Living with Diabetes I : The British Diabetic Association Guide for those Treated with Insulin Book

	Acknowledgements	ix
1	Introducing Diabetes	1
	About diabetes	1
2	Type 1 (Insulin Dependent) Diabetes	9
	Normal glucose control in the body	9
	How does insulin work?	13
	What happens without insulin?	17
	Why treatment and good control of glucose need to be maintained	22
3	Controlling Your Diabetes	25
	Eliminating symptoms	26
	Preventing late complications	26
	Insulin	27
	Timing of meals	42
	Diet	44
	Healthy eating--putting it into practice	51
	Summary	65
4	Is Your Treatment Effective?	67
	Why you need to carry out tests	68
	Blood tests versus urine tests	68
	Blood tests	68
	Urine tests	75
	Watching your weight	78
	A final comment	78
5	Keeping Good Control	79
	When should you make adjustments?	79
	Should you make changes yourself?	81
	What types of adjustments might be necessary?	81
	Summary	88
6	Multiple Injection Treatment	89
	The advantages of increasing the number of injections	89
	How to use multiple injections	91
	Calculating doses	92
Case history 1	Coping with variable meals and work	93
Case history 2	Night working	96
Case history 3	Difficulties with control	97
Case history 4	Starting a new or different job	99
Case history 5	Intense physical activity	100
	Summary	102
7	What Can Go Wrong?	103
	Ketoacidosis or severe lack of insulin	103
	Hypoglycaemia	106
	Recognising hypoglycaemia	108
	Treatment of hypoglycaemia	109
	Preventing hypoglycaemia	114
	General approach and attitudes	116
	Some final comments	117
	A word of warning	118
8	The Long-Term Effects of Diabetes and Your General Health	119
	Damage to the eyes	120
	Damage to the feet	122
	Painful neuropathy	126
	Impotence	126
	Other rare problems due to neuropathy	127
	Damage to the kidneys	128
	Arterial disease and high blood pressure	128
	Diabetes and other illnesses	130
	Clinic attendance	132
	Regular medical review	132
	Summary	135
9	Marriage, Pregnancy, Parenthood and Contraception	137
	Marriage	137
	Pregnancy	140
	Contraception	145
10	Diabetes in Children and Adolescents	149
	Childhood diabetes	149
	Diabetes and small children	150
	School and diabetes	159
	Older children with diabetes	170
	Children with diabetes and other illnesses	174
	Diabetes and your other children	176
11	Diabetes and Your Daily Life	179
	Will it affect my work?	179
	Financial considerations	182
	Sport and outdoor activities	183
	Travel, holidays and diabetes	187
	Emigration	197
	Social life	197
	Driving	198
	Diabetes and smoking	202
	Diabetes and drugs	202
12	The British Diabetic Association	205
	The BDA's history	206
	Providing care and advice	206
	Sharing experiences	209
	Spreading the word	210
	Fighting discrimination	212
	Leading the way to better care	214
	Searching for a cure	215
	How you can help	216
	Regional offices	217
	Index	221