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…
Introduction This chapter outlines some specific conditions that are associated with diabetes. They are often managed in specialised services and some are very rare. A basic knowledge about these conditions…
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…
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…
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…
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…
Rationale Each person with diabetes is unique. People with diabetes focus on being well and living a normal life, thus, they strife for life balance. Achieving a balanced lifestyle and…
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…
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…
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…
