To further the understanding of HbA1c measurements, the editors have summarised the important issues and then appended a number of case studies involving a wide range of patients from children to the elderly, showing the measurements in both the ‘old’ and ‘new’ units. These cover a wide range of diabetes-related conditions and describe the treatment plans and follow-up. This book will be a useful resource for all those involved in diabetes care as they come to terms with IFCC reporting.
Introduction 1
Case studies
1: Diagnosis and early management of type 1 diabetes in a young child 29
2: Management of an elderly patient, housebound and living alone 30
3: Gestational diabetes 31
4: Weight loss and improved glycaemic control 32
5: Type 2 diabetes in a child 33
6: Weight reduction 34
7: Improved glycaemic control 35
8: Risk of hypoglycaemia in a patient in a unit for the elderly mentally ill in a nursing home 36
9: Structured education for type 1 diabetes 37
10: Woman with family history of raised cholesterol and diabetes 38
11: Type 1 diabetes in a child 39
12: Poor glucose control with microvascular complications 40
13: Renal failure and cardiovascular disease in an Asian patient 41
14: Type 1 diabetes in a teenage girl concerned about weight 42
15: Glycaemic control through patient empowerment 43
16: Diagnosis and early management of type 2 diabetes in patient with acute coronary syndrome 44
17: Incretin or insulin? 45
18: Type 2 diabetes and pregnancy 46
19: Deterioration of pre-existing diabetes in a patient on low dose quetiapine 47
20: Low HbA1c and risk of hypoglycaemia 48
21: Rapid changes in glycaemic control and retinopathy 49
22: Type 1 diabetes in a young man moving from paediatric to young adult services 50
23: Monitoring glycaemic control: HbA1c or fructosamine 51
24: Prepregnancy and pregnancy in type 1 diabetes 52
25: Maturity onset diabetes of the young, subtype HNF1A (HNF1A-MODY) 53
26: ‘Overtreating’ type 2 diabetes 54
27: Diabetes and an elevated triglyceride concentration 55
28: Multiple therapies leading to bariatric surgery 56
29: Optic neuropathy 57
30: Uncertainty around the estimate of average plasma glucose from HbA1c 58
31: Antipsychotics 59
32: Abnormal liver function in a patient with type 2 diabetes 60
33: Fructosamine in diabetic nephropathy 61
34: Recurrent hypoglycaemia caused by secondary adrenal insuffi ciency 62
35: A patient with diabetes taking niacin 63
36: Tight glycaemic control leading to nocturnal hypoglycaemia 64
37: Diabetes and iron-defi ciency anaemia 65
38: Deterioration in vision after commencing insulin treatment: the early worsening phenomenon 66
39: Type 1 diabetes – worsening glycaemic control on introduction of a pump? 67
40: Monitoring glycaemic control in a patient with sickle cell trait 68
41: Balancing fear of hypoglycaemia with optimal control in pregnancy 69
42: Asian patient with high-risk feet and suboptimal glycaemic control 70
43: Type 2 diabetes and polycystic ovarian syndrome 71
44: Impact of variant haemoglobin AC on HbA1c determination 72
45: Diabetic nephropathy 73
Colour plates related to case studies 29 and 38
Thermometer relating HbA1c to the complications of type 2 diabetes
Conversion table for HbA1c from IFCC to DCCT-aligned units
Book Details
- Paperback: 88 pages
- Publisher: Wiley-Blackwell; 1 edition (April 6, 2010)
- Language: English
- ISBN-10: 1444334441
- ISBN-13: 978-1444334449
- Product Dimensions: 8.8 x 5.8 x 0.2 inches