Leading consultant discusses link between diabetes and the kidneys in podcast episode

A consultant with a special interest in diabetes and the kidney care features in episode 11 of The Inpatient Podcast.

Dr Andrew Frankel, Consultant Physician and Nephrologist at the Imperial College Healthcare NHS Trust, spoke to our reporter Lucy Holmes about his work looking at the management of people with diabetes compared to those with the condition and end-stage kidney disease.

He said: “We realised that these individuals were falling through significant gaps in service and were not getting the care they should receive because they were on dialysis.”

Dr Frankel also spoke about the JDBS guidelines on the management of diabetes for people on dialysis and its importance to the kidney and diabetes community.

In 2016, Dr Frankel was involved in setting up the Diabetes care in Haemodialysis (DiH) working group to convert guidelines into five clear Standards of care.

They also developed a tool for dialysis units to test how they perform against these standards of care, an education programme for those caring for people with diabetes on dialysis units and a patient facing version of the standards known as a patient charter.

Dr Frankel explained: “We produced this patient charter to make the standards available to the patient in clear language on what they should expect about good care.

“That includes having a once-a-year proper assessment of their diabetes delivered by an expert who understands diabetes and kidney disease.

He continued: “I think it’s that charter, which is published on the Diabetes UK website and will be published more widely as we adjust the new guidelines, that I hope that every patient will get to see and understand what their expectations should be.”

To listen to this episode of ‘The Inpatient Podcast’, click here.

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