Diabetes in Dialysis

A significant proportion of people on dialysis also have diabetes, presenting unique challenges that require specialised care. These resources have been designed to provide healthcare professionals working in kidney centres with the knowledge and tools to navigate the complexities of managing diabetes in people who are on dialysis.
Contents

9 modules,
Audit materials,
Guideline links,
Patient charter

Authors

UKKA/ABCD Working Group

About the course

These materials have been developed to support the 2023 JBDS-IP Management of Adults with Diabetes on Dialysis guideline, an update of the 2016 edition commissioned by the Joint British Diabetes Societies with the UK Kidney Association. Informed by experts in diabetes, nephrology, and people with lived experience, the guideline aims to improve care standards for people with type 1 and type 2 diabetes undergoing dialysis.

Educational Materials

Covering nine key modules—from understanding diabetes in the context of dialysis to dietary advice, foot care, complications, and glycaemic management—the educational materials provide theoretical knowledge and practical guidance. 

Audit Tools

Our audit tools help units assess and improve diabetes care in dialysis patients. They provide insights into current practices while helping to guide teams toward more comprehensive care aligned to the current JBDS guidelines.

Charter for Individuals with Diabetes on Dialysis

This charter is a tool for healthcare professionals to share with people who have diabetes on dialysis. It outlines standards of care, patient rights, and responsibilities. It is a tool for supporting shared decision-making and self-management.

Modules and Materials

The Diabetes in Dialysis Working Group

  • Tahseen Chowdhury, Barts Health NHS Trust
  • Iain Cranston, Portsmouth Hospitals NHS Trust
  • Elizabeth Critchley, NHS England
  • Ketan Dhatariya, Norfolk and Norwich University Hospitals NHS Foundation Trust
  • Emily Dillon, The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Fiona Doyle, St. George’s University Hospitals NHS Foundation Trust
  • Deborah Duval, Kidney Care UK
  • Sarah Fowlis, Royal Devon University Healthcare NHS Foundation Trust
  • Andrew Frankel, Imperial College Healthcare NHS Trust
  • Andrew Freeman, Patient Representative
  • Frances Game, University Hospitals of Derby and Burton NHS Foundation Trust
  • Amita Godse, The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Hellena Habte-Asres, The Royal Free London NHS Foundation Trust
  • Lyndsay Hayes, The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Maryam Khorsandi, Imperial College Healthcare NHS Trust
  • Rosa Montero, St George’s University Hospitals NHS Foundation Trust
  • Dorcas Mukuba, Barts Health NHS Trust
  • Apexa Patel, University Hospitals of Leicester NHS Trust
  • Gabby Ramlan, Barts Health NHS Trust
  • Andrew Stott, NHS England
  • Jennifer Williams, Royal Devon and Exeter Hospital

The Diabetes in Dialysis Working Group

  • Tahseen Chowdhury, Consultant in Diabetes at Barts Health NHS Trust
  • Iain Cranston, Consultant Physician (Diabetes, Endocrinology) at Portsmouth Hospitals NHS Trust
  • Elizabeth Critchley, Deputy Manager at NHS England
  • Ketan Dhatariya, Consultant Diabetes, Endocrinology & General Medicine at Norfolk and Norwich University Hospitals NHS Foundation Trust
  • Emily Dillon, Renal Clinical Educator at The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Fiona Doyle, St. George’s University Hospitals NHS Foundation Trust
  • Deborah Duval, Managing Editor and Lead in the Kitchen at Kidney Care UK
  • Sarah Fowlis, Royal Devon University Healthcare NHS Foundation Trust
  • Andrew Frankel, Consultant Physician and Nephrologist at Imperial College Healthcare NHS Trust
  • Andrew Freeman, Patient Representative
  • Frances Game, Professor and Consultant Diabetologist at University Hospitals of Derby and Burton NHS Foundation Trust
  • Amita Godse, Specialist Renal Dietitian at The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Hellena Habte-Asres, Lead Clinical Academic Nurse at the Royal Free London NHS Foundation Trust
  • Lyndsay Hayes, The Newcastle Upon Tyne Hospitals NHS Foundation Trust
  • Maryam Khorsandi, Imperial College Healthcare NHS Trust
  • Rosa Montero, Nephrology Consultant at St George’s University Hospitals NHS Foundation Trust
  • Dorcas Mukuba, Renal Diabetes Specialist Nurse at Barts Health NHS Trust
  • Apexa Patel, Specialist Registrar at University Hospitals of Leicester NHS Trust
  • Gabby Ramlan, Clinical Lead Dietitian at Barts Health NHS Trust
  • Andrew Stott, Advanced Nurse Practitioner and Quality Improvement Manager at NHS England
  • Jennifer Williams, Specialist Registrar at Royal Devon and Exeter Hospital