kidney Disease

KidneyTalk - An Online Radio Show By Renal Support Network

Play Episode Listen Later Apr 30, 2025


In this episode, Lori talks with nephrologist Dr. Arun Malhotra about what inspired him to pursue nephrology and dives into an important discussion about the connection between chronic kidney disease (CKD) and high potassium, also known as hyperkalemia. They cover symptoms to watch for, the role of diet, how to manage potassium levels, and the importance of working closely with healthcare providers.

Keeping Current CME
Primary Care Strategies for Reducing Cardiovascular and Kidney Risks in Diabetes

Keeping Current CME

Play Episode Listen Later Apr 30, 2025 39:49


The interplay between cardiovascular disease, chronic kidney disease (CKD), and diabetes is complex and often underappreciated.   Credit available for this activity expires: 4/30/2026 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1002395?ecd=bdc_podcast_libsyn_mscpedu

Becker’s Payer Issues Podcast
Improving kidney health with Joe Vattamattam, President of Healthmap Solutions

Becker’s Payer Issues Podcast

Play Episode Listen Later Apr 23, 2025


In this episode, we explore how data analytics and clinical expertise can transform kidney health management for health plans. Joining the conversation is Joe Vattamattam, Founder and President of Healthmap Solutions, who shares insights on why tackling chronic kidney disease (CKD) and end-stage renal disease (ESRD) is crucial. Tune in to learn how Healthmap leverages technology, clinical support, and innovative strategies to improve outcomes for patients and providers.This episode is sponsored by Healthmap Solutions.

Diary of a Kidney Warrior Podcast
Episode 132: The Power of Choice: Nick Palmer on Declining Transplant and Choosing Quality of Life

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Apr 21, 2025 54:16 Transcription Available


In this powerful episode of Diary of a Kidney Warrior Podcast, host Dee Moore is joined by Nick Palmer, who shares his extraordinary journey of living with chronic kidney disease (CKD) and focal segmental glomerulosclerosis (FSGS). Diagnosed at just 19 years old, Nick opens up about navigating the complex realities of kidney disease as a young adult—balancing university, a demanding career, and the emotional toll of a condition that would require multiple transplants and ongoing dialysis.   With unflinching honesty, Nick reflects on his decision to decline a third kidney transplant and instead embrace home nocturnal dialysis—a choice that profoundly improved his quality of life, restored his sense of independence, and helped him reclaim control of his health. He discusses the impact of this decision on his mental well-being, family life, and career, and how it ultimately allowed him to thrive in ways he never expected.   Nick's story challenges traditional narratives around kidney treatment, shining a light on the importance of patient choice, education, and mental health advocacy in chronic illness care. This episode is a must-listen for anyone navigating kidney disease, healthcare professionals, or anyone seeking inspiration from a story of resilience and informed self-advocacy.   Key topics include: Living with FSGS and the impact of early diagnosis The emotional and physical toll of dialysis in early adulthood The recurrence of FSGS post-transplant Choosing nocturnal dialysis and the profound benefits for quality of life Mental health, self-advocacy, and redefining what it means to live fully with CKD   Follow Diary of a Kidney Warrior:  

WGTD's The Morning Show with Greg Berg
4/12/25 "Chronically Happy"

WGTD's The Morning Show with Greg Berg

Play Episode Listen Later Apr 12, 2025 25:00


From 2013 .... Lori Hartwell discusses her book "Chronically Happy: Joyful Living in Spite of Chronic Living." Hartwell has lived for most of her life with chronic kidney disease. She is the founder and president of the Renal Support Network .... and co-host of "KidneyTalk," a biweekly webcast centered on issues related to CKD.

Dr. Marianne-Land: An Eating Disorder Recovery Podcast
The Real Talk on Kidney-Friendly Diets & Disordered Eating With Vanessa Connelly, RD @grainandgreen.kidneys

Dr. Marianne-Land: An Eating Disorder Recovery Podcast

Play Episode Listen Later Apr 8, 2025 36:12


Let's talk real about kidney-friendly diets—without the fear-mongering. In this episode, Dr. Marianne welcomes Vanessa Connelly, RD (@grainandgreen.kidneys), for a candid conversation about what it actually means to eat in a kidney-supportive way—without triggering disordered eating patterns. Vanessa shares how she helps folks navigate complex medical nutrition guidance with compassion, nuance, and zero shame. Whether you're living with chronic kidney disease, supporting a loved one, or just curious about how diet culture shows up in medical spaces, this episode is a must-listen. ABOUT VANESSA CONNELLY, RD Vanessa is a registered dietitian nutritionist and board certified kidney nutrition specialist with over 20 years experience working with folks who have chronic kidney disease. She is a South Carolina living Maryland native who has helped hundreds of clients with CKD slow down or prevent dialysis without giving up their favorite foods. Her passion is to help people understand how eating the right foods can truly help preserve and protect kidney function. She's about ditching the stress and helping you thrive with CKD one bite at a time. Vanessa graduated from the University of Maryland at College Park and attended the Medical University of South Carolina to complete the requirements of the Dietetic Internship. When not working you can find Vanessa busy living life with her husband and two kiddos, listening to true crime podcasts or enjoying a workout. CONTACT VANESSA IG: @grainandgreen.kidneys TikTok: @grainandgreen.kidneys Website: www.grainsandgreenkidneys.com Email: vanessa@grainsandgreenkidneys.com CHECK OUT MORE EPISODES ON HEALTH & NUTRITION:   > Diabetes, Accessibility, and Eating Disorders on Apple or Spotify. > Ableism & Common Myths About Diabetes on Apple or Spotify.   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Join my $99/month Dr. Marianne-Land's Binge Eating Recovery Membership Program Live in the UK, US, or Canada? Sign up for 1:1 binge eating recovery coaching via my Elite Binge Eating Recovery Method  Live in California, Texas, or Washington, D.C. and interested in eating disorder therapy with me? Sign up for a free, individual 15-minute phone consultation via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

HeartBEATS from Lifelong Learning™
Selecting Right Anticoagulant in the Complex Patient

HeartBEATS from Lifelong Learning™

Play Episode Listen Later Apr 7, 2025 21:58


In this episode, a panel of experts discuss existing and emerging VTE (venous thromboembolism) treatment options for the complex patient, such as a patient who has been diagnosed with cancer, end stage renal disease (ESRD), chronic kidney disease (CKD), or is obese.  Claim CE and MOC Credit at https://bit.ly/VTEHBCPX

Diary of a Kidney Warrior Podcast
Episode 131: From Childhood Check-Ups to Transplant Triumph: Rachel's Kidney Journey

