Managing Type 2 Diabetes Mellitus in Primary Care

Introduction: Why Look After Type 2 Diabetes In Primary Care?
General Points
National Service Framework for Diabetes Standards and Where They
are Discussed in This Book

Chapter One: What is Type 2 Diabetes Mellitu s?
Definition of Diabetes Mellitus
Classification of Diabetes Mellitus
The Disease Processes of Type 2 Diabetes Mellitus
Criteria and Methods for the Diagnosis of Diabetes Mellitus

Chapter Two: The Impact of Type 2 Diabetes
Epidemiology of Type 2 Diabetes
Diabetic Control, Mortality and Complications
The Financial Impact of Type 2 Diabetes
Prevention of Type 2 Diabetes Mellitus

Chapter Three: Should We Be Screening For Type 2 Diabetes
Mellitus?
General Points and Definitions
How Strong Is The Case For Screening For Type 2 Diabetes?
Practical Issues in Screening for Type 2 Diabetes

Chapter Four: Organising the Delivery of Optimal Care
Aims and Values
Components of Optimal Organisation within Primary Care
Administration
Delivering High Quality Care to Elderly Type 2 Diabetics

Chapter Five: The Newly Diagnosed Patient
Essential Questions at the Initial Evaluation
Early Assessment and Management

Chapter Six: The Treatment of Blood Glucose in Type 2 Diabetes
Aiming For Optimal Control
Self Monitoring
Diet or Medical Nutritional Therapy (MNT)
Oral Drug Therapy
Insulin
Special Circumstances

Chapter Seven: The Periodic Review
General Considerations
What Needs To Be Checked In All Type 2 Patients at the Full
Periodic Review
What Needs To Be Checked In Some Type 2 Patients at the Periodic
Review

Chapter Eight: Cardiovascular Disease Risk and Type 2 Diabetes
Scale of the Problem
Evaluating Risk
Interventions to Reduce Cardiovascular Risk

Chapter Nine: Emergencies
Metabolic Emergencies
Vascular Emergencies

Chapter Ten: Special Problems and Circumstances
Psychological Health in Patients with Diabetes
Driving
Travel

Chapter Eleven: Patient Education and Lifestyle Modification
General Principles
Diet and Alcohol Consumption
Advice on Foot Care
Exercise

Chapter Twelve: Measuring Performance: Audit
What Is Audit?
Using Audit to Improve Diabetic Care
Practical Considerations in Carrying Out an Audit of Diabetic
Care

Chapter Thirteen: Evidence-Based Diabetic Care
Why Evidenced-Based Care?
Other Resources