Download e-book for iPad: ABC of Diabetes, Sixth Edition by Tim Holt, Sudhesh Kumar

By Tim Holt, Sudhesh Kumar

ISBN-10: 1405177845

ISBN-13: 9781405177849

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Sample text

26% bicarbonate should be given in 500 ml. Insulin infusion should be continued until the patient is ready to eat. At this point the patient should be given subcutaneous insulin and after the meal, IV insulin is discontinued. One should aim to ensure patients have ketone-free urine before discharge. The underlying condition needs to be sought and treated and sick day rules (page 45) should be reinforced to the patient to avoid the same occurring again. ‘Brittle diabetes’ A small number of patients have very unstable diabetes that completely disrupts their lives, with repeated admissions to hospital due to either DKA or hypoglycaemia.

26% bicarbonate should be given in 500 ml. Insulin infusion should be continued until the patient is ready to eat. At this point the patient should be given subcutaneous insulin and after the meal, IV insulin is discontinued. One should aim to ensure patients have ketone-free urine before discharge. The underlying condition needs to be sought and treated and sick day rules (page 45) should be reinforced to the patient to avoid the same occurring again. ‘Brittle diabetes’ A small number of patients have very unstable diabetes that completely disrupts their lives, with repeated admissions to hospital due to either DKA or hypoglycaemia.

Keep intake of dietary cholesterol to <300 mg/day 6. Replace saturated fats by an increased intake of monounsaturated fats 7. Increase intake of fresh fruit and vegetables to at least five portions per day 8. Regular intake of fish and other sources of omega-3 fatty acids (at least two servings of fish per week) 9. Limit alcohol intake to <21 units/week for men or <14 units/week for women 10. 4 g of sodium per day) 11. Regular aerobic physical activity of at least 30 minutes per day, most days of the week, should be taken (for example, fast walking/swimming) Colhoun HM, Betteridge DJ, Durrington PN, et al.

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ABC of Diabetes, Sixth Edition by Tim Holt, Sudhesh Kumar


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