Main description:

Adapting to the IFCC system of reporting HbA 1c poses achallenge to generations of health professionals who have learntthe percentage system related to the major clinical trials, in type1 and type 2 diabetes, the DCCT and UKPDS. This handy paperbackilluminates the transition path. Using real-life case studies to illustrate actual clinicalsituations, the book shows you how to use mmol/mol units in dailypractice. Each case study shows the old percentage units alongsidethe IFCC units for quick comparison. Produced in association withDiabetes UK, this pocketbook helps you work with confidence in theIFCC system.

Contents:

Contributor list. Preface. Acknowledgements. Foreword. Abbreviations. Introduction. CASE STUDIES. 1 Diagnosis and early management of type 1 diabetes in a youngchild (Julie A. Edge). 2 Management of a very elderly client, housebound and livingalone (Chris Cottrell and Helen Green). 3 Gestational diabetes (2) (Jonathan Webber). 4 Weight loss and improved glycaemic control (PamelaDyson). 5 Type 2 diabetes in a child (Timothy G. Barrett). 6 Weight reduction (G. Pooler R. Archbold, Ailish Nugent, RWHenry). 7 Improved glycaemic control (Steve Creely). 8 Risk of hypoglycaemia in a client in an elderly mentally illunit in a nursing home (Chris Cottrell and Helen Green). 9 Structured education for type 1 diabetes (PamelaDyson). 10 Woman with family history of raised cholesterol and diabetes(Robert Cramb). 11 Type 1 diabetes in a child (Timothy G Barrett). 12 Poor glucose control with microvascular complications(Sarah Griffiths and Parth Narendran). 13 Renal failure and cardiovascular disease in an Asian patient(Alex Wright). 14 Type 1 diabetes in a teenage girl concerned about weight(Julie A. Edge). 15 Glycaemic control through patient empowerment (You YiHong, Maire O'Donnell, Sean Dinneen). 16 Diagnosis and early management of type 2 diabetes in acutecoronary syndrome (Maggie Sinclair Hammersley and DanielHammersley). 17 Incretin or insulin (Richard Paisey). 18 Type 2 diabetes and pregnancy (Nick Lewis-Barned). 19 Deterioration of pre-existing diabetes in a patient on lowdose quetiapine Valeria Frighi (Matthew Stephenson). 20 Low HbA1c and risk of hypoglycaemia (JonathanRoland). 21 Rapid changes in glycaemic control and retinopathy (AdeleFarnsworth and Alex Wright). 22 Type 1 diabetes in a young man moving from paediatric toyoung adult services (Nick Lewis-Barned). 23 Monitoring glycaemic control: HbA1c or fructosamine (SarahMoore). 24 Pre-pregnancy and pregnancy in type 1 diabetes (CiaraMcLaughlin and David R. McCance). 25 Maturity onset diabetes of the young, subtype HNF1A(HNF1A-MODY) (Amanda Webster and Katharine R. Owen). 26 'Overtreating' type 2 diabetes (Simon Heller). 27 Diabetes and an elevated triglyceride concentration(Robert Cramb). 28 Multiple therapies leading to bariatric surgery (ErnestoLopez, R. David Leslie). 29 Optic neuropathy (Richard Paisey and Rob Willox). 30 Uncertainty around the estimate of average plasma glucosefrom HbA1c (Eric S. Kilpatrick). 31 Antipsychotics (Richard I.G. Holt). 32 Abnormal liver function in a patient with type 2 diabetes(Joanne Morling). 33 Fructosamine in diabetic nephropathy (Stuart A. Ritchie,John A. McKnight and Susan E. Manley). 34 Recurrent hypoglycaemia caused by secondary adrenalinsufficiency (Athinyaa Thiraviaraj, Hamza Ali Khan, Ailish G.Nugent, G. Pooler R. Archbold). 35 A patient with diabetes taking niacin (Richard Haynes andJane Armitage). 36 Tight glycaemic control leading to nocturnal hypoglyaemia(Rikke Borg). 37 Diabetes and iron-deficiency anaemia (W Garry John andTara Wallace). 38 Deterioration in vision after commencing insulin treatment(The early worsening phenomenon) (Peter H Scanlon). 39 Type 1 diabetes Worsening glycaemic control onintroduction of a pump? (Ken Sikaris). 40 Monitoring glycaemic control in patient with sickle celltrait (Andrea Gomes, Lis Chandler, Rachel Round andJanet Smith). 41 Balancing fear of hypoglycaemia with optimal control inpregnancy (Roy Taylor). 42 Asian patient with high-risk feet and suboptimal glycaemiccontrol (Varadarajan Baskar). 43 Type 2 diabetes and polycystic ovarian syndrome (M AliKaramat). 44 Impact of variant haemoglobin AC on HbA1c determination(Laura Hikin, Jackie Carr-Smith, Rachel Round and JanetSmith). 45 Diabetic nephropathy (Sally M. Marshall).