Problem Solving in Diabetes (Problem Solving)

The evidence base in diabetes is accumulating rapidly. Prevalence of diabetes is increasing globally, and it is increasingly managed by multi-disciplinary teams working across primary and secondary care. Health professionals working in diabetes need to keep up to date with recent developments. There has also been a boom in both the primary and secondary literature of diabetes. Textbooks and monographs abound which summarize the classic characteristics of the "typical" diabetes patient. Meanwhile the doctor treating individuals needs current information to enable him/ her to solve real life and everyday problems in the field. "Problem Solving in Diabetes" does just that. The authors have drawn on their clinical experience backed up by wide critical reading in the current primary literature to identify 50 problems and their solutions. Each case covers presentation, options, and an evidence-based management plan. This book will be an invaluable reference source to doctors in their everyday practice dealing with the specific problems of individual patients. Contents......Page 4 1. Preventing Type 1 Diabetes......Page 8 2. Preventing Type 2 Diabetes......Page 12 3. Diabetes Risk after the Menopause......Page 16 4. Genetic Diabetes Syndromes (MODY)......Page 20 5. Screening and Impaired Glucose Tolerance......Page 24 6. Type A/B Diabetes and Insulin Resistance......Page 28 7. Diabetic Ketoacidosis......Page 32 8. Hyperosmolar Hyperglycaemic State......Page 37 9. Recurrent Hypoglycaemia......Page 41 10. Diabetes and Acute Myocardial Infarction......Page 47 11. Diabetes and Acute Stroke......Page 50 12. Diabetes and Critical Limb Ischaemia......Page 54 13. Perioperative Management of Diabetes......Page 58 14. The Hot Foot......Page 62 15. Insulin Pumps......Page 68 16. Type 1 Diabetes and Exercise......Page 72 17. Adolescent Diabetes......Page 76 18. Low-Carbohydrate Diets......Page 79 19. Treatments that Stimulate Insulin Production......Page 84 20. Treatments that Improve Insulin Resistance......Page 88 21. Diabetes and Enteral Feeding......Page 92 22. Obesity and Diabetes......Page 96 23. Diabetes in the Elderly......Page 100 24. Polycystic Ovarian Syndrome......Page 105 25. Gestational Diabetes......Page 109 26. Type 1 Diabetes and Pregnancy......Page 113 27. Erectile Dysfunction......Page 117 28. Pre-eclampsia......Page 121 29. Smoking Cessation......Page 126 30. Hypertriglyceridaemia......Page 130 31. Hyperlipidaemia in Type 1 Diabetes......Page 134 32. Hyperlipidaemia in Type 2 Diabetes......Page 138 33. Aspirin Use in Diabetes......Page 142 34. Hypertension—Uncomplicated......Page 145 35. Hypertension—Hard to Control......Page 148 36. Painful Neuropathy......Page 154 37. Microalbuminuria......Page 159 38. ACE Inhibitor Treatment......Page 164 39. Advancing Renal Failure......Page 168 40. Background Retinopathy......Page 172 41. Proliferative and Pre-proliferative Retinopathy......Page 176 42. Macular Disease......Page 180 43. Autonomic Neuropathy......Page 183 44. The Charcot Foot......Page 187 45. Angina in Patients with Type 2 Diabetes......Page 191 46. Advances in Management of Peripheral Arterial Disease......Page 195 47. Renal Artery Stenosis......Page 199 48. Foot Ulceration......Page 203 49. Transient Ischaemic Attack......Page 207 50. Diabetes and Respiratory Disease......Page 211 51. Diabetes and Cystic Fibrosis......Page 216 52. Diabetes and Dialysis......Page 220 53. Diabetes and Coeliac Disease......Page 224 Index......Page 229 The prevalence of diabetes is increasing globally. Drawing from the authors' clinical experience, this book identifies 50 problems associated with diabetes, along with their solutions. Each case covers presentation, options, and an evidence-based management plan. It is useful to doctors, dealing with the specific problems of individual patients.