Journey through Diabetes

Journey through Diabetes

ISBN: 9781908995025
September 2013
RRP: £12.95
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About the Book

Diabetes Mellitus is one of the most common severe diseases in the world affecting over 300 million people.  Diabetes is a disorder causing high blood sugar levels which causes damage to body tissues and organs.  It is linked to lifestyle and the incidence is rising steadily.  It is a complicated and chronic condition which can have a number of medical complications.  Fortunately it can be well controlled and the better the illness is managed, the less likely the complications are to arise.  Sensible lifestyle choices and correct medical management are vital.


Dr Cowap translates medical language into a highly readable narrative that can be easily understood by the layperson.  Using case examples, we follow people through the different stages of their diabetes, from the first sign of ill health, through diagnosis and the various forms of treatment.  Different case vignettes illustrate the classical type 1 and type 2 diabetes, diabetes of childhood, diabetes of pregnancy and the less well known forms of diabetes.



About the Author

Dr Cowap is an experienced doctor in the National Health Service working in general practice and as a diabetes specialist.  Dr Cowap uses her perspective and experience as a GP to give the reader information in digestible form about the complexities of diabetes to enable them to ask the right questions, take control of their condition and better maintain their health.


Complete Table of Contents





1.1           Introduction.

                  i.               Brief description of nature of disease.

ii.              Brief description of types of diabetes.

iii.            Demographics – Prevalence figures U.K & worldwide. Obesity epidemic..

iv.             Outline of book.


1.2.         Pre-Diabetes

                  i.               Case scenario 1 - Diabetes diagnosis.

ii.              Who is at risk for type 2 diabetes?

iii.            Diabetes prevention.


1.3.         Type 2 Diabetes – Presentation

                  i.               Case scenario 1 – opportunistic diagnosis

                  ii.              Case scenario 2 – presentation with symptoms


1.4.         Type 1 Diabetes - Presentation

                  i.               Case scenario 9 – presentation in childhood

                  ii.              Case scenario 10 – presentation in adulthood with DKA


1.5.         Rarer forms of Diabetes – Presentation

i.               Case scenario 3 – iatrogenic (drug induced)

                  ii.              Case scenario 4 – MODY

                  iii.            Case scenario 5 – Endocrine causes ( Cushing’s)

                  iv.             Case scenario 6 – Pancreatic causes (chronic pancreatitis)

                  v.              Case scenario 7 – Gestational diabetes.

                  vi.             Case scenario 8 - LADA




2.1.         Lifestyle Modification and the Management of Obesity

                  i.               Diet (2)

                  ii.              Exercise (2)

                  iii.            Orlistat.

                  iv.             Bariatric surgery

                  v.              Smoking and alcohol


2.2.         Oral Hypoglycaemic Drugs

i.               Metformin (2)

ii.              Sulphonylureas (1)

iii.            Pioglitazone (2)

iv.             Incretin mimetics (1)

v.              Less commonly prescribed drugs – acarabose, naglitinides.

vi.             Monitoring of glycaemic control


2.3.         Insulin

                  i.               Indications for insulin (1)

                  ii.              Pros and cons of insulin.

                  iii.            Different type of insulin.

                  iv.             Storage and administration of insulin.

                  v.              Insulin pumps

vi.             Self-monitoring of blood glucose.


2.4.         Diabetes in Special Circumstances

                  i.               Pregnancy (7)

                  ii.              Childhood  (9)

                  iii.            Case scenario 11 – adolescence

                  iv.             Elderly (1)

                  v.              Hospital in-patients (2)




3.1.         Acute Metabolic Complications

                  i.               Hypoglycaemia

                  ii.              Hyperosmolar state

                  iii.            Diabetic ketoacidosis


3.2.         Microvascular Complications

                  i.               General

                  ii.              Retinopathy & other causes of diabetic eye disease. (9)

                  iii.            Nephropathy (9)

                  iv.             Neuropathy (10)

                  v.              Sexual dysfunction (10)

                  vi.             Diabetic foot disease (1)


3.3.         Macrovascular Complications

                  i.               The risk of cardiovascular disease.

                  ii.              Cholesterol reduction

                  iii.            Blood pressure management

                  iv.             Aspirin

                  v.              Treatment after a heart attack




Future Developments

                  i.               Artificial pancreas

                  ii.              New drugs

                  iii.            Pancreatic, islet cell and stem cell transplants





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