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ABC of Diabetes, Sixth Edition by Tim Holt, Sudhesh Kumar PDF

By Tim Holt, Sudhesh Kumar

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5 Reductions in outcomes attributable to reduced blood pressure in UKPDS. Reproduced from UK Prospective Diabetes Study (UKPDS) Group. BMJ 1998;317:703–13 with permission from the BMJ Publishing Group Ltd. 2). 3). 3). Stroke risk was reduced by 48%, and the treatment effect was independent of the pre-treatment cholesterol value. 0 mmol/l Note that LDL can only be measured accurately on a fasting sample (like triglycerides), but for most monitoring purposes random total cholesterols are adequate once control is achieved.

This reduces the risk of mistakes made while mixing insulin and is also more convenient. 1. The choice of a mixture is dependent on the patient’s life-style and meal patterns. Similarly, the selection of particular insulins for a patient is also made bearing in mind the patient’s particular circumstances and also their preferences in terms of choice of device, and frequency of injection. 1 Commonly used types of insulin, with examples.

This should be complemented with life-style advice to increase exercise and reduce weight and salt and alcohol consumption if appropriate. Choice of initial antihypertensive therapy Patients with diabetes whose blood pressure is not within the 140/80 target should be offered antihypertensive drug therapy. First line choice should be an angiotensin converting enzyme (ACE) inhibitor unless the person is of Afro-Caribbean descent, or if there is a possibility of pregnancy. In such cases a calcium channel blocker is appropriate.

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