Difficult Diabetes (eBook)

Geoffrey Gill is Senior Clinical Lecturer at the Liverpool School of Tropical Medicine.

Difficult Diabetes 5
Contents 7
List of contributors 9
Preface 12
Diagnostic and screening issues 15
1 Do we know how to diagnose diabetes and do we need to screen for the disease? 17
2 Does impaired glucose tolerance really exist, and if so what should be done about it? 36
3 Is gestational diabetes important, and worth screening for? 50
4 What should we do about microalbuminuria? 67
Management issues in type 2 diabetes 85
5 Is obesity realistically treatable in type 2 diabetes? 87
6 What are the options for oral agent treatment of type 2 diabetes? 102
7 Should obese type 2 diabetic patients be treated with insulin? 108
8 Is the management of diabetic foot ulceration evidence based? 127
Management issues in type 1 diabetes 147
9 Is even moderate control of diabetes feasible in adolescents? 149
10 Does brittle diabetes exist? 165
11 How should hypoglycaemia unawareness be managed? 182
12 Is multiple injection therapy the treatment of choice in type 1 diabetes? 202
13 Is insulin pump treatment justifiable? 219
14 Is there a role for sole transplantation of the pancreas (without kidney) in type 1 diabetes? 238
Other management issues 249
15 Should there be driving and employment restrictions for people with diabetes? 251
16 How should erectile dysfunction in diabetes be managed? 272
17 How should hypertension be managed in diabetes? 292
Index 309

"This multiauthor book, which has 17 chapters on many aspects of diabetes care, is mainly well written and topical. The chapter on erectile dysfunction will be especially valuable as a resource to some since it basks in the post-Viagra era. Diabetes physicians and diabetes specialist nurses will find this a reflective read capable of changing their attitudes and clinical practice." BMJ.com