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Doody's Review ServiceReviewer: Sharon Y. Wu, MD (University of Chicago Medical Center)
Description: "This is an easy-to-read guide to understanding metabolic emergencies in diabetes mellitus. Each chapter includes a brief review of the pathophysiology followed by a description of the key clinical findings, diagnosis, and clinical management. Algorithms throughout the book illustrate management decisions. Salient points are outlined in tables and important take-home points are highlighted by boxes. "
Purpose: The purpose is to present the salient features of diabetic emergencies in an easy-to-read, accessible format. This book is designed to fit conveniently into the pocket of a white coat and to be available as a quick reference, especially in the emergency department. This goal is an important and worthy one, as metabolic emergencies in diabetes are extremely prevalent, challenging to manage, and can result in high morbidity and mortality. The authors provide a clear, concise, evidence-based handbook of diabetic emergencies that is useful for physicians and nurses involved with inpatient and emergency medicine.
Audience: "This book is targeted at practitioners of all levels who are involved in hospital-based medicine. This easy-to-read reference is appropriate for medical students and residents who are in training as well as the attending physician. According to the editor, it is useful for junior and senior hospital doctors across a wide range of specialties as well as nurses involved in diabetic care. Practitioners in the emergency department and on the wards who see these cases frequently will benefit most from this guide. The index provides a way to quickly answer questions in an emergency situation. The authors are experienced physicians and investigators who are credible authorities in their field. "
Features: "The topics covered include emergencies seen in both type 1 and type 2 diabetics. Hyperglycemic conditions such as diabetic ketoacidosis and hyperosmolar non-ketotic hyperglycemia as well as iatrogenic hypoglycemic disorders are covered. In addition, there is a chapter on diabetic management during surgery, myocardial infarction, and labor, all of which are topics frequently prompting endocrinologic consultation. Diabetic ketoacidosis and insulin-induced hypoglycemia are particularly well covered. The boxes of highlighted text throughout each chapter are particularly helpful in emphasizing important points. In addition, the many useful algorithms will aid in management decisions. A short list of recommended further reading consisting of up-to-date articles is provided at the end of each chapter. "
Assessment: This book is not a comprehensive in-depth guide on diabetes management and is not written for this purpose. It is a quick reference for the practicing clinician on the medical wards or the emergency room. There are few books written with the emphasis on emergency and inpatient diabetes care. This one does an excellent job in covering this important topic and will be useful to practitioners in both medical and surgical specialties.