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Now in its fifth edition, Care of People with Diabetes is a comprehensive clinical manual for nurses, healthcare professionals and students alike, providing an extensive summary of the most up-to-date knowledge in a rapidly developing field, as well as the role of education and self-care in achieving desirable outcomes. Covering both the theory and evidence-based practice of diabetes care, this authoritative volume integrates traditional thinking and innovative concepts to challenge readers to 'think outside the box' when rendering care.
New and updated content on the pathophysiology of diabetes and the implications for management, how to apply guideline recommendations in practice, and contemporary evidence for best practice diabetes care
Highlights personalised care and shared, evidence-based decision-making, emphasising the need for effective communication to reduce judgmental language and the negative effect it has on wellbeing and outcomes
Written by internationally recognised experts in diabetes care, research and education
Includes a range of learning features, such as practice questions, key learning points, diagrams, and further reading suggestions
Care of People with Diabetes is an essential companion to clinical practice for both trainee and experienced nurses and healthcare professionals, particularly those in acute care settings, and students undertaking diabetes courses or preparing for qualification exams.
Autorentext
PROFESSOR TRISHA DUNNING, AM, RN, MEd, PHD, CDE, FACN (DLF), is a Registered Nurse and credentialed Diabetes Educator. She is the Chair in Nursing at Barwon Health and Deakin University Partnership in Geelong, Australia. PROFESSOR ALAN SINCLAIR, MSC, MD, FRCP, is Director of the Foundation for Diabetes Research in Older People (FDROP) at Diabetes Frail, and Visiting Chair in Diabetes Care, King's College London, London, UK.
Klappentext
CARE OF PEOPLE WITH DIABETES Now in its fifth edition, Care of People with Diabetes is a comprehensive clinical manual for nurses, healthcare professionals and students alike, providing an extensive summary of the most up-to-date knowledge in a rapidly developing field, as well as the role of education and self-care in achieving desirable outcomes. Covering both the theory and evidence-based practice of diabetes care, this authoritative volume integrates traditional thinking and innovative concepts to challenge readers to 'think outside the box' when rendering care.
Zusammenfassung
Now in its fifth edition, Care of People with Diabetes is a comprehensive clinical manual for nurses, healthcare professionals and students alike, providing an extensive summary of the most up-to-date knowledge in a rapidly developing field, as well as the role of education and self-care in achieving desirable outcomes. Covering both the theory and evidence-based practice of diabetes care, this authoritative volume integrates traditional thinking and innovative concepts to challenge readers to 'think outside the box' when rendering care.
Inhalt
Foreword xiii
Preface xv
Acknowledgments xvii
List of Abbreviations and Symbols xix
1 Diagnosing and Classifying Diabetes 1
Key points 1
What is diabetes mellitus? 2
Prevalence of diabetes 2
Classification of diabetes 3
Overview of normal glucose homeostasis 3
Braincentric model of glucose homeostasis 10
Metabolic syndrome in children and adolescents 13
Types of diabetes 14
Diagnosing diabetes 22
Preventing diabetes 26
Managing diabetes mellitus 29
Key points 29
Complications of diabetes 36
Aims and objectives of diabetes care 38
Technology and diabetes management 40
A sobering final comment 42
References 43
2 Holistic Personalised Diabetes Care 49
Key points 49
Rationale 49
Shared decisionmaking (SDM) 50
Holistic diabetes care 51
Communication and the power of language 52
Reading fiction to improve empathy and communication skills 53
Care models 53
Characteristics of an holistic health history 55
References 58
3 Assessing and Monitoring People with Diabetes 61
Key points 61
Rationale 61
Key issues to consider in comprehensive assessments 62
Monitoring glucose levels 62
Monitoring 1: Blood glucose 64
Key points 64
Insulin pumps 75
Monitoring 2: Urine glucose 76
Key points 76
Monitoring 3: Additional assessment 78
Selfcare 82
The annual review 83
Summary 83
References 83
4 Nutrition and Weight Management 87
Key points 87
Rationale 87
The importance of good nutrition 88
Malnutrition and undernutrition 88
Method of screening for dietary characteristics and problems 90
Principles of dietary management for people with diabetes 92
Goals of dietary management 95
Overweight and obesity 95
Methods of measuring weight 99
Managing obesity and diabetes 100
Dietary management: overweight and obesity 101
Factors associated with making dietary changes 103
Key points 104
Alcohol 107
Exercise/activity 107
References 108
Further reading 112
5 Medicine Management 113
Key points 113
Introduction 114
QUM 114
QUM and diabetes 114
GLM 117
Medicine interactions 129
Combining GLMs and insulin 130
When should insulin be initiated in Type 2 diabetes? 131
Challenges to initiating insulin therapy 134
Some strategies to overcome the barriers 135
Insulin therapy 136
Types of insulin available 136
Storing insulin 139
Injection sites and administration 140
Mixing short/rapid acting and intermediateacting insulins 141
Commonly used insulin regimens 141
Interpreting morning hyperglycaemia 143
CSII 143
Continuous blood glucose sensors 144
Subcutaneous insulin sliding scales and topup regimens 145
Uses of insulin infusions 147
Insulin allergy 149
Pancreas transplants 150
Stabilising diabetes 150
Stabilising diabetes in hospital 150
Community and outpatient insulin stabilisation 151
Lipidlowering …