Heart disease, kidney disease, and metabolic conditions (like type 2 diabetes) are deeply connected. Discover how to protect your interconnected health with our comprehensive, patient-designed Cardiovascular-Kidney-Metabolic (CKM) Guide.
For years, heart disease, kidney disease, and diabetes were treated as separate problems in separate clinic rooms. But medical science now recognizes that they are deeply interconnected. A strain on one system acts as a multiplier of risk for the others.
High blood sugar damages blood vessels, forcing the kidneys to work harder. Failing kidneys can't remove fluid, which forces the heart to pump harder, leading to heart failure.
By understanding this connection, you can work with your care team to prescribe "multi-duty" medications that protect your heart, kidneys, and metabolism all at once.
Cardiovascular-Kidney-Metabolic (CKM) syndrome is a systemic health disorder. Here is how the three pillars of your health interact:
Your heart pumps blood throughout your body. Conditions like heart failure are closely linked to kidney function and metabolic health. Straining one system strains the others.
Your kidneys filter blood and manage fluid. When they are impaired (Chronic Kidney Disease), fluid builds up, elevating blood pressure and making your heart work significantly harder.
Metabolism turns food into energy. Conditions like Type 2 Diabetes, hypertension, and obesity cause systemic inflammation and vascular damage, driving both heart and kidney failure.
This resource was designed by patients, for patients. It translates complex medical jargon into actionable, daily steps for anyone touched by CKM conditions.
If you've recently been diagnosed with heart failure, CKD, or Type 2 Diabetes, this guide provides the foundational knowledge you need to ask the right questions at your next appointment.
For those already juggling multiple medications and specialists, the tracking tools inside will help you consolidate your health data into one clear picture.
A vital tool for caregivers to help track a loved one's vitals, understand their red-flag symptoms, and manage their complex medication schedules.
The HeartLife CKM Guide isn't just information—it's a practical, printable toolkit designed to help you and your care team manage your day-to-day health effectively.
A physical tracker for your blood pressure, daily weight, and blood sugar levels. Spot dangerous trends before they become emergencies.
Understand your prescriptions. Learn which modern medications (like SGLT2 inhibitors) can protect your heart and kidneys simultaneously.
Clear Green, Yellow, and Red zone symptom checklists so you know exactly when to rest at home, and when to seek urgent emergency care.
A dedicated section of specific questions to bring to your doctor or specialist to ensure you are receiving comprehensive, holistic care.
Three simple steps to integrate the CKM guide into your daily health routine.
Download the free PDF. We recommend printing the tracking pages to keep on your fridge or bedside table.
Dedicate 5 minutes every morning to log your vitals (weight, blood pressure, etc.) in the provided 7-Day tracker to establish your baseline.
Take your completed tracking logs to your next doctor's appointment. Real patient data leads to better, faster clinical decisions and medication adjustments.
If you are living with heart disease, you may also be managing diabetes, kidney disease, high blood pressure, high cholesterol, vascular disease or obesity. These conditions often connect and can affect each other.
Patients Counsel
HeartLife Foundation
Managing heart, kidney, and metabolic health means being active in your healthcare. Asking the right questions helps you understand how your conditions are connected, make informed decisions with your care team, and take the next step. Here are the questions we get asked most:
Yes, entirely free. The HeartLife Foundation believes that life-saving patient education should be accessible to everyone, without cost barriers.
This guide is an educational and tracking tool designed to support your medical care, not replace it. Always consult your healthcare provider before changing medications or treatments.
Yes this guide is available as a digital PDF download that you can print at home. Or visit heartlife.com/clinic-resources to place an order.
Don’t forget to write down your own questions and bring them to your next appointment — vitals log in hand. Your care team is here to help you live well.
Download the comprehensive, CKM Guide — a practical toolkit to help you and your care team manage your day-to-day health.
Download the Free PDF
Download the CKM Guide (PDF)The HeartLife Foundation is a patient-driven charity whose mission is to transform the quality of life for people living with heart disease by engaging, educating, and empowering a global community to create lasting solutions and build healthier lives. Join our Help for Hearts closed Facebook group to get support and share ideas.
Have your voice heard. If you are a patient, family member or friend of someone with lived experience of heart disease or if you are a practitioner, allied health professional, not-for-profit or corporate partner, or simply a concerned citizen – Become a member – it's free.