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…mehr
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: * One to two clinical case questions per chapter with model answers * Clear and easy-to-follow division into Background, Key Facts, and Key Management aspects * A minimum of 10 key references per chapter 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.
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Contributors xxvii Foreword xxxiii Preface xxxv About the Companion Website xxxvii Characteristics and Care Needs xxxix Ahmed H Abdelhafiz, Ann Middleton and Alan J Sinclair 1 Epidemiology and Pathophysiology 1 Sarah L Sy 2 Screening and Diagnosis 11 Isabelle Bourdel-Marchasson 3 Lifestyle Interventions 21 Abdiazizi Yusuf and Ahmed H Abdelhafiz 4 Oral Hypoglycaemic Therapy 31 Nahian Kazi and Ahmed H Abdelhafiz 5 Insulin Therapy 41 Giuseppe Maltese 6 Use of Continuous Glucose Monitoring in Older People with Diabetes 49 Giuseppe Maltese 7 Education: Key Features for Achieving Success 57 Kirsty Winkley and Angus Forbes 8 Carers and Care Needs 71 Puja Merwaha and Ahmed H Abdelhafiz 9A Macrovascular Complications: Peripheral Arterial Disease 81 Leocadio Rodríguez-Mañas, Rubí E Sandoval-Santoyo and Marta Castro-Rodríguez 9B Macrovascular Complications: Coronary Arterial Disease 89 Leocadio Rodríguez-Mañas, Rubí E, Sandoval-Santoyo and Marta Castro Rodríguez 9C Macrovascular Complications: Cerebrovascular Disease 97 Abubakhr Subkhan, Arshad Majid and Ali Ali 10A Microvascular Complications: Diabetic Eye Disease 109 Archith Kamath and Nachiketa Acharya 10B Microvascular Complications: Diabetic Kidney Disease 119 Mohsen El Kossi 10C Microvascular Complications: Peripheral Neuropathy 129 Mitra Tavakoli 11A Vascular Risk Factors: Hypertension 141 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 11B Vascular Risk Factors: Dyslipidaemia 153 Pann Ei Hnynn, Si and Ahmed H Abdelhafiz 12A Metabolic Decompensation: Hyperglycaemic Crisis 165 Puja Merwaha and Ahmed H Abdelhafiz 12B Metabolic Decompensation: Hypoglycaemia 178 Srikanth Bellary, Ahmed H Abdelhafiz and Alan J Sinclair 13A Management of Diabetes in Hospital 189 Julie Lewis and Chris Cottrell 13B Management of Diabetes in Care Homes 201 Lynne Reedman and Alan J Sinclair 14 Nutrition 215 Rihan Said and Grace Zaman 15 Sexual Health 229 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 16A Special Issues in Old Age: Frailty 241 Alan J Sinclair and Ahmed H Abdelhafiz 16B Special Issues in Old Age: Multimorbidity 266 Alan J Sinclair and Ahmed H Abdelhafiz 16C Special Issues in Old Age: Type 1 Diabetes Mellitus 275 Alex M Summerbell and Ahmed H Abdelhafiz 16D Special Issues in Old Age: Cognitive Health Agility, Cognitive Dysfunction, Dementia and Diabetes 285 Tali Cukierman-Yaffe 16E Special Issues in Old Age: Depression 299 Sara-Louise Wylie 16F Special Issues in Old Age: Foot Care 313 Solomon Muzulu 16G Special Issues in Old Age: Skin Care 326 Grace Keegan and Sarah Mahmoud 16H Special Issues in Old Age: Falls and Bone Health 336 Nandkishor V Athavale 16I Special Issues in Old Age: Avoiding Hospitalisation 347 Demelza Emmerton and Ahmed H Abdelhafiz 16J Special Issues in Old Age: Use of Technology 357 Anna Kahkoska, Aastha Dubal, Josh Weinstein and Ruth S Weinstock 16K Special Issues in Old Age: Annual Reviews 371 Puja Merwaha and Ahmed H Abdelhafiz 16L Special Issues in Old Age: Mouth Care 381 Nali Ahmed and Ahmed H Abdelhafiz 16M Special Issues in Old Age: Pain Management 392 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 17 Deintensification of Therapy 405 Antoine Christiaens 18 Diabetes in End-of-Life Care 413 June James Answers to Clinical Practice Questions 429 Index 445
