Complementary and Alternative Therapies and Diabetes

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Complementary and Alternative Therapies and Diabetes

Key points Modern diabetes management philosophy is consistent with complementary therapy (CAM) philosophy, specifically, prevention, the central role of the individual in their care and empowerment. People with diabetes are…

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Management During Surgical and Investigative Procedures

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Management During Surgical and Investigative Procedures

Rationale Diabetes is associated with an increased need for surgical procedures and invasive investigations and higher morbidity than non-diabetics. Anaesthesia and surgery are associated with a complex metabolic and neuroendocrine…

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Hyperglycaemia, Acute Illness, Diabetic Ketoacidosis (DKA), Hyperosmolar Coma (HONK), and Lactic Acidosis

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Hyperglycaemia, Acute Illness, Diabetic Ketoacidosis (DKA), Hyperosmolar Coma (HONK), and Lactic Acidosis

Rationale Hyperglycaemia, DKA, and HONK are preventable short-term complications of diabetes. When hyperglycaemia does occur, effective proactive management can reduce the progression to DKA and HONK and limit the attendant…

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Nutrition, Obesity and Exercise

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Nutrition, Obesity and Exercise

Rationale Good nutrition is vital to health and well being and is an essential basis of diabetes management. Obesity is a significant health problem and a major risk factor for…

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Women, Pregnancy, and Gestational Diabetes

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Women, Pregnancy, and Gestational Diabetes

Key points Women with diabetes have particular health issues and care needs. These include pregnancy and childbirth, Polycystic Ovarian Syndrome (PCOS), and menopause. Good control before and during pregnancy reduces…

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Monitoring Diabetes Mellitus

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Monitoring Diabetes Mellitus

Rationale Proactive monitoring programmes enable blood glucose and lipid patterns, complication status, and self-care ability to be identified and the management regimen appropriately tailored to the individual. The accuracy of…

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Discharge Planning

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Discharge Planning

On day of discharge (1)  Ensure patient has necessary medications and supplies, insulin delivery device, blood glucose testing equipment, fingerprick device and diabetic record book and understands their use, and…

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Hypoglycaemia

Jul 23, 2016 by in ENDOCRINOLOGY Comments Off on Hypoglycaemia

Key points Hypoglycaemia is one of the most common short-term complications of diabetes treatment with insulin and some oral glucose lowering medicines. The brain depends on a constant supply of…

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