This transcript has been edited for clarity.
Jay H. Shubrook, DO: Hi. Today we're going to talk about the important link between diabetes, the kidney, and cardiovascular disease (CVD).
I'm Jay Shubrook, a family physician and diabetologist at Touro University. I am delighted to have with me Dr Katherine Tuttle, who is a professor of medicine at the University of Washington. Dr Tuttle is uniquely qualified to talk about this because she is both an endocrinologist and a nephrologist, and she serves on the board of directors of the Kidney Health Initiative. Welcome, Dr Tuttle.
Katherine R. Tuttle, MD: Thank you very much. It is a pleasure to join you this morning.
Shubrook: We have all of this exciting news about diabetes—there is so much going on. I learned about microvascular and macrovascular disease associated with diabetes, and I thought of them as separate things. With approval of some newer medicines, we have a lot of attention on CVD. It seems, though, that they are not separate and there might be a link between them. Please tell me more about the link between diabetic chronic kidney disease (CKD) and CVD.
Tuttle: We are taking a much more integrated view of not only diabetes, but diabetes as a package of vascular diseases that affect both the microcirculation and the macrocirculation.
