Clinical Case Database / Category: Patient Management
Newly diagnosed type 2 diabetes
Publication details
Dr Tahseen A Chowdhury MD, FRCP, Dr Ahmad Moolla MRCP
Foundation Years Journal, volume 8, issue 5, p.50 (123Doc Education, London, May 2014)
Abstract
We focus on a 53 year-old man admitted to hospital with an acute coronary syndrome whose random capillary blood glucose is found to be 18 mmol/L. We discuss the diagnostic tests required to diagnose diabetes, and describe the acute management of hyperglycaemia and well as subsequent in hospital and community based management required for such patients with a new diagnosis of type 2 diabetes.
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Authors
Dr Tahseen A Chowdhury MD, FRCP
Consultant in Diabetes and Metabolism,
Department of Diabetes and Metabolism,
7th Floor, John Harrison House, The Royal London Hospital,
Whitechapel, London, E1 1BB.
tahseen.chowdhury@bartsandthelondon.nhs.uk
Dr Ahmad Moolla MRCP
Specialist Trainee in Diabetes and Endocrinology,
Department of Diabetes and Metabolism,
7th Floor, John Harrison House, The Royal London Hospital,
Whitechapel, London, E1 1BB.
moolla.ahmad@gmail.com
References
1. World Health Organisation 2011. Use of glycated haemoglobin (HbA1c) in the diagnosis of diabetes mellitus. Abbreviated report of a WHO consultation. WHO Geneva. http://www.who.int/diabetes/publications/report-hba1c_2011.pdf Accessed 19.03.14.
2. Gholap N, Davies MJ, Mostafa SA, Squire I, Khunti K. A simple strategy for screening for glucose intolerance using glycated haemoglobin in individuals admitted with acute coronary syndrome. Diabet Med 2012;29:838-43.
3. National Institute for Health and Clinical Excellence CG130, Oct 2011. Hyperglycaemia in acute coronary syndromes. http://www.nice.org.uk/nicemedia/live/13589/56817/56817.pdf Accessed 19.03.14.
4. Malmberg K, Ryden L, Wedel H et al. Intense metabolic control by means of insulin in patients with diabetes mellitus and acute myocardial infarction (DIGAMI 2): effects on mortality and morbidity. Eur Heart J 2005;26:650-61.
5. The management of type 2 diabetes. National Insititute for Health and Care Excellence. CG87, May 2009. http://www.nice.org.uk/nicemedia/live/12165/44322/44322.pdf. Accessed 19.03.14.
6. The management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes. Joint British Diabetes Societies, Inpatient Care Group, August 2012 http://www.diabetologists-abcd.org.uk/JBDS/JBDS_IP_HHS_Adults.pdf Accessed 19.03.14.
7. Diabetes UK, Improving services & standards, State of the Nation 2012; http://www.diabetes.org. uk/Documents/Reports/State-of-the-Nation-2012.pdf Accessed 19.03.14.
8. Inzucchi SE, Bergenstahl RM, Buse JB et al. Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach. Position Statement of the American Diabetes Association (ADA) ) and the European Association for the Study of Diabetes (EASD). Diab Care 2012;35:1364-79.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.