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    Individualized diabetes management : a guide for primary care / Anthony Barnett, Jenny Grice.

    • Title:Individualized diabetes management : a guide for primary care / Anthony Barnett, Jenny Grice.
    •    
    • Author/Creator:Barnett, A. H. (Anthony H.), 1951- author.
    • Other Contributors/Collections:Grice, Jenny, author.
    • Published/Created:Boca Raton, FL : CRC Press, Taylor & Francis Group [2016]
    • Holdings

       
    • Library of Congress Subjects:Diabetes--Treatment--Great Britain.
    • Medical Subjects: Diabetes Mellitus, Type 2--epidemiology.
      Diabetes Mellitus, Type 2--therapy.
      Precision Medicine.
      Primary Health Care.
      United Kingdom.
    • Description:xiv, 115 pages ; 20 cm
    • Notes:Includes bibliographical references and index.
    • ISBN:9781498762090 paperback ; alkaline paper
      1498762093 paperback ; alkaline paper
    • Contents:Machine generated contents note: 1. Type 2 diabetes: epidemiology, complications and costs
      Epidemiology
      Diabetes complications
      Costs
      References
      2. Challenges to glycaemic control
      Type 2 diabetes is a progressive disease
      Adherence to management plans
      Clinical inertia
      Provider barriers
      Patient barriers
      System barriers
      Overcoming clinical inertia
      References
      3. Barriers to adherence and their solutions
      Which patients are most at risk of non-adherence?
      Age-related morbidities
      Lifestyle challenges
      Change in situation
      Loss or lack of motivation
      Depression
      Ethnicity
      Poor perception and knowledge of disease
      Problems with therapy
      Complexity of dosing regimen
      Fear of injections
      Safety and tolerability
      Lack of knowledge
      How to question patients about non-adherence
      Tailor adherence solution to non-adherence problem
      Conclusions
      References
      4. Advantages and disadvantages of new therapies
      Older therapies
      Metformin
      Modified-release metformin
      Sulphonylureas
      Meglitinides
      Thiazolidinediones (glitazones)
      Alpha-glucosidase inhibitors
      Newer therapies
      Incretin-based therapies
      DPP-4 inhibitors
      GLP-1 receptor agonists
      SGLT-2 inhibitors
      Combination therapy with newer agents
      References
      5. New insulin developments
      Basal insulins
      Biosimilar insulins
      Insulin degludec
      Glargine U300
      Rapid-acting insulin analogues
      Ultra-rapid-acting insulin analogues
      Inhaled insulin
      Conclusions
      References
      6. Personalised management
      Factors to consider in personalised diabetes management
      Lifestyle management
      Pre-diabetes
      Diagnosed type 2 diabetes
      Pharmacotherapy
      Early and intensive treatment with initial combination therapy
      Advantages of a personalised approach
      References
      7. Organisation of diabetes care
      Role of the primary care team in multi-professional care
      Aims of integrated care
      Personalised care planning
      Preparing for a care planning discussion
      References.
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