ebook img

ABC of Diabetes 6th ed. - T. Holt, S. Kumar (Wiley-Blackwell, 2010) WW PDF

116 Pages·2010·13.18 MB·English
by  
Save to my drive
Quick download
Download
Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.

Preview ABC of Diabetes 6th ed. - T. Holt, S. Kumar (Wiley-Blackwell, 2010) WW

Diabetes Sixth Edition Tim Holt Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, UK Sudhesh Kumar Clinical Sciences Research Institute, Warwick Medical School, University of Warwick; and WISDEM, University Hospital, Coventry, UK A John Wiley & Sons, Ltd., Publication Diabetes Sixth Edition Diabetes Sixth Edition Tim Holt Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, UK Sudhesh Kumar Clinical Sciences Research Institute, Warwick Medical School, University of Warwick; and WISDEM, University Hospital, Coventry, UK A John Wiley & Sons, Ltd., Publication This edition first published 2010,  2010 by Tim Holt and Sudhesh Kumar Previous editions: 1983, 1988, 1993, 1998, 2003 BMJ Books is an imprint of BMJ Publishing Group Limited, used under licence by Blackwell Publishing which was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing programme has been merged with Wiley’s global Scientific, Technical and Medical business to form Wiley-Blackwell. Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell The right of the author to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom. Library of Congress Cataloging-in-Publication Data Holt, Tim A. ABC of diabetes. – 6th ed. / by Tim Holt and Sudhesh Kumar. p. ; cm. Rev. ed. of: ABC of diabetes / Peter J. Watkins. 5th ed. 2003. Includes bibliographical references and index. ISBN 978-1-4051-7784-9 1. Diabetes – Popular works. I. Kumar, Sudhesh. II. Watkins, Peter J. ABC of diabetes. III. Title. [DNLM: 1. Diabetes Mellitus. WK 810 H758b 2010] RC660.4.H65 2010 616.4′62 – dc22 2009013393 ISBN: 978-1-4051-7784-9 A catalogue record for this book is available from the British Library Set in 9.25/12 Minion by Laserwords Private Limited, Chennai, India Printed and bound in Malaysia 1 2010 Contents Foreword, vi Preface, vii Acknowledgements, viii 1 Diagnosing Diabetes, 1 2 Types of Diabetes, 5 3 Helping People Live with Diabetes, 8 4 Early Detection and Prevention of Diabetes, 12 5 Cardiovascular Disease, 19 6 Management of Blood Glucose in Type 2 Diabetes, 25 7 Hyperglycaemic Emergencies and Management of Diabetes in Hospital, 31 8 Insulin Therapy, 34 9 Hypoglycaemia, 37 10 Self-Management of Diabetes, 40 11 Surveillance for Complications, 47 12 Kidney Disease in Diabetes, 51 13 Eye Disease in Diabetes, 58 14 The Diabetic Foot, 64 15 Diabetic Neuropathy, 72 16 Psychological Issues Related to Diabetes Care, 75 17 Diabetes and Pregnancy, 80 18 Organisation of Diabetes Care in General Practice, 88 19 New and Emerging Therapies for Diabetes, 93 20 Support for People Living with Diabetes, 97 Index, 101 v Foreword The prevalence of diabetes has exploded over the past two decades. In 2000 there were an estimated 151 million people with diabetes worldwide. The latest estimates for 2010 are 285 million, with a conservative estimate that this number will rise to 438 million over the next 20 years. By far the majority of these are people with type 2 diabetes but the numbers with type 1 diabetes are also rising. This is placing an ever increasing burden on health services and, obviously, prevention at the population level is vital. But the needs of the individual with diabetes are also of paramount importance. Good care is vital to slow down and prevent the development of both microvascular and macrovascular complications. This is crucial both for the individual and for the long-term costs of care. One result of this increase is that it has become obvious that care of people with diabetes is the responsibility of all parts of the health-care system with the biggest impact on primary care – both medical and other professionals. Systematic care is vital – and complex algorithms are not the answer. Education is also vital and needs to be targeted, particularly at primary care workers. The present text fits the bill admirably. It is targeted at primary care practitioners andnurses. Itcouldbe calledthe AtoZofdiabetes rather than the ABC! It goes systematically through all stages of diabetes – from diagnosis to a lucid discussion of the complications aswellasprovidingausefulguidetotheorganisationofdiabetescare in general practice. It should also be an obligatory text for medical students who receive woefully little diabetes teaching. Overall, this book fills a yawning gap and should have a place in every general practice and on every diabetes nurse practitioner’s shelves. Professor Sir George Alberti Senior Investigator, Imperial College, London Emeritus Professor of Medicine, University of Newcastle upon Tyne vi Preface Building on the established reputation of the ABC of Diabetes series, this completely rewritten sixth edition contributes insights and materials from the Diabetes educational programme of War- wick Medical School. Originating in a primary care context, the Warwick teaching programme draws equally on secondary care expertise based at the Warwickshire Institute for Diabetes, Endocrinology and Metabolism (WISDEM), hosted by University Hospital, Coventry. The wider metabolic context in which diabetes occurs is an important research interest at Warwick and this will hopefully be reflected through the pages of this book. Newtechnologiescreateopportunitiesfordiagnostic,therapeutic and organisational innovation. The development of an increasingly integrated software environment through the UK National Health Service provides means of organising and monitoring diabetes care that were not available to previous generations of health profes- sionals. This book explains how organisational infrastructure is as important as any other aspect in ensuring high quality diabetes care. Whilst using UK examples to illustrate these principles, we hope that readers in other countries may recognise this common need. The interaction between primary and secondary care, including criteria for cross-referral is of central importance in developing services based on locally available resources. The book promotes the patient-centred approach throughout. It responds to the increasing importance of the primary care setting, whilst also covering the hospital management of emergencies. People living with diabetes in the twenty-first century generally expect to be involved in treatment decisions, if not to lead them, but they equally expect their health care professionals to be well informed and to provide authoritative guidance, particularly when things don’t go to plan. We hope that the insights offered by this book will equip practitioners for both circumstances – managing the routine ‘surveillance’ scenarios when risk factor control and quality of life issues are the priorities, whilst retaining the ability to respond to acute situations of metabolic instability or fulminating complications. These are exciting times, as new discoveries and technologies are making significant improvements in outcomes for people with diabetes. Thus, new developments in diabetes care can easily over- take current policy. We have attempted to incorporate all recent developments, for example, the diagnostic criteria for diabetes, as discussed in the first chapter. Whilst we would advise readers to keep a watchful eye on new developments, we feel confident that this book will provide a sound understanding of the guiding principles of diabetes management. Tim Holt Sudhesh Kumar vii

See more

The list of books you might like

Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.