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RCGP Courses · Live webinar

The Cardiometabolic Clinic: four real-world cases in prescribing

The overlapping indications for SGLT2 inhibitors, GLP-1 receptor agonists and mineralocorticoid receptor antagonists, taught in one interactive lunchtime webinar.

Register through the RCGP The programme

Date

2 Feb 2027

Tuesday, 12:30 to 13:30 GMT

Format

Online

Live, interactive, four cases

Convenor

Prof Rajesh Varma

Presenter and chair

Record

By the RCGP

MD Acumen issues none

Registration

Free

Through the RCGP

1 · Who it is for

GPs, GP registrars and primary care clinicians

Practising clinicians in UK primary care who prescribe for people with type 2 diabetes, heart failure, chronic kidney disease or resistant hypertension.

3 · Coverage

Partial by design: one lunchtime webinar of four cases. It does not replace a programme.

4 · The award

The RCGP manages this event and issues its own record of attendance. MD Acumen issues no certificate for this webinar.

The award statement for P7 is the College's own (D-174).

5 · Course Director and signer

Professor Rajesh Varma, PhD, Director, MD Acumen · Professor and NHS GP Partner & GP Trainer

Professor of primary care and a practising NHS general practitioner in Hertfordshire; GP Trainer and Convenor for GP Trainers, West Hertfordshire; a former examiner for the GMC PLAB examination; founder of the MD Acumen School of Postgraduate Medicine. Every clinical statement is signed by a named GMC-registered clinician with the date and the guideline version relied on. Nothing reaches a learner unsigned. AI assists the drafting of our material, and no AI decides a mark.

Signed
Professor Rajesh Varma · GMC 4196453
Date
· guidance relied on: NICE, ESC, EASD, KDIGO, ADA and AHA; the versions relied on are confirmed and signed before the webinar
Review by

About the webinar

The prescribing dilemma

Newer cardiometabolic medicines have changed primary care, and have raised practical questions. Who should receive a GLP-1 receptor agonist? When is an SGLT2 inhibitor started in a patient without diabetes? Where does finerenone fit?

This is a 60-minute case clinic built around the patients in the waiting room. It uses four cases, not a lecture on pharmacology.

What you will learn

Four things to take back to the consulting room

  • Differentiate the clinical indications for the newer cardiometabolic medicines.
  • Navigate step-up therapy for patients with multimorbidity, safely.
  • Deprescribe with purpose, to reduce harmful polypharmacy.
  • Implement the safety checks: eGFR monitoring and sick-day rules.

Programme

The webinar programme, minute by minute

Webinar programme, Tuesday 2 February 2027
Time (GMT)SessionFocus
12:30 to 12:35The CKM paradigm shiftMoving beyond silos in cardiovascular-kidney-metabolic care.
12:35 to 12:45Case 1 · The glycaemic and weight dilemmaGLP-1 receptor agonists: dual risk reduction, step-up therapy and supply shortages.
12:45 to 12:55Case 2 · The heart failure overlapSGLT2 inhibitors: treating the patient without diabetes, and the risk of euglycaemic ketoacidosis.
12:55 to 13:05Case 3 · The kidney protectorNon-steroidal mineralocorticoid receptor antagonists: the place of finerenone in chronic kidney disease.
13:05 to 13:15Case 4 · The resistant playerSteroidal mineralocorticoid receptor antagonists: the continuing role of spironolactone in resistant hypertension.
13:15 to 13:30Live questions and the cheat sheetOpen questions from the audience, and the Prescribing Cheat Sheet for delegates.

Convened and delivered for the RCGP by Prof Rajesh Varma.

Register

Register for Tuesday 2 February 2027

Registration opens through the RCGP. The link is added to this page as soon as the College confirms the event.

Free to register. The RCGP manages registration and issues its own record of attendance; MD Acumen issues no certificate.

Relationship and scope

What the RCGP owns and what MD Acumen does

The courses on this page are official events of the Royal College of General Practitioners, convened and delivered for the College by Prof Rajesh Varma. The RCGP owns their programmes, booking and delegate administration and issues its own record of attendance. MD Acumen Ltd is an independent educational organisation; its own programmes and awards are not affiliated with, endorsed by, or delivered on behalf of the RCGP.

All RCGP courses · Legal and regulatory

8 · What changed this month

The living curriculum, in public

Guidance is watched for change; when a cornerstone guideline moves, the affected teaching is reviewed, re-signed and re-dated by a named clinician.

Each entry names the module, the change, the signer and the date. The list is read from the learning platform; where it cannot load, see the change log.

Questions receive a personal response from Prof Rajesh Varma: enquiry@mdacumen.com.

Last editorial review: · Next scheduled refresh: .