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Apr 7, 2025 61:51 Transcription Available


In this deeply moving episode of Diary of a Kidney Warrior Podcast, host Dee sits down with the incredible Rachel, a true example of strength and resilience in the face of Chronic Kidney Disease (CKD). Diagnosed as a child, Rachel's story spans decades — from routine check-ups in her youth to navigating the complexities of motherhood with CKD, dialysis, and ultimately receiving a life-saving kidney transplant from her mother.   With warmth and honesty, Rachel reflects on the early signs of CKD, the emotional and physical challenges of pregnancy with kidney disease, and the toll dialysis took on her young family. Through it all, her determination to stay strong for her children and her unshakeable hope carried her forward.   This episode is not just about survival — it's about the importance of support, the power of informed choices, and the life-changing gift of organ donation. Rachel's story will leave you inspired and uplifted.   Whether you're a patient, carer, or healthcare professional, this conversation offers vital insights, encouragement, and a powerful message of perseverance and gratitude.   Follow Diary of a Kidney Warrior:  

DTB podcast
Misuse of female empowerment to sell tests and treatments, triptan safety, use of ACEI or AIIRA in CKD

DTB podcast

Play Episode Listen Later Apr 2, 2025 28:17


In this podcast recorded in early March, David Phizackerley (DTB Editor-in-Chief) and James Cave (DTB Editor-in-Chief Emeritus) provide an overview of the April 2025 issue of DTB. The editorial discusses concerns over the use of feminist empowerment messages to sell tests and treatments. A DTB Select item summarises the results of an observational study that assessed the association between initiation of a triptan and the risk of myocardial infarction or stroke. The main article provides an overview of initiating angiotensin-converting enzyme inhibitors or angiotensin-II receptor antagonists in adults with CKD, highlighting current guideline recommendations and providing a practical approach to dealing with the challenges associated with their use.   Links Health Innovation Network: https://thehealthinnovationnetwork.co.uk/news/launch-of-new-game-changing-guide-to-tackle-overprescribing-and-support-governments-shifts-to-prevention-and-community/    Tackling overprescribing report: https://thehealthinnovationnetwork.co.uk//wp-content/uploads/2025/02/Health-Innovation-Network-Polypharmacy-Guide-Feb-2025.pdf    GP Evidence: (https://gpevidence.org/)   Please subscribe to the DTB podcast to get episodes automatically downloaded to your mobile device and computer. Also, please consider leaving us a review or a comment on the DTB Podcast iTunes podcast page. If you want to contact us please email dtb@bmj.com. Thank you for listening.

Hot Topics in Kidney Health
KidneyCare Study: One Year Update

Hot Topics in Kidney Health

Play Episode Listen Later Mar 26, 2025 26:26


Did you know that patient registries play a vital role in improving kidney disease treatment and outcomes? In this episode, we're diving into the KidneyCARE Study—a patient registry that uses real-world data to better care for people with kidney disease. We sat down with experts as they explained what a patient registry is and why people with kidney disease may want to join the KidneyCARE Study. In today's episode we heard from:    Kerry K. Willis PhD- Dr Willis is the Chief Scientific Officer of the National Kidney Foundation (NKF). Since joining NKF in 1998, her major focus has been on the analysis and application of clinical evidence to improve care and outcomes for people living with kidney disease. She oversees all NKF-sponsored research and professional education programs, including the Spring Clinical Meetings; population health programs that facilitate health system and practice engagement around CKD as a quality improvement target; the Kidney Disease Outcomes Quality Initiative (KDOQI) clinical practice guidelines; KDOQI quality measurement initiative; and four peer-reviewed journals devoted to chronic kidney disease. She led the development of and currently manages the Kidney CARE (Community Access to Research Equity) Study, the first national CKD patient registry to combine patient-reported data with clinical data from electronic health records.     Rachel Claudin, BS, CCLS- Rachel Claudin is the Patient-Centered Research Director at the National Kidney Foundation (NKF). Her main work for the past three years has been focused on the advancement of the KidneyCARE Study. As a person living with Lupus Nephritis, she is excited for the patient-entered data collected by the Study to increase and improve kidney care research. Previous to the NKF, Rachel worked in hospital and hospice settings advocating for patients utilizing the shared decision-making model of healthcare. Cari Maxwell- Cari has lived with Polycystic Kidney Disease (ADPKD) since 1989, and her personal experience, along with the experiences of her father and two siblings, fuels her advocacy for advancements in PKD treatment. She participated in the Tolvaptan Reprise trial, which led to the first-ever FDA-approved treatment for ADPKD—a treatment she continues to benefit from today. As a member of the NKF Kidney Advocacy Committee, Cari is passionate about promoting patient education, early detection, and scientific progress through patient-centered clinical research. She is dedicated to ensuring that others have access to life-changing treatments and are empowered to advocate for their health through proactive care. Cari currently works in health care cost containment strategies, where she applies her expertise to enhance patient access and outcomes. Sandy Gilbert PhD- Sandy Gilbert is the Senior Director of Patient Outcomes Research at the National Kidney Foundation (NKF), where she manages the KidneyCARE (Community Access to Research Equity)™ Study. Since joining NKF in 2024, her focus has been on developing and overseeing this pioneering national kidney disease patient registry, the first to integrate patient-reported data with clinical data from electronic health records. The goal of the Registry is to generate critical insights into disease progression, treatment outcomes, and health disparities, in support of NKF's mission to improve kidney health and drive innovation in kidney research and healthcare. Sandy works closely with teams of researchers and health system partners to expand the study's reach and ensure that it reflects the needs of diverse patient populations, including those from underserved communities. Additional Resources: KidneyCare Study Information Contact Information: Call: 212.889.2210 ext.134 M-F 10am-4pm CT  Email: kidneycarestudy@kidney.org   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Diary of a Kidney Warrior Podcast
Episode 130: Demystifying Haemodialysis: A Comprehensive Guide with Professor Ibi

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Mar 24, 2025 45:57 Transcription Available


In this powerful and informative episode of Diary of a Kidney Warrior Podcast, Dee is joined once again by the brilliant Professor Ibi for the third time—this time to dive deep into the essential topic of haemodialysis. Whether you're newly diagnosed, a long-term dialysis patient, or supporting a loved one with chronic kidney disease, this episode offers clear, compassionate insights to help you navigate the dialysis journey.   Together, they unpack the basics of how haemodialysis works, including vital topics like fluid management, the importance of dry weight, blood pressure monitoring, pump speeds, and the common causes of cramps during treatment. Professor Ibi explains why dialysis sessions are structured the way they are and what happens when treatments are missed or cut short. You'll also hear practical tips on managing the physical impact of dialysis, dietary considerations, and the realities—both good and challenging—of life on haemodialysis.   This episode is a must-listen for anyone impacted by CKD, offering clarity, empowerment, and encouragement to keep going strong.     Follow Diary of a Kidney Warrior:  

