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Pediatrics: office management of diabetes mellitus in children.

For children with diabetes and their families, education should start immediately upon diagnosis of the disease or recovery from the initial episode of ketoacidosis and should be directed specifically toward childhood diabetes. The physician or nurse should be accessible by phone at all times in case of severe hypoglycemia or ketoacidosis. Nonemergency problems are handled during routine office visits, which should be scheduled regularly every three months. Measures important to good control include accurate daily testing of urine, proper choice and careful regulation of insulin, and maintenance of a well-balanced diet consistent in total intake and meal and snack times. Children who stay involved with peer groups and activities maintain a healthier attitude toward living with their disease.

Ambulatory Care

Office management of cardiac disease in the diabetic.

Atherosclerotic vascular disease is very common in diabetic patients. It often occurs at an earlier age and is more severe than in nondiabetic individuals. The medical management of cardiac disease in diabetics is much the same as in nondiabetics. Risk factors such as obesity, hypertension, and hyperlipidemia must be vigorously treated, and smoking should be restricted.

Angina Pectoris

Management by objectives for the dental office.

Management by objectives is a better way to run a dental practice. The required planning will take additional time in the initial stages but can save a great deal of time in the long run. The major requirement is the establishment of specific measurable objectives over a defined period of time. Encouraging your staff to participate whenever possible will result in better objectives, more commitment, and greater motivation. By stating where you want to go and developing plans to reach this destination, you will be able to work smarter and not harder.

Dental Assistants