THE HANDS-ON GUIDE TO DIABETES CARE IN HOSPITAL

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.

Contents
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 ACS (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’)
18 Converting from VRIII to subcutaneous insulin
19 Writing safe insulin prescriptions
20 Insulin preparations in use 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