Kym McNicholas On Innovation
A Nurse's Plight To Save Her Grandfather's Life and Others

Kym McNicholas On Innovation

Play Episode Listen Later Mar 22, 2025 46:25


Tune in to The Heart of Innovation this week as we share an incredible story of a young woman who helped save her grandfather's life and now is trying to save others through organ donation advocacy. Since it's National Kidney Month, Emmy Award-winning journalist Kym McNicholas and Dr. John Phillips interview Danica Almazan, RN and Miss Marin County 2025, whose family's courageous fight against kidney disease sparked a powerful mission of hope. You might wonder why we are talking about kidney disease on a show about cardiovascular and vascular health. Kidney disease, especially in advanced stages can lead to peripheral artery disease, which is poor circulation in mainly the legs, and lead to amputation. Many of the peripheral artery disease (PAD) patients both Kym and Dr. John support have CKD and ESRD, some of which are also in need of a kidney transplant. They want to get the word out there on the importance of kidney health as well as raise awareness that all kidney disease patients should be checked for peripheral artery disease and to find a doctor who specializes in opening the small vessels below the knee and into the foot, which is where kidney disease patients are typically stricken with PAD. Whether you're impacted by peripheral artery disease, kidney health challenges, or simply want to understand the power of family support, this episode is a must-watch! #KidneyHealth #OrganDonation #TheHeartOfInnovation #NationalKidneyMonth #MissMarin2025 #peripheralarterydisease #padsupport #CLI #criticallimbischemia

Inside Health Care: Presented by NCQA
Chronic Kidney Disease is a Quality Priority

Inside Health Care: Presented by NCQA

Play Episode Listen Later Mar 19, 2025 19:00


Why does a potentially deadly condition that affects 1 in 7 adults fly under the radar, undetected and undiscussed? Join us on this episode of Quality Matters as we explore Chronic Kidney Disease (CKD), a silent killer that's finally coming into the limelight of quality improvement.Our conversation begins with Dr. Ben Oldfield, a primary care physician, who sheds light on the startling prevalence and hidden complexities of CKD. Why is it so hard to detect, even with simple blood and urine tests? And why does this condition, despite its extensive impact, often get lost in the shuffle of busy health care visits?We'll unpack the challenges of diagnosing and managing CKD, exploring the emotional weight the diagnosis carries for patients and the hurdles clinicians face in communicating about it. Discover why CKD is a “loaded term” and how we can shift the narrative from fear to empowerment.But that's not all. We'll also tackle the big picture: How CKD fits into the broader landscape of cardiovascular, kidney, and metabolic (CKM) disorders. Could a holistic approach to these interconnected conditions revolutionize patient care?The conversation ends with Ben's thoughtful observations on how classic literature, particularly epic poetry, helps doctors make sense of health care's emotional complexities, connect with patients and find empowerment in the face of life and death.Join us as we explore how we can move CKD from the sidelines to the front lines of quality improvement, and how collaborative, longitudinal care can make a real difference.Key Quote:“Thinking about chronic kidney disease is a longitudinal process. It's only half the story to make the diagnosis in a snapshot in time. What's the follow up like? How are we doing with the patient over time? Because oftentimes quality measures can look at things in a snapshot in time. Chronic kidney disease really begs us to think more longitudinally.”“Benjamin Oldfield, MDTime Stamps:(02:54) The Silent Nature of CKD(07:05) Quality Measurement and CKD(11:08) The Link Between CKD and Cardiovascular Kidney Metabolic syndrome(13:06) CKD and CKM as Quality Priorities (15:45) Narrative Medicine and Personal InsightsLinks:NCQA Kidney Health ToolkitConnect with Benjamin Oldfield

Clare FM - Podcasts
Clare Branch Of Irish Kidney Association "Lobbying Very Hard" For Dialysis Unit

Clare FM - Podcasts

Play Episode Listen Later Mar 13, 2025 2:37


The Clare branch of the Irish Kidney Assocation says it's "lobbying very hard" for a dialysis unit in Clare this World Kidney Day. In conjunction with the annual awareness day which has rolled around again, the Irish Kidney Association, or IKA, has launched its '1 in 10 People' campaign to shine a light on kidney health awareness. The campaign, according to the IKA, is intended to make people more aware of kidney-related health conditions. It's estimated that one in 10 people in Ireland and one in seven over the age of 50 are living with Chronic Kidney Disease or CKD. Of these, a startling 98% don't know they have the condition which is on track to be the fifth leading cause of death here by 2040. Clare people in need of renal care currently have to go either to University Hospital Limerick or its satellite centre on the Dock Road in Limerick. While the HSE had at one point said Ennis Hospital would have a dialysis unit by the end of this year, this has now been pushed back to November 2026. Chairperson of the Clare branch of the IKA Dermot Hayes people here are travelling an exceptional distance to access the care they need. At this week's meeting of Clare County Council, Clarecastle Sinn Féín Councillor Tommy Guilfoyle tabled a motion seeking clarity on the delivery of the Ennis dialysis unit. Specifically, he's requested a precise timeline on the commencement of services, confirmation of its location, details of the contractor and confirmation of the project's current status. He says many in this county are confused and need answers as a matter of urgency.

Science Friday
The Effort To Save Thousands Of Donor Kidneys | Ocean Liner Will Become An Artificial Reef

Science Friday

Play Episode Listen Later Mar 6, 2025 18:36


Last year, 9,000 deceased donor kidneys were discarded due to storage and time limitations. A kidney “life support” machine could change that. Also, the SS United States will join Florida's 4,300 artificial reefs—human-made places for fish and other marine life to live. How do these reefs work?The Effort To Save Thousands Of Donor Kidneys From Being WastedSylvia Miles was diagnosed with lupus in 2006, a chronic autoimmune disease that causes the body's immune system to attack healthy tissue—including her kidneys.Miles, who lives in Indianapolis, was later diagnosed with advanced kidney disease, and was in need of a kidney transplant.Kidney diseases are one of the leading causes of death in the United States with 37 million people living with chronic kidney disease. Together with advanced kidney disease—the later stage of CKD—it cost Medicare billions of dollars in recent years.People like Miles, who need a kidney transplant, wait an average of five years—often on dialysis.But despite the long waitlists and organ shortages, around 9,000 kidneys from deceased donors last year were discarded due to perceived issues with their viability. A new Indiana-based organization, 34 Lives, is working to limit that waste and rehabilitate the organs.Read the rest of this article on sciencefriday.com.Ocean Liner SS United States Will Become An Artificial ReefThis week, after a notable career, the SS United States, a 1950s ocean liner, took her sunset cruise. Like many retirees, the ship is heading south—from Philadelphia to Florida—where she'll be reinventing herself. In this next chapter, the SS United States will have new passengers: fish and other marine creatures. The ship will be sunk to the bottom of the sea and turned into an artificial reef, joining more than 4,300 artificial reefs off the coast of Florida.Other sunken ships have become artificial reefs in the past, which have helped boost marine life as well as scuba diving and fishing tourism. Host Flora Lichtman speaks with Scott Jackson, a regional specialized agent with the Florida Sea Grant and University of Florida IFAS extension, about the science behind artificial reefs, and what has been learned from decades of research.Transcripts for each segment will be available after the show airs on sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

