1st Edition

Diabetes Management A Manual for Patient-Centred Care

By Janet Titchener Copyright 2020
    120 Pages 36 Color & 2 B/W Illustrations
    by CRC Press

    120 Pages 36 Color & 2 B/W Illustrations
    by CRC Press

    120 Pages 36 Color & 2 B/W Illustrations
    by CRC Press

    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. It provides the basic knowledge around the pathophysiology of diabetes, different management options including insulin management and calculations, information on how foods affect blood sugars and how to address cardiovascular risk factors. This book aims to change clinical outcomes through its unique presentation of information and its approach to awareness.

    Key Features

    • Follows a unique approach in imparting techniques that bring long-term patient behaviour changes, making the provision of chronic disease management more efficient and satisfying
    • Serves to help professionals in their day-to-day patient management to achieve better outcomes
    • Addresses the area of need for primary care and helps to make well-informed decisions by understanding the essential cost of care

    INTRODUCTION

    1. THE PHYSIOLOGY OF GLUCOSE METABOLISM

    There are two sources of glucose

    There 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 pharmacokinetics

    Insulin delivery

    Insulin dose calculations

    Essential teaching points

    6. SURGICAL MANAGEMENT OF DIABETES

    Metabolic/bariatric surgery

    Transplantation

    7. CONSIDERATIONS WHEN APPROACHING DIABETES MANAGEMENT

    Consider the patient as a whole

    Consider 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 glycaemia

    Individualisation of HbA1c target

    Self-monitoring of blood sugars

    Blood glucose management

    Remission of diabetes

    9. LIFESTYLE MANAGEMENT

    Exercise

    Foods

    10. CARDIOVASCULAR RISK MANAGEMENT 

    Diabetes

    Blood pressure

    Cholesterol

    Smoking

    Weight

    Renal protection

    Aspirin use

    11. PROVIDING PATIENT-CENTRED CARE

    Establish a working relationship

    Find 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 provider

    Hand over the controls

    PATIENT HANDOUTS

    Biography

    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.

    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, MD
    Emeritus Director of Community and Environmental Medicine of Lancaster General Health/University of Pennsylvania