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Diabetes is a chronic disease involving self management by the patients. This book teaches providers the skills to translate and transfer complex medical information to empower patients to participate in making well informed decisions about their own care on a daily basis, as directed by the American Diabetes Association.
List of contents
INTRODUCTION
1. THE PHYSIOLOGY OF GLUCOSE METABOLISM
There are two sources of glucoseThere are two 'kinds' of insulin - basal and bolus
Other hormones assist with glucose homeostasis
The kidneys also play a crucial role
2. THE PATHOPHYSIOLOGY OF DIABETES
Type 1 diabetes
Type 2 diabetes
Monogenic diabetes
Gestational diabetes
Other types of diabetes
3. MAKING THE DIAGNOSIS OF DIABETES
Criteria for the diagnosis of diabetes
Screening: testing for diabetes in asymptomatic patients
Management following a positive test
4. ORAL MEDICATIONS
5. INSULINS AND INSULIN MANAGEMENT
Insulin pharmacokineticsInsulin deliveryInsulin dose calculationsEssential teaching points 6. SURGICAL MANAGEMENT OF DIABETES
Metabolic/bariatric surgeryTransplantation7. CONSIDERATIONS WHEN APPROACHING DIABETES MANAGEMENT
Consider the patient as a wholeConsider underlying pathology when selecting management options
Consider the durability of management
Determining the patient's type of diabetes and underlying pathologies
8. GLYCAEMIC MANAGEMENT
Medical management of glycaemiaIndividualisation of HbA1c
targetSelf-monitoring of blood sugarsBlood glucose management Remission of diabetes9. LIFESTYLE MANAGEMENT
ExerciseFoods
10. CARDIOVASCULAR RISK MANAGEMENT
DiabetesBlood pressureCholesterolSmokingWeightRenal protectionAspirin use11. PROVIDING PATIENT-CENTRED CARE
Establish a working relationshipFind a common language
Understand the patient
Acknowledge the patient as the expert
Find common ground
Empower the patient
12. EMPOWERING THE PATIENT FOR LIFELONG SELF-MANAGEMENT
Provide opportunity for ongoing education
Ensure supports and safety nets are in place - for both patient and providerHand over the controls
PATIENT HANDOUTS
About the author
Janet Titchener, MD, is the Medical Director of GPSI Diabetes Ltd, New Zealand, and provides care for all types of diabetes, across all age groups. Her clinical practice adheres to the principles of patient-centred clinical medicine so that each patient is considered the expert with regard to knowing which management approach will best fit with their life and life's choices.
Summary
Diabetes is a chronic disease involving self management by the patients. This book teaches providers the skills to translate and transfer complex medical information to empower patients to participate in making well informed decisions about their own care on a daily basis, as directed by the American Diabetes Association.
Additional text
This desk reference is a finest succinct reference, offering practical recommendations for behavioral change of the provider concerning this chronic disease. This will greatly increase success in the long term diabetes outcomes of your patients. Dr. Titchener's manual is the quickest and easiest way for you to gather the facts and strategies one needs for the complete patient centered treatment of diabetes.
Alan S. Peterson, MDEmeritus Director of Community and Environmental Medicine of Lancaster General Health/University of Pennsylvania