Discovering Nutrition with Cronometer
Episode 35: Dietitian's Guide to Protecting Your Kidneys with Jen Hernandez

Discovering Nutrition with Cronometer

Play Episode Listen Later Mar 5, 2025 80:20


Welcome to another episode of Discovering Nutrition with Cronometer! In this episode, our host Eliisa sits down with Jen Hernandez, a registered dietitian and founder of Plant-Powered Kidneys, to explore an often-overlooked topic—kidney health. Chronic kidney disease (CKD) affects millions worldwide, yet many people don't realize they have it until their kidney function is significantly impaired. Jen shares her expertise on how nutrition plays a vital role in kidney function, debunks common renal diet myths, and explains why tracking key nutrients can help prevent and manage CKD. Learn how small, intentional changes—like adjusting protein intake and increasing plant-based foods—can make a big impact on long-term kidney health. Key Notes: • Understanding CKD: Why kidney disease is often called the “silent killer” and how it affects overall health. • Top Risk Factors: The role of high blood pressure, diabetes, and diet in kidney disease progression. • The Changing Renal Diet: Debunking outdated advice on potassium and protein intake. • Tracking Kidney Health: How tools like Cronometer's PRAL score help monitor diet acidity and kidney function. • Small but Powerful Changes: Simple diet swaps to reduce strain on the kidneys. • Hydration & Kidney Function: The importance of tracking fluid intake and choosing the right beverages. • Actionable Takeaway: Add one plant-based protein swap to your meals to support kidney health.   www.instagram.com/plantpoweredkidneys https://www.plantpoweredkidneys.com/ https://www.facebook.com/plantpoweredkidneys/ www.cronometer.com

The Poison Lab
Leafy Greens & Injured Beans: Natures Nephrotoxins – A Poison Lab & NephMadness Collaboration

The Poison Lab

Play Episode Listen Later Mar 1, 2025 76:40


In this special collaboration with NephMadness, we're diving into the world of nephrotoxins with an expert panel from Virginia Commonwealth University. NephMadness is an educational competition modeled after March Madness, and this year, one of the featured regions focuses on plant-based nephrotoxins. Together, with our expert panel we break down the competing nephrotoxin teams: Tubular Toxins vs. Oxalate Offenders. Joining us are Dr. Anna Vinnokova (Nephrologist), Dr. Rachel Khan PharmD (Neph pharmacist), Dr. Ethan Downes (Nephrology fellow), and the legendary nephrotoxicologist, Dr. Josh King (Board certified Nephrologist and Toxicologist). We ALMOST named this episode "Getting Downe with the Mad Neph King and the Bean Queens"... but we didn't, your welcome. After the show, go to the blog and vote for your favorite!Expect irreverent musings, deep dives into toxic plant exposures, and a mystery case reveal that will leave you questioning your diet.Topics and Timeline of Episode:IntroListener Guesses With Josh and Ryan– 8:30Listener Winner – 25:42NephMadness and Guest Introductions – 28:07Toxin Reveal – 33:41NEJM Case reportTubular Toxins – 35:46Aristolochic Acid & the Belgian Weight-Loss Clinic Outbreak – 40:30Black Licorice & Its Surprising Toxic Effects – 47:16The Oxalate Offenders Team: How Dietary Oxalates Harm the Kidneys – 52:00Historical Context: First recognized through sheep die-offs when herds grazed on Halogeton glomeratus, a high-oxalate plant, leading to fatal poisoning.Oxalate in Plants: Functions to bind excess calcium in the soil.Impact on the Body: Plants high in oxalate but low in calcium can contribute to oxalate accumulation, this leads to binding calcium in the blood, creating calcium oxalate crystals and acute renal calculi. Chronic inflammation from excess oxalate deposition leads to CKD progression.High-Oxalate Foods: Spinach, Swiss chard, rhubarb, cashews. Everything in moderation!Practical Advice for Clinicians & Patients on Herbal Medicine Use – 1:00:00Resources for identifying nephrotoxic herbal productsTalk to your patients non judgmentally, open conversations, discuss efficacy (or lack there of, see resources below) and safetyHerbal medicines are not FDA approved and may not contain what they claim toHerbals may not all be safe: Josh King Discovering Contaminants– 1:01:11Wrap up– 1:08Key Takeaways:Aristolochic acid is a direct nephrotoxin, associated with progressive kidney damage and urothelial cancers.Black licorice toxicity results from...

Freely Filtered, a NephJC Podcast
FF 77 Top Nephrology Stories

Freely Filtered, a NephJC Podcast

Play Episode Listen Later Feb 26, 2025 72:25


The FiltrateJoel TopfSwapnil HiremathAC GomezSopia AmbrusoNayan AroraSpecial Guests Michelle Rheault, Director, Division of Pediatric Nephrology, Professor of MedicineTiffany Caza, Nephropathologist, Scientist and self-described Freely Filtered fan girlEditing bySimon Topf and Sophia AmbrusoShow Notes10. Healthcare Cyberattacks9. ApoE in C3 glomerulonephropathy8. Workforce woes in Adult and Pediatric Nephrology7. Hyponatremia correction meta-analysis6. Microvascular inflammation increases risk of graft loss - in all of its forms5. Xenotransplantation4. KDIGO CKD Guidelines3. Hypertension control trials (ESPRIT, BPROAD)2. The Renaissance of IgAN: IgAN treatment trials1. FLOW: GLP-1 RAs in CKD

Discovering Nutrition with Cronometer
Episode 35: Dietitian's Guide to Protecting Your Kidneys with Jen Hernandez

