Pharmacologic Management of Chronic Kidney Disease Due to Diabetes Mellitus Type 2

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Chronic kidney disease is a common complication of type 2 diabetes. Over the last ten years, evidence has accumulated that some glucose lowering agents are more effective than others at retarding progression of CKD in the setting of type 2 diabetes. This session will review these pharmacologic strategies for retarding progression.

Credits: 1.50 Contact Hours; 1.30 are Pharmacology
Expiration Date: December 31, 2024



After taking part in this educational activity, participants should be better able to:

-Describe pharmacologic interventions that retard progression of CKD due to type 2 diabetes mellitus
-Recognize risk factors for hyperkalemia and apply management strategies
Explain the relationship between cardiovascular disease and chronic kidney disease in type 2 diabetes

(John) Kevin Tucker, MD

Vice-President for Education

Mass General Brigham

Dr. J. Kevin Tucker is Vice-President for Education at Mass General Brigham and Assistant Professor of Medicine at Harvard Medical School.  He is also co-director of Harvard Medical School’s Master’s in Clinical Service Operations program. His clinical appointment is at Brigham and Women’s Hospital, where he focuses on the management of chronic kidney disease patients, hemodialysis patients, and peritoneal dialysis patients.

A native of Monroeville, Alabama, Kevin graduated from Birmingham-Southern College and Cornell University Medical College (now Weill Cornell).  He then completed internal medicine training at Massachusetts General Hospital and a nephrology fellowship at the University of Alabama at Birmingham (UAB).  He remained at UAB on faculty from 1996-2002.  During his tenure at UAB, he was recognized as an outstanding teacher with the Department of Medicine Division Teacher Award as well as the Department of Medicine Top Ten Teacher Award.  He was the nephrology fellowship program director at UAB from 1999-2002.

He returned to Boston in 2002, joining the faculty of Brigham and Women’s Hospital and Harvard Medical School.  He was named Program Director for the Brigham and Women’s Hospital-Massachusetts General Hospital Nephrology Program in 2007 and served in that capacity for ten years.  He also served as Chief of Renal Medicine at Brigham and Women’s/Faulkner Hospital from 2013-2020 and as Harvard Medical School’s Faculty Director for Accreditation and MOC in the Department of Postgraduate Medical Education from 2016-2020.

Kevin’s interest in peritoneal dialysis led him to found the peritoneal dialysis program at DCI Faulkner, which has grown to about forty patients.  The clinic has been recognized for clinical excellence by winning DCI’s Darwin Peterson award on three occasions since its inception.  Kevin remains a leading advocate for home dialysis therapies. He volunteers actively with the National Kidney Foundation and has served as chair of the New England chapter’s Medical Advisory Board.


Obtain Your Credits

To earn credits for this activity, navigate to the Content(s) tab and complete all course components in the following order: 1) watch the course presentation video; 2) complete the course evaluation; 3) pass the post-test with a score of 2/3 (66.7%) or higher. You may retake the post-test until a passing score is achieved, at which point you will be able to view/print a copy of your certificate of completion. This online certificate will also be saved within your profile 'My Dashboard' -> 'Transcript/Certificates Earned'  for future access.

Designation Statement

NPACE designates this educational activity for a maximum of 1.50 contact hours, of which 1.30 is pharmacology credit. Participants should claim only credit commensurate with the extent of their participation in the activity.

Accreditation Statement

Nurse Practitioner Associates for Continuing Education (NPACE) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

In addition to ANCC, NPACE is approved as a provider of continuing education in nursing by: the California Board of Registered Nursing, Provider Number CEP8720 and Florida CE Broker #50-1476.



Contributing faculty, Kevin Tucker, MD have disclosed have disclosed no financial relationship. 


All planners and contributors involved in this educational activity have disclosed no relevant financial relationships. 


The material presented in this continuing education program is being made available for educational purposes only and is not intended to represent the best or only methods, medications and/or guidelines appropriate for the medical situation discussed. Rather the material is intended to present an approach, view, statement, or opinion of the presenter(s), which may be helpful, or of interest to other practitioners and should not be used by clinicians without the evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. NPACE disclaims any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any information given in a presentation.

Disclosure of Unlabeled Use

This educational activity may mention the uses of products that are not approved by the FDA for the indication(s) being discussed. The presenter(s) are instructed to notify participants when they are discussing unapproved uses or investigational agents. The opinions related to unapproved uses of products are solely those of the presenter(s) and are not endorsed or recommended by NPACE. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Commercial Support

There is no commercial support for this activity.


3 Questions  |  1 attempt  |  0/3 points to pass
3 Questions  |  1 attempt  |  0/3 points to pass Please complete this pre-test prior to watching the presentation video - Simply click the 'Take Quiz' button. This pre-test is a non-graded assessment tool we use to establish a baseline and determine a participant's pre-existing knowledge.
Presentation Video
Open to view video.  |   Closed captions available
Open to view video.  |   Closed captions available
Course Evaluation
9 Questions
3 Questions  |  Unlimited attempts  |  2/3 points to pass
3 Questions  |  Unlimited attempts  |  2/3 points to pass Pass this 3 question post-test with a score of 2/3 (66.7%) or higher.
1.50 Contact Hours credits  |  Certificate available
1.50 Contact Hours credits  |  Certificate available You can now view/print a copy of your certificate of completion by clicking the button to the right. This online certificate will also be saved within your 'My Dashboard' --> 'Transcript/Certificates Earned' for future access.