Care of People with Diabetes

Diabetes Mellitus is a chronic disease affecting a large percentage of the population world-wide. In the UK alone there are over 1.4 million people diagnosed with diabetes, a new diagnosis of type 2 diabetes is made every five minutes, and as many as a million people are suspected to have the condition without knowing it. As many as one in ten patients in hospital have diabetes and diabetes accounts for almost a tenth of NHS spending, largely due to the high costs of complications such as heart disease, blindness, kidney disease, stroke, and amputation which all require specialist nursing care. This manual is an essential guide to the care and management of people with diabetes mellitus, aimed at nurses and healthcare professionals, and written by an experienced clinical nurse specialist with extensive knowledge of evidence-based diabetes care. This revised and updated second edition of Care of People with Diabetes serves as an essential companion to clinical practice with a particular emphasis on the acute care setting. Detailed information is included on the underlying pathophysiology and types of diabetes, assessment and management of diabetes, formulating care plans, and patient instruction. New chapters are included on sexual health, older people, and complementary therapies and the chapter on special circumstances has been substantially revised. Important new information is also included on corticosteroids, brittle diabetes, autonomic neuropathy, teeth, gums and haemochromatosis.

Diabetes Mellitus is a chronic disease affecting a large percentageof the population world-wide. In the UK alone there are over 1.4million people diagnosed with diabetes, a new diagnosis of type 2diabetes is made every five minutes, and as many as a millionpeople are suspected to have the condition without knowing it. Asmany as one in ten patients in hospital have diabetes and diabetesaccounts for almost a tenth of NHS spending, largely due to thehigh costs of complications such as heart disease, blindness,kidney disease, stroke, and amputation which all require specialistnursing care.This manual is an essential guide to the care and management ofpeople with diabetes mellitus, aimed at nurses and healthcareprofessionals, and written by an experienced clinical nursespecialist with extensive knowledge of evidence-based diabetescare. This revised and updated second edition of Care of Peoplewith Diabetes serves as an essential companion to clinicalpractice with a particular emphasis on the acute care setting.Detailed information is included on the underlyingpathophysiology and types of diabetes, assessment and management ofdiabetes, formulating care plans, and patient instruction. Newchapters are included on sexual health, older people, andcomplementary therapies and the chapter on special circumstanceshas been substantially revised. Important new information is alsoincluded on corticosteroids, brittle diabetes, autonomicneuropathy, teeth, gums and haemochromatosis.

1. Diagnosis and Classification of Diabetes.2. Assessment and Nursing Diagnosis.3. Documenting and Charting Patient Care.4. Monitoring Diabetes Mellitus.5. Nutritional Aspects of Caring for People with Diabetes.6. Oral Hypoglycaemia and Lipid Lowering Agents.7. Insulin Therapy.8. Hypoglycaemia.9. Stabilization of Diabetes.10. Hyperglycaemia, Diabetic Ketoacidosis (DKA), HyperosmolarComa and Lactic Acidosis.11. Cardiovascular Disease and Diabetes.12. Management During Surgical Procedures.13. Care During Investigative Procedures.14. Special Situations and Unusual Conditions Related toDiabetes.15. Diabetes and Eye Disease.16. Diabetes and Renal Disease.17. Diabetes and Sexual Health.18. Diabetes in the Older Person.19. Foot Care.20. Diabetes in Children and Adolescents.21. Diabetes in Pregnancy and Gestational Diabetes.22. Psychological and Quality of Life Issues Related to HavingDiabetes.23. Diabetes Education.24. Discharge Planning.25. District Nursing and Domiciliary Care.26. Complementary Therapies and Diabetes.27. Nursing Care in the Emergency and OutpatientDepartments.Appendix.Index.