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Managing Clinical Problems in Diabetes




Managing Clinical Problems in Diabetes

Trisha Dunning (Editor), Glen Ward (Editor)

ISBN: 978-0-470-69809-9 April 2008 Wiley-Blackwell 232 Pages



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.

Chapter 1: Introduction and overview of the book.


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.


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.


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.


Quality us of medicines.

Oral hypoglycaemic agents.

Combining OHAs and insulin.


Sliding scales and top up doses.

Lipid lowering agents.

Antihypertensive agents.


Case discussions.

Chapter 6 Short term complications.


The main shirt tem complications.


Causes of hypoglycaemia.

Hypoglycaemic unawareness.


Causes of Hyperglycaemia.

Treating hyperglycaemia.

Hyperglycaemic emergencies.

Diabetic ketoacidosis.

Hyperosmolar states.

Lactic acidosis.

Case discussions.

Chapter 7 Long term complications.


Long term complications.

Cardiovascular disease.

Cerebrovascular disease.




Peripheral neuropathy.

Autonomic neuropathy.



Chapter 8 Psychological and quality of life.



Signs and symptoms of depression.

Tools used to measure depression.

Quality of life.

Case discussions.

Chapter 9 Diabetes education.


Education processes.

Aims of diabetes education.

Survival skills education.


Case discussions.

Chapter 10 Gestational diabetes.


Managing gestational diabetes.

Commencing insulin.

Case discussions.

Chapter 11 complementary and alternative therapies .


Profile of Cam users.

Reasons for using CAM.

Herbal and nutritional therapies.

Complementary and conventional medicine interactions.

Case discussions

“This is a very interesting book, and it will be particularly useful for health practitioners learning to care for patients with diabetes.” (Doody's Reviews, May 2009)
• Addresses issues across the lifespan
• Focus on commonly encountered clinical problems
• Enable clinicians to manage common problems in people with diabetes without specialist input