Practical Diabetes

Diatetes remains a comon problem, which because of its effects on the cardiovascular and other systems, complicates the management of patients, not only within the routine diabetic clinic, but in all departments of the hospital. By taking a problem orientated approach, very much from the perspective of the junior hospital doctor, this book seeks to give practical and sensible advice, clearly expressed to meet the main concerns and needs of the junior doctor. A first chapter is devoted to basic concepts, but, from then on, the text explains "how to cope" with the many different presentations and complications of the disease and discusses the treatment options available. The management of the diabetic patient in A&E, where most hyperglycaemic emergancies first present, are covered in detail. the book then goes on to examine diabetic problems on medical and surgical wards, including the coronary care unit, perioperative assessment and gestational diabetes. Basic advice on the diabetic diet is provided. The book gives comprehensive guidance on the role of the junior hospital doctor in out-patients and provides a "survival guide' for the diabetic clinic. The final section of the book provides a wide range of clinical senarios, such as the poorly controlled NIDDM-patient, "Brittle" diabetes, and the patient with "obsessive normoglycaemia", to give the doctor authoritative accounts of the management of these, the most commonly encountered problems.