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Doody's Review ServiceReviewer: Siu-Ling Ma, MD (University of Chicago Medical Center)
Description: Since it was first published in 1999, this book has provided primary care physicians with a comprehensive set of guidelines for managing diabetes. The DecisionPaths in the book cover issues ranging from gestational diabetes to type 1 and type 2 diabetes in both children and adults, and include all aspects of care from nutrition to diabetic neuropathy.
Purpose: In response to primary care providers' desire for diabetes management guidelines, the authors have successfully created a set of evidence-based algorithms. Their goal is to provide a more consistent approach to the screening and treatment of diabetes and its complications.
Audience: The authors write in a simple, easy to understand style that is appropriate for all primary care providers, medical students, and even the lay public who have an interest in diabetes.
Features: The book is thorough in its coverage. Traditional topics are addressed, such as oral hypoglycemic agents and insulin therapy, as well as broader topics, with guidelines for such issues as hospitalizations, oral fungal infections, exercise planning, and assessment for psychological issues. The book is especially noteworthy for the many algorithms that address such relevant issues as how to titrate the doses of oral hypoglycemic agents, when to initiate insulin therapy, and how to specifically adjust dietary items to achieve a particular glycemic goal.
Assessment: The evidence-based guidelines provided here will quickly help primary care providers in caring for patients with all aspects of diabetes. The revised second edition provides information on the most up-to-date therapies.