This volume outlines what is meant by terms such as 'evidence based practice', 'systematic review', 'efficacy', 'effectiveness'. It summarises, in a systematic fashion, the current evidence on diabetes prevention and care to enable the reader to improve their professional practice. Furthermore, it promotes a critical attitude to the assessment of evidence and engenders enthusiasm for 'lifelong learning'. It also advises clinicians on what to do when there is little available evidence. Chapters consider the evidence base for the definition and classification of diabetes, as well as prevention, identification, treatment, education in IDDM and NIDDM. The final chapters look at the practical implications of translating this evidence into practice in different environments with different health care systems and different economic levels. This is the first book to present an evidence-based approach to diabetes Examines the evidence base for the definition and classification of diabetes, as well as prevention, iden tification, treatment, and education in IDDM and NIDDM Looks at the practical implications of translating this evidence into practice in different environments The editors are leaders in the move towards evidence-based diabetes care

This volume outlines what is meant by terms such as 'evidence basedpractice', 'systematic review', 'efficacy', 'effectiveness'. Itsummarises, in a systematic fashion, the current evidence ondiabetes prevention and care to enable the reader to improve theirprofessional practice.Furthermore, it promotes a critical attitude to the assessmentof evidence and engenders enthusiasm for 'lifelong learning'. Italso advises clinicians on what to do when there is littleavailable evidence. Chapters consider the evidence base for thedefinition and classification of diabetes, as well as prevention,identification, treatment, education in IDDM and NIDDM.The final chapters look at the practical implications oftranslating this evidence into practice in different environmentswith different health care systems and different economiclevels.* This is the first book to present an evidence-based approach todiabetes* Examines the evidence base for the definition andclassification of diabetes, as well as prevention, iden tification,treatment, and education in IDDM and NIDDM* Looks at the practical implications of translating thisevidence into practice in different environments* The editors are leaders in the move towards evidence-baseddiabetes care

The Evidence Base for Diabetes Care. (Williams et al)PART I: EVIDENCE-BASED DEFINITION AND CLASSIFCATION.Classification of Diabetes. (de Courten)Evidence-Based Definition and Classification: A Commentary.(O'Rahilly)PART II: PREVENTION OF DIABETES.Prevention of Type 1 Diabetes. (Skyler)Can Bombing the Immune System Achieve Lasting Peace in thePancreas? A Commentary. (Gale)Prevention of Type 2 Diabetes. (Hamman)Missed and Newly Recovered Potential for the Prevention of Type 2Diabetes: A Commentary. (Tuomilehto)PART III: EARLY DETECTION, SCREENING AND CASE FINDING IN TYPE 2DIABETES.The Evidence for Type 2 Diabetes Mellitus. (Engelgau andNarayan)Understanding and Avoiding the Adverse Psychological Effects ofScreening: A Commentary. (Marteau)PART IV: GESTATIONAL DIABETES.Gestational Diabetes Mellitus. (McCance)Gestational Diabetes Mellitus: A Commentary. (Buchanan)PART V: GLYCAEMIC CONTROL.Can Intensive Glycaemic Management in Type 1 Diabetes ReduceMorbidity and Mortality? (Herman)Intensive Glycaemic Management of Type 1 Diabetes: A Commentary.(Frier)Does Tight Control of Hyperglycaemia Limit Mortality in Type 2Diabetes? (Adler)Does Tight Control of Hyperglucaemia Limit Mortality in Type 2Diabetes? A Commentary. (Jarrett)PART VI: PREVENTION OF COMPLICATIONS.The Effectiveness of Interventions Aimed at Weight Loss, and OtherEffects of Diet and Physical Activity in Achieving Control ofDiabetes and Preventing its Complications. (Wareham)Prevention of Hypertension. (Fuller)Prevention of Hyperlipidemia. (Orchard and Fried)What is the Evidence that Changing Tobacco Use Reduces theIncidence of Diabetes Complications? (Wingard et al)Prevention of Complications: A Commentary. (Simmons)PART VII: THE TREATMENT OF ESTABLISHED COMPLICATIONS.The Treatment of Retinopathy. (Johnson and Kurtz)The Treatment of Nephropathy. (Ojo)The Treatment of Periodontal Disease. (Taylor and Grossi)Treatment of Diabetic Neuropathy: The Evidence Base. (Simmons andFeldman)Cardiac Complications and their Management in Patients withDiabetes Mellitus. (Mehta et al)The Treatment of Cerebrovascular Disease. (Hickenbottom)The Treatment of Peripheral Vascular Disease. (Hamdan andPomposelli)Epidemiology of Diabetic Foot Ulcers and Amputations: Evidence forPrevention. (Reiber and Ledoux)Can Established Diabetic Complications be Reversed? The Evidencefor Secondary Prevention. (Shaw)PART VIIIl DELIVERY OF CARE.What is the Evidence that Increasing Participation of Individualsin Self-Management Improves the Processes and Outcomes of Care?(Roter and Kinmouth)Promoting Self-Management in Primary Care Settings: Limitations andOpportunities: A Commentary. (Goldstein)Delivering Care to the Population. (Griffin and Williams)Delivering Care to the Population: A Commentary. (Rosenqvist)PART IX: CONTINUING EDUCATION.Keeping up to date through Lifelong Learning. (Pencheon andWright)Index.