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Doody's Review ServiceReviewer: Karen M. Green, BSN, MSN (University of Chicago Medical Center)
Description: This handbook not only comprises a multidisciplinary approach to diabetes management, but also addresses diabetes as a public health problem with solutions for prevention and treatments sensitive to diverse community needs. The sections on nutrition and self-management have convenient patient education material inserted in evidence-based provider guidelines; the figures and tables throughout concisely summarize chapter contents.
Purpose: The purpose is to provide persons involved in public policy, community health, clinical management, and ancillary healthcare with a comprehensive, evidence-based, community driven reference on diabetes in all its complexity. This book goes beyond the chronicity and complications for persons with diabetes to include prevention, self-management, cultural nuances, and special cases. It also reflects the effect diabetes has on the community, the healthcare system, and access to care. The book meets the authors' objectives.
Audience: The target audience is rather broad and includes medical practitioners, diabetes educators, public health nurses, and policy makers in finance and insurance. The organization of the book makes the content pertinent to each audience easy to find. The contributors are experts in their field and the editors have extensive background in the public health arena.
Features: The book presents diabetes as a community and public health problem of epidemic proportions. It explains the complexity of the disease process; the multifaceted treatment including diet, exercise, medicine, and self-management; and the effect culture, beliefs, and readiness for change have on patient outcomes. In addition, there is discussion of the direct and indirect cost diabetes has upon the community. The tables, figures, and patient education material is noteworthy. The section on medical therapies is brief, more of a listing than in-depth coverage, which does not conform to the detail provided in the rest of the book.
Assessment: This book is unique in its approach to the problem of diabetes. It views diabetes from a community or public health perspective. Its sections on cost, both direct and indirect, cultural diversity, prevention, and raising public awareness broadens the clinician's knowledge base. It summarizes effectively the pathophysiology, nutritional, exercise, and self-management aspects of diabetes and diabetes management.