The complexity of today’s population with diabetes
The opening talk of the meeting was given by Dr Peter Winocour (East and North Hertfordshire NHS Trust). He discussed the complexity and multi-morbidity seen in our increasing population with diabetes, who commonly present with both chronic kidney disease (CKD) and cardiovascular disease (CVD). Ageing and obesity amplify both diabetes and CKD, often co-existing. Furthermore, CVD outcomes are magnified when diabetes and CKD co-exist. Vogel B et al.1 showed the risk of major adverse cardiovascular events (MACE) in patients undergoing percutaneous coronary intervention to be significantly inc