Table 1 Inclusion and exclusion criteria for the MESMI study

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Patients of either gender aged ≥ 18 years of age

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Able to comprehend English (English proficiency test > Not at all)

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Mentally competent (Abbreviated Mental Test score > 6)

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Type 1 or Type 2 diabetes recorded in patient's medical record

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Chronic kidney disease defined by an estimated Modified Diet in

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Renal Disease glomerular filtration rate (MDRD-eGFR) of ≤ 60 mL/min/1.73 m² and/or:

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Diabetic kidney disease defined by Malb/Cr ratios > 2.0 mg/mmol for men, > 3.5 mg/mmol for women or an elevated 24 hour urine albumin of > 30 mg over 24 hours

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Systolic hypertension ≥130 mmHg for the previous two clinic visits & prescribed antihypertensive medication/s

Exclusion criteria

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Impending dialysis defined by an eGFR less than 15 mL/min/1.73 m²

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Pregnancy

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A new diagnosis of cancer

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A mental illness not stabilized with medication