Problem Solving in Diabetes by Lee Kennedy

By Lee Kennedy

The facts base in diabetes is gathering quickly. occurrence of diabetes is expanding globally, and it truly is more and more controlled by way of multi-disciplinary groups operating throughout fundamental and secondary care. well-being pros operating in diabetes have to sustain to this point with fresh advancements. There has additionally been a increase in either the first and secondary literature of diabetes. Textbooks and monographs abound which summarize the vintage features of the "typical" diabetes sufferer. in the meantime the health practitioner treating participants wishes present info to allow him/ her to unravel actual existence and daily difficulties within the box. "Problem fixing in Diabetes" does simply that. The authors have drawn on their medical adventure sponsored up via vast severe studying within the present fundamental literature to spot 50 difficulties and their suggestions. every one case covers presentation, thoughts, and an evidence-based administration plan. This ebook could be a useful reference resource to medical professionals of their daily perform facing the explicit difficulties of person sufferers.

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B There is probably a need for a more intensive approach to secondary prophylaxis given the increased risk for patients with diabetes. 1 The focus in this scenario will be on management of hyperglycaemia in acute coronary syndromes. The University Group Diabetes Program Study2 raised doubts about the safety of sulphonylureas in cardiovascular disease in 1976, though the United Kingdom Prospective Diabetes Studies (UKPDS) 33 and 343,4 were reassuring that oral hypoglycaemics were 10 Diabetes and acute myocardial infarction 41 not, in themselves, harmful.

Recombinant human insulin-like growth factor-I therapy improves glycemic control and insulin action in the type A syndrome of severe insulin resistance. J Clin Endocrinol Metab 1994; 79: 205–10. S E C T I O N T W O 02 Acute Diabetes 7 Diabetic ketoacidosis 8 Hyperosmolar hyperglycaemic state 9 Recurrent hypoglycaemia 10 Diabetes and acute myocardial infarction 11 Diabetes and acute stroke 12 Diabetes and critical limb ischaemia 13 Perioperative management of diabetes 14 The hot foot P R O B L E M 7 Diabetic Ketoacidosis Case History You were called to see a 26-year-old Caucasian woman in the casualty department.

Glucose metabolism in patients with acute myocardial infarction and no previous diagnosis of diabetes mellitus: a prospective study. Lancet 2002; 359: 2140–4. P R O B L E M 11 Diabetes and Acute Stroke Case History A 62-year-old man is admitted with a sudden episode of right hemiparesis consistent with an acute stroke. He is obese with a four-year history of type 2 diabetes and taking metformin and rosiglitazone. He does not smoke and drinks minimal amounts of alcohol. Clinically, he was in sinus rhythm and had no evidence of heart failure.

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