Key points Practice nurses are playing an increasingly important role in diabetes care. Well established collaboration and referral procedures among health services and health service providers is essential. Community, practice…
Rationale Nurses are often the person’s first point of contact. People with diabetes expect them to have some knowledge about the impact of diabetes on their sexual health. Sexuality is…
Key points An holistic proactive and integrated approach is needed to achieve effective diabetes management, manage age-, and diabetes-related health risks and ensure management strategies are appropriate for the individual….
Rationale Diabetes accounts for a great many presentations to outpatient clinics and emergency departments every year. In addition, people present to community centres and general practitioners with potential emergency situations,…
Key points A supportive family is an important aspect of diabetes management. Family stress and marital disharmony affect the child’s metabolic control. Clinicians dealing with children with diabetes must spend…
BACKGROUND Once the care of the newborn is over and the ostensibly “healthy” baby of a mother with hyperglycemia during pregnancy is discharged to his/her devoted family, the long wait…
BACKGROUND The adverse effects of hyperglycemia on the fetus have been recognized since women with diabetes first began to survive and reproduce. Very high rates of late pregnancy fetal loss,…
BACKGROUND Obstetric intervention in pregnant women with pregestational diabetes prior to spontaneous labor has been standard practice for decades. The objectives were, and still are, to avoid the fetus dying…