Contributors xxvii Foreword xxxiii Preface xxxv About the Companion Website xxxvii Characteristics and Care Needs xxxix Ahmed H Abdelhafiz, Ann Middleton and Alan J Sinclair 1 Epidemiology and Pathophysiology 1 Sarah L Sy 2 Screening and Diagnosis 11 Isabelle Bourdel-Marchasson 3 Lifestyle Interventions 21 Abdiazizi Yusuf and Ahmed H Abdelhafiz 4 Oral Hypoglycaemic Therapy 31 Nahian Kazi and Ahmed H Abdelhafiz 5 Insulin Therapy 41 Giuseppe Maltese 6 Use of Continuous Glucose Monitoring in Older People with Diabetes 49 Giuseppe Maltese 7 Education: Key Features for Achieving Success 57 Kirsty Winkley and Angus Forbes 8 Carers and Care Needs 71 Puja Merwaha and Ahmed H Abdelhafiz 9A Macrovascular Complications: Peripheral Arterial Disease 81 Leocadio Rodríguez-Mañas, Rubí E Sandoval-Santoyo and Marta Castro-Rodríguez 9B Macrovascular Complications: Coronary Arterial Disease 89 Leocadio Rodríguez-Mañas, Rubí E, Sandoval-Santoyo and Marta Castro Rodríguez 9C Macrovascular Complications: Cerebrovascular Disease 97 Abubakhr Subkhan, Arshad Majid and Ali Ali 10A Microvascular Complications: Diabetic Eye Disease 109 Archith Kamath and Nachiketa Acharya 10B Microvascular Complications: Diabetic Kidney Disease 119 Mohsen El Kossi 10C Microvascular Complications: Peripheral Neuropathy 129 Mitra Tavakoli 11A Vascular Risk Factors: Hypertension 141 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 11B Vascular Risk Factors: Dyslipidaemia 153 Pann Ei Hnynn, Si and Ahmed H Abdelhafiz 12A Metabolic Decompensation: Hyperglycaemic Crisis 165 Puja Merwaha and Ahmed H Abdelhafiz 12B Metabolic Decompensation: Hypoglycaemia 178 Srikanth Bellary, Ahmed H Abdelhafiz and Alan J Sinclair 13A Management of Diabetes in Hospital 189 Julie Lewis and Chris Cottrell 13B Management of Diabetes in Care Homes 201 Lynne Reedman and Alan J Sinclair 14 Nutrition 215 Rihan Said and Grace Zaman 15 Sexual Health 229 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 16A Special Issues in Old Age: Frailty 241 Alan J Sinclair and Ahmed H Abdelhafiz 16B Special Issues in Old Age: Multimorbidity 266 Alan J Sinclair and Ahmed H Abdelhafiz 16C Special Issues in Old Age: Type 1 Diabetes Mellitus 275 Alex M Summerbell and Ahmed H Abdelhafiz 16D Special Issues in Old Age: Cognitive Health Agility, Cognitive Dysfunction, Dementia and Diabetes 285 Tali Cukierman-Yaffe 16E Special Issues in Old Age: Depression 299 Sara-Louise Wylie 16F Special Issues in Old Age: Foot Care 313 Solomon Muzulu 16G Special Issues in Old Age: Skin Care 326 Grace Keegan and Sarah Mahmoud 16H Special Issues in Old Age: Falls and Bone Health 336 Nandkishor V Athavale 16I Special Issues in Old Age: Avoiding Hospitalisation 347 Demelza Emmerton and Ahmed H Abdelhafiz 16J Special Issues in Old Age: Use of Technology 357 Anna Kahkoska, Aastha Dubal, Josh Weinstein and Ruth S Weinstock 16K Special Issues in Old Age: Annual Reviews 371 Puja Merwaha and Ahmed H Abdelhafiz 16L Special Issues in Old Age: Mouth Care 381 Nali Ahmed and Ahmed H Abdelhafiz 16M Special Issues in Old Age: Pain Management 392 Pann Ei Hnynn Si and Ahmed H Abdelhafiz 17 Deintensification of Therapy 405 Antoine Christiaens 18 Diabetes in End-of-Life Care 413 June James Answers to Clinical Practice Questions 429 Index 445
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