Evidence Base for Diabetes Care (eBook)

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2003 | 1. Auflage
796 Seiten
Wiley (Verlag)
978-0-470-85194-4 (ISBN)

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This volume outlines what is meant by terms such as 'evidence based practice', 'systematic review', 'efficacy', 'effectiveness'. It summarises, in a systematic fashion, the current evidence on diabetes prevention and care to enable the reader to improve their professional practice.

Furthermore, it promotes a critical attitude to the assessment of evidence and engenders enthusiasm for 'lifelong learning'. It also advises clinicians on what to do when there is little available evidence. Chapters consider the evidence base for the definition and classification of diabetes, as well as prevention, identification, treatment, education in IDDM and NIDDM.

The final chapters look at the practical implications of translating this evidence into practice in different environments with different health care systems and different economic levels.

  • This is the first book to present an evidence-based approach to diabetes
  • Examines the evidence base for the definition and classification of diabetes, as well as prevention, iden tification, treatment, and education in IDDM and NIDDM
  • Looks at the practical implications of translating this evidence into practice in different environments
  • The editors are leaders in the move towards evidence-based diabetes care


Rhys Williams is the editor of The Evidence Base for Diabetes Care, published by Wiley.

W. Herman is the editor of The Evidence Base for Diabetes Care, published by Wiley.

A.-L. Kinmonth is the editor of The Evidence Base for Diabetes Care, published by Wiley.

N. J. Wareham is the editor of The Evidence Base for Diabetes Care, published by Wiley.


This volume outlines what is meant by terms such as 'evidence based practice', 'systematic review', 'efficacy', 'effectiveness'. It summarises, in a systematic fashion, the current evidence on diabetes prevention and care to enable the reader to improve their professional practice. Furthermore, it promotes a critical attitude to the assessment of evidence and engenders enthusiasm for 'lifelong learning'. It also advises clinicians on what to do when there is little available evidence. Chapters consider the evidence base for the definition and classification of diabetes, as well as prevention, identification, treatment, education in IDDM and NIDDM. The final chapters look at the practical implications of translating this evidence into practice in different environments with different health care systems and different economic levels. This is the first book to present an evidence-based approach to diabetes Examines the evidence base for the definition and classification of diabetes, as well as prevention, iden tification, treatment, and education in IDDM and NIDDM Looks at the practical implications of translating this evidence into practice in different environments The editors are leaders in the move towards evidence-based diabetes care

Rhys Williams is the editor of The Evidence Base for Diabetes Care, published by Wiley. W. Herman is the editor of The Evidence Base for Diabetes Care, published by Wiley. A.-L. Kinmonth is the editor of The Evidence Base for Diabetes Care, published by Wiley. N. J. Wareham is the editor of The Evidence Base for Diabetes Care, published by Wiley.

The Evidence Base for Diabetes Care 3
Contents 7
Contributors List 11
1. The Evidence Base for Diabetes Care 15
PART I: EVIDENCE-BASED DEFINITION AND CLASSIFICATION 25
2. Classification of Diabetes 27
3. Evidence-Based Definition and Classification: A Commentary 51
PART II: PREVENTION OF DIABETES 57
4. Prevention of Type 1 Diabetes 59
5. Can Bombing the Immune System Achieve Lasting Peace in the Pancreas?: A Commentary 83
6. Prevention of Type 2 Diabetes 89
7. Missed and Newly Recovered Potential for the Prevention of Type 2 Diabetes: A Commentary 191
PART III: EARLY DETECTION, SCREENING AND CASE FINDING IN TYPE 2 DIABETES 203
8. The Evidence to Screen for Type 2 Diabetes Mellitus 205
9. Understanding and Avoiding the Adverse Psychological Effects of Screening: A Commentary 249
PART IV: GESTATIONAL DIABETES 257
10. Gestational Diabetes Mellitus 259
11. Gestational Diabetes Mellitus: A Commentary 299
PART V: GLYCAEMIC CONTROL 303
12. Can Intensive Glycemic Management in Type 1 Diabetes Reduce Morbidity and Mortality? 305
13. Intensive Glycaemic Management in Type 1 Diabetes: A Commentary 331
14. Does Tight Control of Hyperglycaemia Limit Morbidity and Mortality in Type 2 Diabetes? 347
15. Does Tight Control of Hyperglycaemia Limit Mortality in Type 2 Diabetes?: A Commentary 363
PART VI: PREVENTION OF COMPLICATIONS 367
16. The Effectiveness of Interventions Aimed at Weight Loss, and other Effects of Diet and Physical Activity in Achieving Control of Diabetes and Preventing its Complications 369
17. Prevention of Hypertension 403
18. Prevention of Hyperlipidaemia 427
19. What is the Evidence that Changing Tobacco Use Reduces the Incidence of Diabetic Complications? 463
20. Prevention of Complications: A Commentary 489
PART VII: TREATMENT OF ESTABLISHED COMPLICATIONS 513
21. Treatment of Retinopathy 515
22. Treatment of Nephropathy 527
23. Treatment of Periodontal Disease 537
24. Treatment of Diabetic Neuropathy 569
25. Cardiac Complications and their Management 591
26. Treatment of Cerebrovascular Disease 621
27. Treatment of Peripheral Vascular Disease 645
28. Epidemiology of Diabetic Foot Ulcers and Amputations: Evidence for Prevention 655
29. Can Established Diabetic Complications be Reversed? The Evidence for Secondary Prevention 681
PART VIII: DELIVERY OF CARE 693
30. What is the Evidence that Increasing Participation of Individuals in Self-management Improves the Processes and Outcomes of Care? 695
31. Promoting Self-Management in Primary Care Settings: Limitations and Opportunities: A Commentary 715
32. Delivering Care to the Population 725
33. Delivering Care to the Population: A Commentary 737
PART IX: CONTINUING EDUCATION 741
34. Keeping Up to Date Through Lifelong Learning 743
Index 767

"...This significant volume is a welcome addition..." (Cardiabetes,November/December 2002)

"...it is an excellent book which would be suitable for allmembers of the diabetic team ... I would recommend its inclusion inthe dietetic department, diabetes centres and the hospitallibrary". (Journal of Human Nutrition & Dietetics , February2003)

"...each of the book sections is well thought out and notmissing obviously important date..." (Practical DiabetesInternational, Vol 20(9) Nov/Dec 2003)

Erscheint lt. Verlag 11.7.2003
Sprache englisch
Themenwelt Sachbuch/Ratgeber Gesundheit / Leben / Psychologie
Medizinische Fachgebiete Innere Medizin Diabetologie
Schlagworte Diabetes • Medical Science • Medizin • Zuckerkrankheit
ISBN-10 0-470-85194-5 / 0470851945
ISBN-13 978-0-470-85194-4 / 9780470851944
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