Discovering Nutrition with Cronometer

Play Episode Listen Later Feb 26, 2025 80:20


Welcome to another episode of Discovering Nutrition with Cronometer! In this episode, our host Eliisa sits down with Jen Hernandez, a registered dietitian and founder of Plant-Powered Kidneys, to explore an often-overlooked topic—kidney health. Chronic kidney disease (CKD) affects millions worldwide, yet many people don't realize they have it until their kidney function is significantly impaired. Jen shares her expertise on how nutrition plays a vital role in kidney function, debunks common renal diet myths, and explains why tracking key nutrients can help prevent and manage CKD. Learn how small, intentional changes—like adjusting protein intake and increasing plant-based foods—can make a big impact on long-term kidney health. Key Notes: Understanding CKD: Why kidney disease is often called the “silent killer” and how it affects overall health. Top Risk Factors: The role of high blood pressure, diabetes, and diet in kidney disease progression. The Changing Renal Diet: Debunking outdated advice on potassium and protein intake. Tracking Kidney Health: How tools like Cronometer's PRAL score help monitor diet acidity and kidney function. Small but Powerful Changes: Simple diet swaps to reduce strain on the kidneys. Hydration & Kidney Function: The importance of tracking fluid intake and choosing the right beverages. Actionable Takeaway: Add one plant-based protein swap to your meals to support kidney health.   www.instagram.com/plantpoweredkidneys/ https://www.facebook.com/plantpoweredkidneys/ https://www.plantpoweredkidneys.com/blog/ www.cronometer.com

Diary of a Kidney Warrior Podcast
Episode 128: Beyond the Diagnosis: Carl's Story of Resilience, Transplant & Hope

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Feb 24, 2025 41:37 Transcription Available


In this episode of the Diary of a Kidney Warrior Podcast, Host Dee sits down with Carl, a kidney transplant recipient whose journey began at just 15 years old. What started as flu-like symptoms soon revealed a rare virus that led to vasculitis, thrusting Carl into an unexpected battle with Chronic Kidney Disease (CKD).   Carl takes us through his diagnosis journey, navigating the shock of hospitalisations, intensive treatments—including chemotherapy—and the eventual need for dialysis and a kidney transplant. He opens up about the emotional toll of facing a life-changing condition as a teenager, the impact of medications like prednisolone, and how he found strength through each stage of his journey.   Despite the challenges, Carl's story is one of transformation. He reflects on his struggles with self-image, his gradual acceptance of CKD, and his decision to embrace life fully, even relocating to London post-transplant. For Carl, CKD isn't just a condition—it's a “superpower” that has shaped his resilience and outlook on life.   Beyond his own health journey, Carl shares his experiences as a father, balancing the demands of CKD with family life as he and his wife plan for a second child. He also provides an insightful comparison of renal care in Australia versus the UK, advocating for a stronger focus on preventative healthcare.   This episode is a powerful testament to the strength of the kidney warrior community. Whether you're a patient, a caregiver, or someone looking for inspiration, Carl's story is a reminder that with knowledge, support, and the right mindset, it's possible to thrive beyond kidney disease.   Follow Diary of a Kidney Warrior:  

Global Kidney Care Podcast Provided by ISN
Season 5 Episode 2: World Kidney Day 2025 - A Brazilian Perspective

Global Kidney Care Podcast Provided by ISN

Play Episode Listen Later Feb 20, 2025 16:50


In this special World Kidney Day podcast episode, Martina Pirotta, WKD Campaign Manager on behalf of the ISN, welcomes Dr. José Moura-Neto, President of the Brazilian Society of Nephrology, and Dr. Viviane Calice Silva, Director of the Department of Epidemiology and Prevention of Kidney Diseases at the Brazilian Society of Nephrology to describe the current landscape of chronic kidney disease (CKD) in Brazil. They discuss how Brazil commemorates World Kidney Day, with over 1,000 activities taking place annually, the impact of awareness initiatives, and a significant study on CKD screening using point-of-care creatinine testing across the country.

Clinician's Brief: The Podcast
Combating Uremic Toxins with Dr. Summers

Clinician's Brief: The Podcast

Play Episode Listen Later Feb 13, 2025 27:27


Ready to refine your approach to managing feline chronic kidney disease (CKD)? In this episode of Clinician's Brief Partner Podcast, Dr. Beth asks Dr. Stacie Summers, DVM, PhD, DACVIM, to share her expert insights into the often-overlooked role of uremic toxins in feline CKD. Listen in as they discuss why uremic toxins matter, their impact on the systemic health of CKD patients, and evidence-based strategies for effective management.Sponsored by DechraContact us:Podcast@briefmedia.comWhere to find us:Cliniciansbrief.com/podcastsFacebook.com/clinciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Beth Molleson, DVM - HostTaylor Argo - Producer & Project Manager, Brief StudioRandall Stupka - Podcast Production & Sound Editing

Diary of a Kidney Warrior Podcast
Episode 127: Food Choices For Kidney Warriors. 5 Kidney Friendly. 5 to Limit Part 2

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Feb 10, 2025 41:43 Transcription Available


In this essential follow-up episode, host Dee Moore welcomes back renal specialist dietitian Timi Omilana for the second part of their insightful series on food choices for kidney warriors. Whether you're managing chronic kidney disease (CKD), on dialysis, or supporting a loved one through their kidney health journey, this episode is packed with practical, evidence-based nutrition advice to help you make informed dietary choices.   This time, Dee and Timi focus on five key categories of foods that kidney patients should limit to better manage their health. From hidden sources of salt to unexpected risks in everyday drinks, they break down common food myths and provide realistic alternatives to support kidney function.   Key topics covered include: ✅ Salt and sodium intake – Why even ‘healthier' salt options might not be suitable and how to decode food labels to make better choices. ✅ Sugary and dark-coloured drinks – The truth about sodas, juices, and their impact on kidney health, plus kidney-friendly alternatives. ✅ Alcohol and kidney disease – How alcohol affects kidney function and what to consider if you choose to drink. ✅ Processed foods – Why pre-packaged and fast foods can be harmful and how to find convenient yet healthier alternatives. ✅ Fruits and vegetables to watch out for – Understanding potassium and phosphorus content in certain produce and how to balance your intake.   This conversation isn't about restriction—it's about empowerment. Timi provides practical tips and simple swaps that allow kidney warriors to enjoy food while protecting their health.  

