Abstract

This article is the third in a series of three in-depth literature reviews on diabetes. The first article (Vol 12(18): 1091-5) detailed the history of diabetes from the first recorded mention of the disease in the Ebers papyrus through to the discovery of insulin. The second (Vol 12(19): 1137-41) dealt with the history of insulin over the past 80 years and the development of possible alternatives. This final article in the series details the new classifications for diabetes and addresses the aetiology, pathophysiology and complications of the disease. While discussing both type 1 and type 2 diabetes, the article concentrates on the newly defined type 1 diabetes mellitus. An examination of the recently released National Service Framework for Diabetes: Delivery Strategy (DoH, 2003) is included, healthcare provision is discussed, as is the role of the diabetes specialist nurse. An insight is given into the challenges and opportunities available for healthcare practitioners to work in partnership to reform the way in which diabetes services are managed.

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