Offers practical advice on detecting and managing diabetes-related foot complications. Includes patient risk factors, preventative footwear, conducting foot exams, wound care (debridement and off-loading), managing infections and faulty healing, and charcot foot and peripheral arterial disease.
Includes bibliographic references and index.
Chapters: Role of systemic disease in diabetic foot complications -- Pathogenesis of diabetic foot complications -- Diabetic foot examination -- Foot risk classification and prevention -- Shoes and insoles for at-risk people with diabetes -- Ulcer assessment and classification -- Off-loading the diabetic foot wound -- Debridement of the diabetic foot -- Adjunctive wound therapies -- Diabetic charcot foot: recognition, evaluation, and management -- Infection in the diabetic foot -- Evaluation and management of peripheral arterial disease.
Integrating care across disciplines and organisations around the needs of the person with diabetes has been proposed as an approach that could improve care while reducing cost- but has it and can it? Integrated Diabetes Care- A Multidisciplinary Approach collates evidence of worldwide approaches to both horizontal integration (across disciplines) and vertical integration (across organizations) in diabetes care and describe what was done, what worked and what appeared to be the barriers to achieving the goals of the programmes. Evidence is sought from groups who have developed different approaches to integrating diabetes care in different health systems (eg insurance vs tax payer funded, single vs multiple organization, published vs unpublished). A final chapter brings the evidence together for a final discussion about what seems to work and what does not.
The clinical management of patients with diabetes is rapidly evolving. Evidence-based Management of Diabetes provides a succinct summary of a range of topics, including areas where there is already well developed evidence for a particular treatment, but also those areas where the evidence is perhaps doubtful or there is some associated controversy or ambiguity. Where possible throughout the book treatment recommendations are given based on the available evidence and practice guidelines. The book also highlights the gaps in evidence where further research is needed. In the practice of diabetes care, there are many issues influencing practitoners currently. This book addresses many of the most pertinent issues concerning delivery of diabetes care. The authors are internationally renowned experts in the field of diabetes care who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with diabetes..