Diary of a Kidney Warrior Podcast
Episode 126: Food Choices For Kidney Warriors. 5 Kidney Friendly. 5 to Limit Part 1

Diary of a Kidney Warrior Podcast

Play Episode Listen Later Jan 27, 2025 33:37 Transcription Available


In this enlightening episode of the “Diary of a Kidney Warrior” podcast, host Dee Moore engages in a comprehensive discussion with renal specialist dietitian Timi Omilana, marking the first installment of a two-part series dedicated to smart dietary choices for individuals managing chronic kidney disease (CKD). The conversation delves into kidney-friendly foods that not only support renal health but also enhance overall well-being.   Episode Highlights: • Embracing Plant-Based Proteins: Timi emphasizes the importance of incorporating plant-based proteins into the diet, highlighting their role in prolonging kidney function and delaying the progression to dialysis. Foods such as legumes, peas, and beans are particularly beneficial, offering advantages in managing diabetes and supporting cardiovascular health.  • Navigating Cultural Cuisines: The discussion acknowledges the significance of cultural diets and provides insights on making minor adjustments to enjoy traditional dishes without compromising kidney health. Resources from Kidney Care UK offer a variety of recipes tailored to diverse ethnic preferences, enabling CKD patients to savor familiar flavors responsibly. • Debunking Myths About Grains and Potatoes: Addressing common misconceptions, Timi provides practical cooking methods to safely include grains and potatoes in a CKD-friendly diet. The conversation also explores nutritious and convenient breakfast cereal options suitable for individuals with kidney concerns. • Smart Snacking Strategies: Concluding on an encouraging note, the episode reveals that snack foods can be part of a kidney-friendly diet. With thoughtful choices and healthy substitutions, those managing CKD can enjoy satisfying snacks without guilt.   Join Dee and Timi as they navigate essential dietary choices for kidney warriors, sharing expert advice and practical tips to inspire listeners on their journey toward better health. Stay tuned for the next episode, where they will discuss foods to limit, concluding this insightful series on dietary management for CKD.   For updates and more, follow Dee Moore on:   Instagram: www.instagram.com/diaryofakidneywarrior  Facebook: www.facebook.com/diaryofakidneywarrior  Twitter: www.twitter.com/diaryofakidneyw  Tik Tok: @diaryofakidneywarrior  Youtube: https://www.youtube.com/channel/UChGUfib7lu9eKENlLJ6lafw Linkedin: https://www.linkedin.com/in/dee-moore-diaryofakidneywarrior   Join the Diary of a Kidney Warrior Family Mailing list to get new episode reminders, episode links, Vlogs, newsletters and more: diaryofakidneywarrior.getform.com/rjv47   WhatsApp Follow the Diary of a Kidney Warrior Podcast (Kidney Health Podcast) channel on WhatsApp: https://whatsapp.com/channel/0029VaO3ms71iUxipp1eeh2r Follow Timi Omilana   Twitter: @timmieyRD LinkedIn: Timilehin Omilana   Kidney Care UK   Kidney Kitchen   https://www.kidneycareuk.org/about-kidney-health/living-kidney-disease/kidney-kitchen/   Website: www.kidneycarekuk.org Email: info@kidneycareuk.org Tel: 01420 541 424 Facebook: www.facebook.com/kidneycareuk.org Instagram: @kidneycareuk YouTube: https://www.youtube.com/channel/UCeqQTdAsEzXphqjHVtcTD-A   To sign up to receive the Kidney Matters Quarterly Magazine Email: info@kidneycareuk.org   Disclaimer: The views and opinions expressed by Guests on this podcast are those of the Guest and do not necessarily reflect the official policy or position of Dee Moore or Kidney Care UK. Any content provided by our Guests are of their opinion, and are not intended to malign any religion, ethnic group, club, organisation, company, individual or anyone or anything.   The information shared in this episode is for educational purposes only.    

Hot Topics in Kidney Health
High Phosphorus and CKD: Finding the Balance

Hot Topics in Kidney Health

Play Episode Listen Later Jan 24, 2025 29:38


High phosphorus (hyperphosphatemia) is a common complication caused by chronic kidney disease. Join us for this NKF Live to learn more about why this happens and how to successfully manage high phosphorus in CKD. During this program, you will hear a kidney doctor, a clinical pharmacist, and a person living with high phosphorus discuss important information to know about when managing high phosphorus.   Dr. Jay Wish is Professor of Clinical Medicine at Indiana University School of Medicine in Indianapolis and Chief Medical Officer for Outpatient Dialysis at Indiana University Health.  He is past president of the National Forum of ESRD Networks, served on the Board of Directors of the Renal Physicians Association and the American Association of Kidney Patients and was the recipient of the latter's Visionary Award in 2005. He has over 150 articles, reviews, and book chapters published, particularly in the areas of ESRD quality oversight/improvement, accountability, anemia management and vascular access. Dr. Katie Cardone is an associate professor at Albany College of Pharmacy and Health Sciences in Albany, NY. She is a clinical pharmacist with a clinical practice and research program focused on improving care in patients with kidney disease in outpatient nephrology and dialysis. She co-led the publication of pharmacy practice standards for pharmacists caring for people with kidney disease. She is a member of the Board of Pharmacy Specialties Ambulatory Care Pharmacy Council and is a fellow of the National Kidney Foundation, the American Society of Nephrology, and the American College of Clinical Pharmacy. Quenton Turner Gee has been on in-center hemodialysis for about 2 years. He was diagnosed with Stage 4 CKD in 2020. After a battle with COVID-19, it quickly progressed to end-stage kidney disease. Since starting on dialysis, he's been advocating for mental health and policies improving access to transplants and kidney innovations.   Additional Resources: Phosphate Lowering Agents High Phosphorus Information NKF Peers   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

On this podcast episode of the top 200 drugs, I'm covering liraglutide, folic acid, clotrimazole, empagliflozin, and semaglutide. Liraglutide is a GLP-1 agonist that can be used for weight loss as well as diabetes. The most common adverse effect of this medication is nausea. Folic acid is a commonly used supplement in pregnancy as well as in those patients taking methotrexate. Deficiency of folic acid can lead to anemia. Clotrimazole is an antifungal agent. It is mostly used for topical purposes such as athlete's foot and vaginal yeast infections. Empagliflozin was originally developed as a diabetes medication but can be helpful in patients with heart failure and CKD. I discuss this in greater detail in the podcast. Semaglutide is another GLP-1 agonist that is used for diabetes care as well as weight loss. The formulation used for diabetes is Ozempic while the weight loss product is Wegovy.

Diabetes Connections with Stacey Simms Type 1 Diabetes
In the News... BIG beta cell transplant news, a new pump team-up, FDA moves on GLP-1 compounds, and more!

