Rationale Best practice diabetes education and care relies on a combination of the best available evidence, intuition, and clinical judgement, effective communication skills and the informed participation of the person…
Introduction The main ‘diabetes medicines’ listed below are discussed in this chapter. Other medicines are described in the relevant chapters: (1) Oral hypoglycaemic agents (2) Insulin (3) Lipid lowering agents…
Key points Diabetes is the modern pandemic. It represents a considerable global economic and social burden for the person with diabetes and the health system. The prevalence of both Type…
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…
Introduction The long-term complications of diabetes are generally classified as: Macrovascular disease: cardiovascular disease, cerebrovascular disease, and peripheral vascular disease. These are common in Type 2 diabetes and are often…
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…
