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.
Table of Contents
Chapter 1: Introduction and overview of the book
Introduction
Aims of the book
Chapter 2: presentation, diagnosis and classification of diabetes
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 deciding on 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 physical activity
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 agent
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
Author Information
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.
