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10-minute consultation Type 2 Diabetes 3rd edition
by R Gadsby, DW Haslam, K Khunti, M Kirby, M Mead
10-minute consultation
Book (96 Pages)
March 2015
Type 2 diabetes mellitus accounts for approximately 90% of the population of patients with diabetes mellitus. Considering the clinical consequences of leaving diabetes mellitus untreated in terms of patient health and long-term healthcare costs, the need for GPs to correctly identify and treat type 2 diabetes mellitus is great. Some patients with type 2 diabetes mellitus are unable to control their disease with diet and exercise alone and thus require drug therapy.

The 10-minute consultation: type 2 diabetes mellitus provides a holistic approach to the assessment and management of type 2 diabetes mellitus, outlining the principles for good history taking and stressing the importance of ongoing patient review and recall to ensure delivery of high-quality, evidence-based treatment within the standard '10-minute' framework.

The clinician's manual can be used in the clinic and for studying, containing targeted guidance on all aspects of the primary care clinician's role. Written by experienced key opinion leaders, the book supports everyday patient care and improved outcomes.

Roger Gadsby is a leading international primary care physician in diabetes, Associate Clinical Professor at Warwick Medical School, UK, and a founder member of the Primary Care Diabetes Society in the UK.

David W. Haslam is a general practitioner with a special interest in obesity and cardiometabolic disease, Physician in Obesity Medicine at the Centre for Obesity Research at Luton & Dunstable Hospital, and Chair of the National Obesity Forum, UK.

Kamlesh Khunti is Professor of Primary Care Diabetes & Vascular Medicine and Head of Division of General Practice & Primary Health Care at the University of Leicester, UK. He is also currently an advisor to the Department of Health's National Screening Committee on Vascular Risk and Chair on the NICE Prevention of Diabetes Guideline Group.

Michael Kirby is a general practitioner at The Nevells Road Surgery in Letchworth, UK, and Director of HertNet, The Hertfordshire Primary Care Research Network.

Mike Mead is a general practitioner at the Park Drive Health Centre in Leicester, UK.
1. Introduction
What is the spectrum of disease?
What is the burden of type 2 diabetes mellitus?
2. Who and what to test
Screening and case fi nding
What issues should the general practitioner (GP)
cover during the 10-minute consultation?
Target-organ damage and complications of
type 2 diabetes mellitus
Assessment of CV risk
Differential diagnosis: the metabolic syndrome,
PCOS and nonalcoholic steatohepatitis (NASH)
3. How to manage the person with type 2
diabetes mellitus
Who to treat?
How to treat?
What are the treatment targets?
General lifestyle advice
Blood glucose levels and type 2 diabetes mellitus
Other prophylactic drug therapies
What are the benefi ts of treating co-morbidities/multiple
CV risk factors?
Other co-morbidities: depression
4. Person-centred care
How to identify the patient’s beliefs about type 2
diabetes mellitus and its complications (their
concerns and expectations)?
What are the patient’s cultural beliefs and practices?
How to recognise nonconcordance with
management strategies?
Are any treatments particularly appropriate?
5. Applying the evidence
What are the implications of the international
best-practice guidelines for GPs?
Selected landmark studies
What are the primary care prescribing options for
treating to target in type 2 diabetes mellitus: a summary
When to refer?
6. Review and recall
What ongoing patient care, monitoring and follow-up
are necessary?
What roles do other key healthcare workers have in
managing the patient?
What is the role of information technology (IT)?
What is the role of the expert patient?
Monitoring performance and the quality of care
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