As with many other
chronic diseases, the day to day management of patients with diabetes is often
centred within specialised diabetic clinics. These centres are often comprised
of hospital doctors who might be diabetologists or allied specialists (such
as ophthalmologists), family practitioners, diabetes specialist nurses, liaison
nurses, chiroporists, etc.
This book provides an illustrated guide to many of the clinical conditions and organisational challenges encountered in diabetic clinics. It is ideal as a quick desk-top reference guide and teaching aid for those working in, or setting up a clinic.
The majority of the book uses an at a glance format in which clinical illustrations are on one page with descriptive text on the facing page. The book is divided into five major sections that cover the common complications of diabetes, with two further sections and appendices that cover the organisation of diabetes care, good record keeping and the key drugs and insulin preparations.
Preface; Acknowledgements; Diabetic Eye Disease: Visual Acuity Testing; Diabetic Eye Examination; Diabetic Retinopathy; Background Diabetic Retinopathy; Diabetic Maculopathy; Pre-proliferative Diabetic Retinopathy; Proliferative Diabetic Retinopathy; Vitreous Haemorrhage and Pre-Retinal Haemorrhage; Advanced Diabetic Eye Disease; Laser Photocoagulation Therapy for Diabetic Eye Disease; Diabetic Foot Disease: Examination of the diabetic foot; Sensory neuropathy and the diabetic foot: thermal injury; Sensory neuropathy and the diabetic foot: punched-out plantar ulcers; Sensory Neuropathy and the Diabetic Foot: diabetic osteoarthropathy (Charcot foot); Motor Neuropathy in the Diabetic Foot; Autonomic Neuropathy and the Diabetic Foot; Ulceration in a Neuro-Ischaemic Foot; Peripheral Arterial Insufficiency with Gangrene in a Diabetic Foot; Distal Dry Gangrene in an Ischaemic Diabetic Foot; Fungal infection in a Diabetic Foot; Osteomyelitis in a Diabetic Foot; Medial Arterial Calcification; Diabetic Neuropathy: Symmetrical Sensorimeter neuropathy in diabetes mellitus; Cranial Mononeuropathy in diabetes mellitus; Radiculopathy in Diabetic Mellitus; Diabetic amyotrophy; Carpal Tunnel Syndrome and other Compression Neuropathies; Painful Diabetic Peripheral Neuropathy; Treatment of painful diabetic neuropathy; Gustatory Sweats; Diabetes skin and joint disease: Necrobiosis lipoidica diabeticorum; Granuloma annulare; Bullosis diabeticorum; Vitiligo and diabetes mellitus; Palpebral xanthelesmata in diabetes mellitus; Eruptive xanthomata (xanthoma diabeticorum); Cheiroarthropathy and limited joint mobility; Diabetic miscellany: Lipohypertrophy at insulin injection sites; Lipoatrophy at insulin injection sites; Malignant otitis externa (and other severe infections of the head and neck); Osteoporosis in diabetes mellitus (diabetic osteopenia); Disorders associated with secondary diabetes: Cushing's syndrome; Disorders associated with secondary diabetes: Acromegaly; Disorders associated with secondary diabetes: Dystrophia myotonica; Microalbuminuria; Hypertension and its treatment in diabetes; Lipids in diabetes; Insulin resistance and the metabolic syndrome; Diabetic clinic records and organisation of diabetes care: The Diabetic Clinic Follow-Up Record; The Diabetic Clinic Check Record - ('Annual Review Sheet'); Diabetic Liaison Service Referral Form; Diet request card and record; Chiropodist Referral Form; Computerised shared care faciliation in diabetes; Local diabetes service advisory groups; Appendices: The Choice of Insulin: by Duration of Action; The Choice of Insulin: by Species of Origin, or Molecular Configuration; The Choice of Insulin: by Brand Names; The Choice of Oral Hypoglycaemic Drugs: Sulphonylurea Drugs; The Choice of Oral Hypoglycaemic Drugs: Biguanides; The Choice of Oral Hypoglycaemic Drugs: Alpha-1-Glucosidase Inhibitors; The choice of oral hypoglycaemic drugs: Thiazolidinediones - insulin action enhancers; Further reading; Index