Managing Clinical Problems in Diabetes

The incidence and prevalence of diabetes is increasing globally, and most health professionals are likely to care for people with diabetes. In such cases they may often find that they have to make clinical decisions without expert support, which can be difficult for both patient and carer. Managing Clinical Problems in Diabetes provides this support by exploring common clinical problems in diabetes care, and providing practical solutions based on evidence and the clinical experience of diabetes educators, endocrinologists, general practitioners, and other health professionals who encounter such problems on a daily basis. Each chapter begins with an introductory section presenting an overview of the management of diabetes, including short and long term complications and management targets across the lifespan. The authors then pose commonly encountered diabetes management problems, developing comprehensive responses from a range of relevant health professionals who each provide management suggestions from their area of practice. Managing Clinical Problems in Diabetes is a vital resource for health professionals involved in the provision of care for people with diabetes.

The incidence and prevalence of diabetes is increasing globallyand most health professionals are likely to care for people withdiabetes. In such cases they may often find that they have to makeclinical decisions without expert support, which can be difficultfor both patient and carer.Managing Clinical Problems in Diabetes provides thissupport by exploring common clinical problems in diabetes care, andproviding practical solutions based on evidence and the clinicalexperience of diabetes educators, endocrinologists, generalpractitioners, and other health professionals who encounter suchproblems on a daily basis. Each chapter begins with an introductorysection presenting an overview of the management of diabetesincluding short and long term complications and management targetsacross the lifespan. The authors then pose commonly encountereddiabetes management problems, developing comprehensive responsesfrom a range of relevant health professionals who each providemanagement suggestions from their area of practice.Managing Clinical Problems in Diabetes is a vitalresource for health professionals involved in the provision of carefor people with diabetes.

Chapter 1: Introduction and overview of the book.Introduction.Aims of the book.Chapter 2: presentation, diagnosis and classification ofdiabetes.The key role of insulin.Diabetes mellitus.The main types of diabetes.Prevalence of diabetes.Type 1 diabetes in children and adolescents.Case discussions.Chapter 3: Health assessment, management targets and decidingon a management plan.Introduction.The aims of diabetes management.Monitoring the effectiveness of the management plan.Holistic health assessment.Laboratory assessments.Multidisciplinary team and shared care.Case discussions.Chapter 4: Nutritional management and physicalactivity.Nutritional needs of people with diabetes.Obesity.Low calorie diets and weight loss medicines.Incidence and consequences of malnutrition.Measuring the carbohydrate content of food.Increasing mobility and exercise.Case discussions.Chapter 5: Pharmacotherapeutic management.Introduction.Quality us of medicines.Oral hypoglycaemic agents.Combining OHAs and insulin.Insulin.Sliding scales and top up doses.Lipid lowering agents.Antihypertensive agents.Salicylates.Case discussions.Chapter 6 Short term complications.Introduction.The main shirt tem complications.Hypoglycaemia.Causes of hypoglycaemia.Hypoglycaemic unawareness.Hyperglycaemia.Causes of Hyperglycaemia.Treating hyperglycaemia.Hyperglycaemic emergencies.Diabetic ketoacidosis.Hyperosmolar states.Lactic acidosis.Case discussions.Chapter 7 Long term complications.Introduction.Long term complications.Cardiovascular disease.Cerebrovascular disease.Nephropathy.Retinopathy.Neuropathy.Peripheral neuropathy.Autonomic neuropathy.Dental.Musculoskeletal.Chapter 8 Psychological and quality of life.Introduction.Depression.Signs and symptoms of depression.Tools used to measure depression.Quality of life.Case discussions.Chapter 9 Diabetes education.Introduction.Education processes.Aims of diabetes education.Survival skills education.Empowerment.Case discussions.Chapter 10 Gestational diabetes.Introduction.Managing gestational diabetes.Commencing insulin.Case discussions.Chapter 11 complementary and alternative therapies .Introduction.Profile of Cam users.Reasons for using CAM.Herbal and nutritional therapies.Complementary and conventional medicine interactions.Case discussions