3 am call: "Mrs X has a blood sugar of 23. Come and deal with it." "I think my insulin pen is called something like Solostar." The respiratory doctors started high dose prednisolone, and the patient s glucose is 18. What is the blood glucose target for this patient admitted with an acute coronary syndrome? Do you struggle with common diabetes problems in hospital practice? The Hands-on Guide to Diabetes Care in Hospital is an ideal companion for ward practitioners, providing answers to these and many other practical diabetes problems, helping you to deliver safe and effective care to patients. Using the best current UK and international guidance, The Hands-on Guide to Diabetes Care in Hospital presents succinct guidance on acute diabetes problems, blood glucose management, acute medical and surgical problems commonly complicated by diabetes and insulin and non-insulin agents, as well as preparing for discharge to the community. With top tips, key points, questions to ask, treatment and follow-up advice in each chapter, this is an essential resource for all medical trainees and students who treat diabetic patients.
Ward-based nurses, diabetes specialist nurses and pharmacists will also find a lot that is relevant to their practice.
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Preface Abbreviations Part 1 Basics 1 Classification of diabetes 2 Targets for glycaemic control in hospital 3 Diagnosis of diabetes in hospitalised patients 4 Nomenclature 5 Outline of physiology 6 Diabetes specialist nurses: roles and responsibilities Part 2 Acute diabetes problems 7 History taking in patients with diabetes 8 Assessment and initial management of patients presenting with high blood glucose levels to an emergency department 9 Diabetic ketoacidosis (DKA) 10 Hyperosmolar hyperglycaemic state (HHS) 11 Managing acute hypoglycaemia in the emergency department Part 3 Acute medical and surgical problems commonly complicated by diabetes 12 Presentation of cardiac disease in diabetic patients 13 Acute coronary syndromes and stroke 14 Secondary prevention after ACS 15 Acute pancreatitis 16 Infections in diabetes Part 4 Insulin and non-insulin agents 17 Variable rate intravenous insulin infusion (VRIII, sliding scale UK; insulin drip USA) 18 Converting from VRIII to subcutaneous insulin 19 Writing safe insulin prescriptions 20 Insulin preparations in the UK 21 Commonly used insulin regimens 22 Emergency subcutaneous insulin regimens 23 Insulin substitutions in emergency settings 24 Non-insulin agents Part 5 Blood glucose management on the wards 25 Managing patients you are asked to see with high blood glucose levels 26 Managing acute hypoglycaemia on the wards 27 Perioperative management of elective surgery 28 Enteral feeding 29 Glucocorticoid treatment 30 Safe discharge of diabetic patients from hospital Part 6 Important odds and ends 31 Technology in diabetes 32 Inpatient screening schedule 33 Practical procedures 34 On-call guide to hyperglycaemic emergencies Index
