Cover -- Welcome to Vital Diabetes -- Contents -- 1 The impact of living with type 2 diabetes -- 2 Insights into type 2 diabetes -- 1 United Kingdom Prospective Diabetes Study (UKPDS) -- 2 Prevalence and incidence of type 2 diabetes in the UK (Poole 1998) -- 3 Primary care diabetes - a national survey -- 4 The Heart Protection Study (2003) -- 3 National Service Frameworks and NICE -- Standards -- Implementation of the NSF -- The National Institute for Clinical Excellence -- 4 Screening and identification -- Prevalence and screening -- Identification -- Where and how people present in primary care -- Diagnostic criteria -- Impaired fasting glucose and impaired glucose tolerance -- Criteria for referral -- Breaking the news -- Patient and carer information: what is diabetes? -- 5 Early management of type 2 diabetes -- The metabolic syndrome -- Hypertension -- Assessing and examining the newly diagnosed patient -- Patient and carer information: first steps -- What to do next: ongoing management plan -- Patient and carer information: ongoing management -- 6 Educating patients about managing type 2 diabetes -- Myths and misconceptions -- Encouraging self-management -- Education checklist: the primary care team -- Cultural issues -- Patient and carer information: lifestyle issues -- 7 Longer term management of type 2 diabetes -- Targets for good blood glucose control -- Treatment plan for type 2 diabetes -- Treatment with tablets -- 8 How to control blood glucose levels -- Understanding hyperglycaemia -- Patient and carer information: monitoring your diabetes -- Understanding hypoglycaemia -- Patient and carer information: hypoglycaemia -- 9 How to reduce long-term complications of diabetes -- Heart and major vessel disease -- Patient and carer information: looking after your heart -- Feet -- Patient and carer information: looking after your feet.

Diabetic retinopathy -- Patient and carer information: looking after your eyes -- Diabetic nephropathy -- Autonomic neuropathy and sexual dysfunction -- Patient and carer information: sexual issues -- Impact of the menopause: recommendations -- 10 How to manage type 1 diabetes -- Presentation and diagnosis -- Dose Adjustment for Normal Eating (DAFNE) -- Children and young people: main issues -- 11 How to manage pregnancy and gestational diabetes -- Pregnant women with diabetes -- Gestational diabetes mellitus (GDM) -- 12 Living with diabetes -- Patient and carer information: immunisation -- Patient and carer information: dental care -- Family planning advice (for women) -- Patient and carer information: driving -- Patient and carer information: occupational licences -- Patient and carer information: travelling abroad -- Patient and carer information: life insurance -- 13 Emergencies and illness -- Emergencies -- Patient and carer information: what to do when you're ill -- 14 Diabetes care and general practice -- Practice and shared protocols -- Audit and quality control monitoring -- The primary health care team -- Appendix 1 Self-monitoring: blood glucose and urine -- Appendix 2: Specimen agreed protocols with secondary care -- Appendix 3 The GP Contract: Clinical Quality indicators for diabetes -- Glossary of terms -- Resources -- Self-help for the primary care team -- Useful reports/key references -- Companies and organisations -- Insurances, finance and pensions.