Managing Clinical Problems in Diabetes

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2008-02-11
  • Publisher: Wiley-Blackwell

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Supplemental Materials

What is included with this book?


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.

Author Biography

Trisha Dunning AM is the Inaugural Chair in Nursing Deakin University and Barwon Health and an internationally respected clinical nurse consultant in diabetes care Associate

Professor Glen Ward is an Endocrinologist and previous President of The Diabetes Association of Australia.

Table of Contents

Author profilesp. ix
Forewordp. xv
Prefacep. xvii
Dedication and acknowledgementsp. xix
Diabetes management - a matter of balancep. xxi
Introduction and overview of the bookp. 1
Introductionp. 1
Aims of the bookp. 2
Referencesp. 4
Presentation, diagnosis and classification of diabetesp. 5
Introductionp. 5
Diabetes mellitusp. 6
The main types of diabetesp. 6
Prevalence of diabetesp. 8
Type 1 diabetes in children and young peoplep. 9
Case discussionsp. 14
Referencesp. 32
Recommended readingp. 35
Health assessment, management targets, and deciding on a management planp. 37
Introductionp. 37
The aims of diabetes managementp. 38
Monitoring the effectiveness of the management planp. 43
Holistic health assessmentp. 45
Laboratory assessmentsp. 46
Multidisciplinary team care and shared carep. 48
Case discussionsp. 49
Referencesp. 54
Recommended readingp. 56
Nutritional management and physical activityp. 57
Introductionp. 57
Obesityp. 60
Low-calorie diets and weight loss medicinesp. 61
Incidence and consequences of malnutritionp. 62
Measuring the carbohydrate content of foodp. 63
Increasing mobility and exercisep. 63
Case discussionsp. 64
Referencesp. 67
Recommended readingp. 68
Pharmacotherapeutic managementp. 69
Introductionp. 69
Quality use of medicinesp. 70
Oral hypoglycaemic agentsp. 71
Combining OHAs and insulinp. 73
Insulinp. 73
Sliding scales and top-up regimensp. 77
Lipid-lowering agentsp. 77
Antihypertensive agentsp. 78
Salicylatesp. 80
Case discussionsp. 82
Referencesp. 95
Recommended readingp. 97
Independent medicine informationp. 97
Short-term complicationsp. 99
Introductionp. 99
Hypoglycaemiap. 100
Hyperglycaemiap. 103
Case discussionsp. 107
Referencesp. 117
Recommended readingp. 119
Long-term complicationsp. 121
Introductionp. 121
Cardiovascular diseasep. 123
Cerebrovascular diseasep. 127
Nephropathyp. 127
Retinopathyp. 129
Neuropathyp. 129
Dental infectionp. 132
Musculoskeletal effectsp. 132
Case discussionsp. 133
Referencesp. 141
Recommended readingp. 143
Psychological issues and quality of lifep. 145
Introductionp. 145
Depressionp. 146
Signs and symptoms of depressionp. 146
Tools used to measure depressionp. 148
Quality of lifep. 149
Case discussionsp. 150
Referencesp. 162
Recommended readingp. 164
Diabetes educationp. 165
Introductionp. 165
Education processesp. 166
Aims of diabetes educationp. 166
Survival skills educationp. 167
Empowermentp. 168
Case discussionsp. 169
Referencesp. 176
Recommended readingp. 176
Gestational diabetesp. 177
Introductionp. 177
Managing gestational diabetesp. 177
Commencing insulinp. 179
Case discussionp. 179
Educationp. 181
Case discussionsp. 183
Referencesp. 184
Complementary and alternative therapiesp. 185
Introductionp. 185
Profile of CAM usersp. 186
Reasons for using CAMp. 187
Herbal and nutritional therapiesp. 188
Complementary and conventional medicine interactionsp. 191
Case discussionsp. 194
Referencesp. 201
Recommended readingp. 203
Indexp. 205
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