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A concise and accessible overview to the treatment of diabetes in older patients
Care of older people is rapidly becoming one of the most important components of the healthcare profession. An ageing population provides new challenges for the healthcare industry and drives new demand for healthcare professionals with dedicated elder care experience and training. Few aspects of care for older patients are more important than diabetes, a condition characterized by its unique challenges and clinical heterogeneity.
Care of Older People with Diabetes offers a concise and readable introduction to the essentials of this vital clinical practice. Building on the knowledge contained within the successful Diabetes in Old Age textbook series, this book brings to bear the work of global experts in the field to provide a working reference for students and early career healthcare professionals alike. Anyone with an interest in caring for older patients with diabetes should find this a lucid and invaluable resource.
Care of Older People with Diabetes readers will also find:
Care of Older People with Diabetes is ideal for medical and nursing students, early career doctors, senior nurses, and all other members of the healthcare team.
Alan J. Sinclair is a former Professor of Medicine at the University of Bedfordshire and Dean of the Beds & Herts Postgraduate Medical School. He was the first England national clinical lead for diabetes in older people and has established the Foundation for Diabetes Research in Older People (fDROP). He has led national and international clinical guideline development and advised organisations such as the UK government, Diabetes UK, ABCD, IDF, IAGG and many more.
Ahmed H. Abdelhafiz is a consultant geriatrician with a subspeciality interest in diabetes in older people based at Rotherham General Hospital, UK. He has written widely in the area of diabetes, ageing, and frailty. He has sat on several national and international writing groups on care home diabetes.
Contributors xxvii
Foreword xxxiii
Preface xxxv
About the Companion Website xxxvii
Characteristics and Care Needs xxxixAhmed H Abdelhafiz, Ann Middleton and Alan J Sinclair
1 Epidemiology and Pathophysiology 1Sarah L Sy
2 Screening and Diagnosis 11Isabelle Bourdel-Marchasson
3 Lifestyle Interventions 21Abdiazizi Yusuf and Ahmed H Abdelhafiz
4 Oral Hypoglycaemic Therapy 31Nahian Kazi and Ahmed H Abdelhafiz
5 Insulin Therapy 41Giuseppe Maltese
6 Use of Continuous Glucose Monitoring in Older People with Diabetes 49Giuseppe Maltese
7 Education: Key Features for Achieving Success 57Kirsty Winkley and Angus Forbes
8 Carers and Care Needs 71Puja Merwaha and Ahmed H Abdelhafiz
9A Macrovascular Complications: Peripheral Arterial Disease 81Leocadio Rodríguez-Mañas, Rubí E Sandoval-Santoyo and Marta Castro-Rodríguez
9B Macrovascular Complications: Coronary Arterial Disease 89Leocadio Rodríguez-Mañas, Rubí E, Sandoval-Santoyo and Marta Castro Rodríguez
9C Macrovascular Complications: Cerebrovascular Disease 97Abubakhr Subkhan, Arshad Majid and Ali Ali
10A Microvascular Complications: Diabetic Eye Disease 109Archith Kamath and Nachiketa Acharya
10B Microvascular Complications: Diabetic Kidney Disease 119Mohsen El Kossi
10C Microvascular Complications: Peripheral Neuropathy 129Mitra Tavakoli
11A Vascular Risk Factors: Hypertension 141Pann Ei Hnynn Si and Ahmed H Abdelhafiz
11B Vascular Risk Factors: Dyslipidaemia 153Pann Ei Hnynn, Si and Ahmed H Abdelhafiz
12A Metabolic Decompensation: Hyperglycaemic Crisis 165Puja Merwaha and Ahmed H Abdelhafiz
12B Metabolic Decompensation: Hypoglycaemia 178Srikanth Bellary, Ahmed H Abdelhafiz and Alan J Sinclair
13A Management of Diabetes in Hospital 189Julie Lewis and Chris Cottrell
13B Management of Diabetes in Care Homes 201Lynne Reedman and Alan J Sinclair
14 Nutrition 215Rihan Said and Grace Zaman
15 Sexual Health 229Pann Ei Hnynn Si and Ahmed H Abdelhafiz
16A Special Issues in Old Age: Frailty 241Alan J Sinclair and Ahmed H Abdelhafiz
16B Special Issues in Old Age: Multimorbidity 266Alan J Sinclair and Ahmed H Abdelhafiz
16C Special Issues in Old Age: Type 1 Diabetes Mellitus 275Alex M Summerbell and Ahmed H Abdelhafiz
16D Special Issues in Old Age: Cognitive Health Agility, Cognitive Dysfunction, Dementia and Diabetes 285Tali Cukierman-Yaffe
16E Special Issues in Old Age: Depression 299Sara-Louise Wylie
16F Special Issues in Old Age: Foot Care 313Solomon Muzulu
16G Special Issues in Old Age: Skin Care 326Grace Keegan and Sarah Mahmoud
16H Special Issues in Old Age: Falls and Bone Health 336Nandkishor V Athavale
16I Special Issues in Old Age: Avoiding Hospitalisation 347Demelza Emmerton and Ahmed H Abdelhafiz
16J Special Issues in Old Age: Use of Technology 357Anna Kahkoska, Aastha Dubal, Josh Weinstein and Ruth S Weinstock
16K Special Issues in Old Age: Annual Reviews 371Puja Merwaha and Ahmed H Abdelhafiz
16L Special Issues in Old Age: Mouth Care 381Nali Ahmed and Ahmed H Abdelhafiz
16M Special Issues in Old Age: Pain Management 392Pann Ei Hnynn Si and Ahmed H Abdelhafiz
17 Deintensification of Therapy 405Antoine Christiaens
18 Diabetes in End-of-Life Care 413June James
Answers to Clinical Practice Questions 429
Index 445
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