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Home > Disease Management
Managing Clinical Problems in Diabetes
Managing Clinical Problems in Diabetes
Managing Clinical Problems in Diabetes
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Description

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.

Publication Date: February 2008
Number of Pages: 209
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