Diabetes Connections with Stacey Simms Type 1 Diabetes

Play Episode Listen Later Jan 10, 2025 6:15


It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: Sana announces beta cell transplantation without the need for immunosuppresion drugs, Modular Medical teams up with Nudge BG for a brand new completely closed-loop system, the FDA moves forward to crack down on compounded Ozempic and Mounjaro, Dexcom and Abbott bury the legal hatchett for a while, and more.  Find out more about Moms' Night Out  Please visit our Sponsors & Partners - they help make the show possible! Learn more about Gvoke Glucagon Gvoke HypoPen® (glucagon injection): Glucagon Injection For Very Low Blood Sugar (gvokeglucagon.com) Omnipod - Simplify Life Learn about Dexcom  Edgepark Medical Supplies Check out VIVI Cap to protect your insulin from extreme temperatures Learn more about AG1 from Athletic Greens  Drive research that matters through the T1D Exchange The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Twitter Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Reach out with questions or comments: info@diabetes-connections.com Episode transcription with links:     Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and every other Friday I bring you a short episode with the top diabetes stories and headlines happening now. XX Big news from Sana Biotechnology. Their first in human study of islet cells without any immunosuppression appears to be a success. This is very early and hasn't yet been peer reviewed and published.. but after four weeks, there were no safety issues and the transplanted beta cells were producing insulin. Sana's CEO says  “As far as we are aware, this is the first study showing survival of an allogeneic transplant with no immunosuppression or immune-protective device in a fully immune competent individual. Safe cell transplantation without immunosuppression has the potential to transform the treatment of type 1 diabetes and a number of other diseases.”   I've reached out to Sana to get more on this.. love to talk to them soon.   https://www.bakersfield.com/ap/news/sana-biotechnology-announces-positive-clinical-results-from-type-1-diabetes-study-of-islet-cell/article_d0390fd6-99cb-53bd-b04d-9337121e01bf.html XX FDA says no for sotagliflozin as an adjunct to insulin therapy for glycemic control in adults with type 1 diabetes (T1D) and chronic kidney disease (CKD).  Studies showed a meaningful reduction in A1C but a meaningful increase in DKA. The FDA first rejected this in 2019 and was resubmitted last summer. But The advisory committee voted 11 to 3 against the approval of sotagliflozin stating that the benefits of sotagliflozin do not outweight the risks in adults with T1D and CKD. Sotagliflozin is currently approved under the brand name Inpefa to reduce the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visit in adults with 1) heart failure; or 2) type 2 diabetes mellitus, CKD, and other cardiovascular risk factors.  According to Lexicon, Inpefa will continue to be manufactured and made available to patients. https://www.renalandurologynews.com/news/fda-denies-approval-of-zynquista-for-type-1-diabetes-and-ckd/ XX Two companies we've been following are teaming up.. Modular Medical has an FDA clear patch pump and Nudge BG has an adaptive full closed loop. They've announced a new partnership agreement. From the release: Modular Medical's easy-to-use and cost-effective MODD1 insulin pump technology. Our combined system is intended to nudge blood glucose by making small changes to insulin delivery based on estimated glucose inputs from a continuous glucose monitor." Familiar name to some of you, Lane Desborough is the founder of Nudge BG. He says this will be a fully automated system, no mealtime bolusing needed.   https://www.accesswire.com/957703/modular-medical-announces-licensing-and-partnership-agreement-with-nudge-bg XX Beta Bionics filed for an initial public offering on Monday. The company did not disclose the number of shares it will offer or the price range. Beta Bionics plans for shares to be listed on the Nasdaq under the ticker symbol “BBNX.” The Irvine, California-based company makes an insulin pump called the iLet Bionic Pancreas, which was cleared by the Food and Drug Administration in 2023. Beta Bionics plans to use the proceeds to grow its sales and manufacturing infrastructure and develop new features for its device.   https://www.medtechdive.com/news/beta-bionics-insulin-pump-files-ipo/736805/     XX Tandem Diabetes Care, Inc. signed a multi-year collaboration agreement with the University of Virginia Center for Diabetes Technology (UVA) to advance research and development efforts on fully automated closed-loop insulin delivery systems.   There's a long history here – UVA is where the Control IQ algorithm was developed.  This agreement seems to keep the team together for another decade. https://www.businesswire.com/news/home/20250107162995/en/Tandem-Diabetes-Care-Enters-Multi-Year-Research-Collaboration-with-UVA-Center-for-Diabetes-Technology-for-Development-of-Advanced-Insulin-Delivery-Systems XX New study says insulin is still the best treatment for gestational diabetes, compared to oral glucose-lowering medications. Metformin and gluburide are being closely looked at since they're easier to administer, less costly, and have better acceptance among patients. But this study says insulin was a bit better – slight more babies were born larger for the metformin group, and more moms had hypoglycemia. https://www.medpagetoday.com/obgyn/pregnancy/113651 XX In its Citizen Petition to the FDA, Novo Nordisk argued that there is no clinical need to allow compounding for liraglutide, the type 2 diabetes injection it sells as Victoza. Novo Nordisk last month filed a Citizen Petition with the FDA asking the federal agency to exclude its type 2 diabetes injection Victoza (liraglutide) from a proposed list of drugs eligible for compounding. https://www.biospace.com/fda/novo-launches-citizen-petition-to-block-compounded-victoza XX Bit of an update on compounded terzepatide and semaglutide. The FDA is allowing a grace period of 60 days before starting to enforce the end of allowing compounds of Mounjaro. Meanwhile, semaglutide remains on the FDA's shortage list for several dose strengths, though all doses have been reported as “available” since late October 2024. Compounding pharmacies, especially larger 503B “outsourcing facilities,” maintain they provide an essential public service by offering lower-cost versions of medications that can cost over $1,000 per month. Many insurers still refuse to cover brand-name GLP-1 products for weight loss. Yet  the FDA has reported hundreds of adverse event reports allegedly linked to compounded versions of these drugs, which do not undergo the same rigorous manufacturing inspections and clinical testing as approved brands.   https://www.drugdiscoverytrends.com/compounders-and-drugmakers-clash-over-compounded-weight-loss-drugs-with-fda-in-the-middle/ XX Interesting story here.. this study says a fecal transplant can help people with type 1 and severe gastroenteropathy. The researchers say diabetic gastroenteropathy commonly affects individuals with type 1 diabetes, causing debilitating symptoms like nausea, vomiting, bloating, and diarrhea; however, treatment options remain limited. Researchers conducted a novel clinical trial to test the benefits of FMT in adult patients with type 1 diabetes and severe symptoms of gastroenteropathy, who were randomly assigned to receive either FMT or placebo capsules as the first intervention. After four weeks, Compared with placebo, FMT led to significant changes in the diversity of the gut microbiome. https://www.medscape.com/viewarticle/fmt-shows-early-success-type-1-diabetes-bowel-issues-2025a10000bg XX A couple of weeks ago, listeners told me that the Dexcom geofencing issue we reported on seems to be resolved. Dexcom is now confirming this. Previously, if you had an issue with Dexcom G7 outside of your home country, you couldn't reinstall or use the app without customer support. As of last month, the geofencing issue has now been resolved with the latest Dexcom G7 2.6 app update. Can I travel with my Dexcom G7? | Dexcom XX Abbott and Dexcom settled all patent lawsuits related to continuous glucose monitors (CGMs). The two competitors, who lead the U.S. market for CGMs, agreed on Dec. 20 to resolve all outstanding patent disputes and not sue each other over patents for 10 years.   Dexcom and Abbott previously reached a settlement in 2014 related to their diabetes devices, which included a cross-licensing deal and an agreement not to sue each other until 2021. After that agreement expired, the companies filed a volley of patent lawsuits. https://www.medtechdive.com/news/abbott-dexcom-settle-cgm-patent-lawsuits/736300/  

