Book Review

Stop the Rollercoaster: How to Take Charge of Your Blood Sugars in Diabetes

John Walsh, PA, CDE; Ruth Roberts, MA; Lois Jovanovic-Peterson, MD; and Timothy Bailey, MD, FACP
Torrey Pines Press

This reference is a must for pharmacists with diabetic patients and patients whose insulin therapy is not well controlled. It is written for type 1 and type 2 diabetics who use insulin and is packed with charts, graphs and formulas for individualization of therapy. The book is divided into seven sections: learning about diabetes, taking control, insulin therapy, insulin dosing, challenges and how to meet them, blood-sugar patterns and solutions and research insights. In the section on learning about diabetes, the chapter on flexible insulin therapy is extremely comprehensive and helpful. The section on taking control contains chapters on taking blood-sugar inventory, developing action guides, blood-sugar charting and carbohydrate counting. These are all excellent chapters. Each contains sample charts, examples and directions for facilitating better control of glucose levels. A point of interest for the computer literate is a chapter on using computers to aid in monitoring, as well as a list of online resources, including addresses for websites and bulletin boards. The section on insulin therapy is extremely helpful in determining starting insulin doses, and the use of long- and short-acting insulin. One chapter covers how to adjust doses based on a meal and carbohydrate ratios. The section on challenges and how to meet them includes a chapter on exercise that is very thorough and informative and extremely helpful. This section also includes a chapter on gestational diabetes. The next section on blood-sugar patterns and solutions contains case reports and helpful examples of different situations, which can aid in troubleshooting. Overall, this reference is an excellent tool for pharmacists and patients; it is very comprehensive and well written. Pharmacies can purchase this book from Torrey Pines Press at a discounted rate for resale.

Reviewed By:  Dana Reed-Kane, PharmD, FIACP, FACA, FCP, NFPPhC
In:  Mar/Apr 2000