Practical DiabetesCambridge University Press, 1999 - 189 pages Diatetes remains a comon problem, which because of its effects on the cardiovascular and other systems, complicates the management of patients, not only within the routine diabetic clinic, but in all departments of the hospital. By taking a problem orientated approach, very much from the perspective of the junior hospital doctor, this book seeks to give practical and sensible advice, clearly expressed to meet the main concerns and needs of the junior doctor. A first chapter is devoted to basic concepts, but, from then on, the text explains "how to cope" with the many different presentations and complications of the disease and discusses the treatment options available. The management of the diabetic patient in A&E, where most hyperglycaemic emergancies first present, are covered in detail. the book then goes on to examine diabetic problems on medical and surgical wards, including the coronary care unit, perioperative assessment and gestational diabetes. Basic advice on the diabetic diet is provided. The book gives comprehensive guidance on the role of the junior hospital doctor in out-patients and provides a "survival guide' for the diabetic clinic. The final section of the book provides a wide range of clinical senarios, such as the poorly controlled NIDDM-patient, "Brittle" diabetes, and the patient with "obsessive normoglycaemia", to give the doctor authoritative accounts of the management of these, the most commonly encountered problems. |
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Contents
Classification and diagnosis | 1 |
Hyperglycaemic emergencies | 9 |
Hypoglycaemia | 17 |
Insulin therapy principles and practice | 23 |
Management of Type 2 diabetes | 37 |
Insulin infusions management of diabetes in surgical patients | 51 |
Management of diabetes on the general wards | 57 |
Pregnancy | 67 |
Diabetic renal disease | 85 |
Diabetic neuropathy | 97 |
The diabetic foot | 115 |
Hypertension | 121 |
Hyperlipidaemia | 131 |
139 | |
Important clinical trials in diabetes | 153 |
Index | 173 |
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ACE inhibitors agents albumin excretion angina associated autonomic neuropathy B-blockers background retinopathy basal-bolus regimen benefit blood glucose levels blood glucose monitoring blood pressure caemia captopril cardiovascular cause Chapter cholesterol clinical common contraindications creatinine diabetic nephropathy diabetic patients diagnosis diuretic dose duration effects enalapril fixed mixture glycaemic control haemorrhages HbA1c heart failure Humulin hyperlipidaemia hypertension hypogly hypoglycaemia impairment increased infection insulin infusion insulin regimen insulin requirements insulin resistance insulin treatment ischaemic isophane ketonuria lipid Long-acting macrovascular disease macula maculopathy meal measurements metformin mg bd mg daily microalbuminuria mmol/l mortality myocardial infarction non-diabetic patients normal Novo Nordisk oral hypoglycaemics osteomyelitis peripheral placebo pravastatin pregnancy randomised reduce renal failure renal function retinal screening secondary prevention Simvastatin soluble insulin subcutaneous insulin sulphonylurea symptoms syndrome therapy tion treated trial triglycerides twice-daily type 2 diabetes type 2 patients UKPDS ulceration usually vascular visual µg/min
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Page 147 - If you do not manage to persuade patients to stop driving, or you are given or find evidence that a patient is continuing to drive contrary to advice, you should disclose relevant medical information immediately, in confidence, to the medical adviser at the DVLA.