Care of People With Diabetes - A Manual for Healthcare Practice

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.

List of contents

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
 
Brain-centric 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 decision-making (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
 
Self-care 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 intermediate-acting insulins 141
 
Commonly used insulin regimens 141
 
Interpreting morning hyperglycaemia 143
 
CSII 143
 
Continuous blood glucose sensors 144
 
Subcutaneous insulin sliding scales and top-up 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
 
Lipid-lowering agents 153
 
Monitoring lipid medicines 157
 
Antihypertensive agen

About the author

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.

Summary

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.

Product details

• Authors: T Dunning, Trish Dunning, Trisha Dunning, Trisha (Clinical Nurse Consultant Dunning, Trisha Sinclair Dunning, Dunning Trisha, Alan J Sinclair, Alan J. Sinclair, Alan J. (University of Birmingham Sinclair, Sinclair Alan J.
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 31.01.2020
• EAN: 9781119520856
• ISBN: 978-1-119-52085-6
• No. of pages: 624
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; Krankenpflege, Diabetes, Nursing, Nursing Special Topics, Spezialthemen Krankenpflege