Diabetes Management: A Manual for Patient-Centered Care, 1st Edition (Paperback) book cover

Diabetes Management

A Manual for Patient-Centered Care, 1st Edition

By Janet Titchener

CRC Press

128 pages | 36 Color Illus. | 2 B/W Illus.

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Description

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 brings 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 take well informed decisions by understanding the essential cost of care.

Table of Contents

INTRODUCTION

 

THE PHYSIOLOGY OF GLUCOSE METABOLISM

There are two sources of glucose

There are two kinds of insulin

Other hormones assist with glucose homeostasis

The kidneys also play a crucial role in glucose homeostasis

 

THE PATHOPHYSIOLOGY OF DIABETES

Type 1 and type 2 Diabetes are not the only types of diabetes

Type 1 Diabetes

Type 2 Diabetes

Monogenic Diabetes

Gestational Diabetes

Other types of Diabetes

 

MAKING THE DIAGNOSIS OF DIABETES

Criteria for the diagnosis of diabetes

Screening: Testing for diabetes in asymptomatic patients

Management following a positive test

 

ORAL MEDICATIONS

 

INSULINS

Insulin pharmacokinetics

Traditional subcutaneous insulins

Analogue subcutaneous insulins

Analogue inhaled insulins

Insulin delivery

Insulin dose calculations

Essential teaching points to review with the patient when initiating insulin

 

OTHER MANAGEMENT OPTIONS

Metabolic/bariatric surgery

Transplantation

 

CONSIDERATIONS WHEN APPROACHING DIABETES MANAGEMENT

Consider the patient as a whole

Consider underlying pathology when selecting management options

Consideration for durability of management

Determining a patient’s type of diabetes and underlying pathologies

GLYCAEMIC MANAGEMENT

Medical management of glycaemia

Individualisation of HbA1c target

Self-monitoring of blood sugars

Blood glucose management

Remission of diabetes

 

LIFESTYLE MANAGEMENT

Exercise

Foods

 

MANAGEMENT OF CARDIOVASCULAR RISK

Diabetes

Blood Pressure

Cholesterol

Smoking

Weight

Renal Protection

Aspirin Use

 

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

 

EMPOWERING THE PATIENT FOR LIFE LONG SELF-MANAGEMENT

Provide opportunity for on-going education

Ensure ‘supports’ and ‘safety nets’ are in place

Hand over the controls

 

PATIENT HANDOUTS

About the Author

Dr Janet Titchener is a graduate of Otago University (Diploma, Physical Education), University of Connecticut (Masters, Psychology), Thomas Jefferson University (Masters, Physiotherapy), and The University of Pennsylvania School of Medicine (Doctorate of Medicine).

Convinced that successful medical care could only be achieved if diseases were managed within the context of the patient, Dr Titchener chose to train as a Family Practice Physician (Lancaster General, University of Pennsylvania, USA). During her residency and fellowship she subspecialised in diabetology and is currently Board Certified in Advanced Diabetes Management.

As Medical Director of GPSI Diabetes Ltd, Dr Titchener 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.

Dr Titchener is the recipient of the 2010 Eli Lilly/NZSSD primary-secondary physician award for her clinical work and teaching within GPSI Diabetes Ltd, New Zealand.

Subject Categories

BISAC Subject Codes/Headings:
MED000000
MEDICAL / General
MED027000
MEDICAL / Endocrinology & Metabolism
MED029000
MEDICAL / Family & General Practice