Freely Filtered, a NephJC Podcast

The FiltrateJoel TopfSwapnil HiremathAC GomezJordy CohenNayan AroraSpecial Guest Brendon NuenEditing bySimon Topf and Nayan AroraShow NotesFINEARTS-HF in NEJM FINEARTS Kidney outcomes in JACCFINE-HEART pooled analysis of cardiovascular, kidney and mortality outcomes in Nature Medicine discussion in NephJC BARACH-D: Low-dose spironolactone and cardiovascular outcomes in moderate stage chronic kidney disease: a randomized controlled trial (Nature Medicine)Live Freely Filtered at KidneyWkSwapnil comes out as a SpiroStan post to NephJC TOPCATTOPCAT primary publication TOPCAT North American results TOPCAT funny business explained AHA/ACC/HFSA Heart Failure Guidelines (PDF)SGLT2i are 2aMRA are a 2bARBs are a 2bARNI are a 2bClinical Phenogroups in Heart Failure With Preserved Ejection Fraction: Detailed Phenotypes, Prognosis, and Response to SpironolactoneKansas city cardiomyopathy questionnaire in patients with CKD without a diagnosis of heart failure: https://pubmed.ncbi.nlm.nih.gov/21187260/GFR slope with steroidal MRAs in HF: https://onlinelibrary.wiley.com/doi/10.1002/ejhf.2635Why Has it Been Challenging to Modify Kidney Disease Progression in Patients With Heart Failure? (JACC)Tubular SecretionsSwap: Disclaimer on Apple TVAC: Duo Lingo Plushy (Amazon)Nayan: The Puzzle BoxJordy: Project Hail MaryBrendon has a podcast, The Kidney Compass with Shikha Wadhwani. And he recommends singer-songwriter, Maggie Rogers (YouTube)Joel: The Singularity Is Nearer: When We Merge with AI by Ray KurzweilClosing music, Tim Yau with The Kidney Connection

Cardionerds
402. Guidelines: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure – Question #39 with Dr. Robert Mentz

Cardionerds

Play Episode Listen Later Nov 13, 2024 8:00


The following question refers to Sections 7.3.3 and 7.3.6 of the 2022 ACC/AHA/HFSA Guideline for the Management of Heart Failure.The question is asked by Palisades Medical Center medicine resident & CardioNerds Academy Fellow Dr. Maryam Barkhordarian, answered first by UTSW AHFT Cardiologist & CardioNerds FIT Ambassador Dr. Natalie Tapaskar, and then by expert faculty Dr. Robert Mentz.Dr. Mentz is associate professor of medicine and section chief for Heart Failure at Duke University, a clinical researcher at the Duke Clinical Research Institute, and editor-in-chief of the Journal of Cardiac Failure. Dr. Mentz has been a mentor for the CardioNerds Clinical Trials Network as lead principal investigator for PARAGLIDE-HF and is a series mentor for this very Decipher the Guidelines Series. For these reasons and many more, he was awarded the Master CardioNerd Award during ACC22.The Decipher the Guidelines: 2022 AHA / ACC / HFSA Guideline for The Management of Heart Failure series was developed by the CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees spanning college through advanced fellowship under the leadership of CardioNerds Cofounders Dr. Amit Goyal and Dr. Dan Ambinder, with mentorship from Dr. Anu Lala, Dr. Robert Mentz, and Dr. Nancy Sweitzer. We thank Dr. Judy Bezanson and Dr. Elliott Antman for tremendous guidance.Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. American Heart Association's Scientific Sessions 2024As heard in this episode, the American Heart Association's Scientific Sessions 2024 is coming up November 16-18 in Chicago, Illinois at McCormick Place Convention Center. Come a day early for Pre-Sessions Symposia, Early Career content, QCOR programming and the International Symposium on November 15. It's a special year you won't want to miss for the premier event for advancements in cardiovascular science and medicine as AHA celebrates its 100th birthday. Registration is now open, secure your spot here!When registering, use code NERDS and if you're among the first 20 to sign up, you'll receive a free 1-year AHA Professional Membership! Question #39 Ms. Kay Lotsa is a 48-year-old woman with a history of CKD stage 2 (baseline creatinine ~1.2 mg/dL) & type 2 diabetes mellitus. She has recently noticed progressively reduced exercise tolerance, leg swelling, and trouble lying flat. This prompted a hospital admission with a new diagnosis of decompensated heart failure. A transthoracic echocardiogram reveals LVEF of 35%. Ms. Lotsa is diuresed to euvolemia, and she is started on carvedilol 25mg BID, sacubitril/valsartan 49-51mg BID, and empagliflozin 10mg daily, which she tolerates well. Her eGFR is at her baseline of 55 mL/min/1.73 m2 and serum potassium concentration is 3.9 mEq/L. Your team is anticipating she will be discharged home in the next one to two days and wants to start spironolactone. Which of the following is most important regarding her treatment with mineralocorticoid antagonists?ASpironolactone is contraindicated based on her level of renal impairment and should not be startedBSerum potassium levels and kidney function should be assessed within 1-2 weeks of starting spironolactoneCEplerenone confers a higher risk of gynecomastia than does spironolactoneDThe patient will likely not benefit from initiation of spironolactone if her cardiomyopathy is ischemic in origin Answer #39 ExplanationThe correct answer is B – after starting a mineralocorticoid receptor antagonist (MRA), it is important to closely monitor renal function and serum potassium levels.MRA (also known as aldosterone antagonists or anti-mineralocorticoids) show consistent improvements in all-cause mortality, HF hospitalizations, and SCD across a wide range of patients with HFrEF.