Clinical Dilemmas in Diabetes / Edition 1

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Clinical Dilemmas in Diabetes provides evidence-based clinical guidance on the most common and problematic areas of concern encountered in diagnosing, treating and managing patients with diabetes. Each chapter is highly topical and has been selected due to current interest, specific recent developments, and areas of controversy.

This valuable guide provides assistance in managing the life-long treatment of diabetes and the complications that often develop in patients. Clinical Dilemmas in Diabetes guides the medical team in their decision-making, particularly when there are conflicts in the treatment for the disease and the complications.

Part of the Clinical Dilemmas series, the well-focused chapter structure allows for quick retrieval of information, and each opens with a “Learning Points” box to aid easy assimilation of the main issues. With a leading team of contributors and editors, Professor Robert A. Rizza is the immediate Past-President of the American Diabetes Association.

This book is perfect for use on the wards and clinics as well as for self-study by diabetologists, diabetes specialist nurses, endocrinologists, GPs and cardiologists.

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Editorial Reviews

From the Publisher
"This is most useful for practitioners who care for many diabetes patients. It is also useful for students in endocrinology who are learning the many complicated aspects of diabetes care." (Doody's, 14 October 2011)

"The authors have stuck to a common sense based approach which is to be congratulated and makes for a good educational tool to have on one's bookshelf" (Practical Diabetes, June 2011)

Doody's Review Service
Reviewer: Colleen Majewski, MD (University of Chicago Medical Center)
Description: This book uses the most up-to-date data and research to discuss how to approach clinically challenging situations in caring for patients with diabetes mellitus.
Purpose: The purpose is to discuss difficult clinical problems faced by all physicians who care for these patients, including those aspects of diabetes care that are not specifically addressed in standard guidelines. Clinicians who care for patients with diabetes need evidence-based guidance to effectively treat them and any associated complications.
Audience: Practitioners in primary care and beginning students of endocrinology are the intended audience.
Features: The book covers the diagnosis and management of prediabetes, diabetes, and associated risk factors, and specifically addresses commonly encountered clinical questions. Each chapter is devoted to a specific question. The book is succinct and makes effective use of data and diabetes trials to logically discuss clinical dilemmas of diabetes care.
Assessment: This is most useful for practitioners who care for many diabetes patients. It is also useful for students in endocrinology who are learning the many complicated aspects of diabetes care.
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Product Details

  • ISBN-13: 9781405169288
  • Publisher: Wiley
  • Publication date: 4/26/2011
  • Series: Clinical Dilemmas (UK) Series, #1
  • Edition number: 1
  • Pages: 170
  • Sales rank: 1,381,498
  • Product dimensions: 7.30 (w) x 9.60 (h) x 0.50 (d)

Meet the Author

Adrian Vella Associate Professor of Medicine, Mayo Clinic College of Medicine, Rochester, USA

Robert Rizza Professor of Medicine and Division Chair for Endocrinology, Mayo Clinic College of Medicine, Rochester, USA

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Table of Contents



Part I Prediabetes and the Diagnosis of Diabetes.

1 Is prediabetes a risk factor or is it a disease? (Kalpana Muthusamy and Adrian Vella).

2 Early diagnosis of type 1 diabetes: Useful or a phyrrhic victory? (Chiara Guglielmi and Paolo Pozzilli).

3 How should secondary causes of diabetes be excluded? (Aonghus O'Loughlin and Sean F. Dinneen).

4 Screening patients with prediabetes and diabetes for cardiovascular disease (Deepika S. Reddy and Vivian Fonseca).

Part II Initial Evaluation and Management of Diabetes.

5 What is the role of self-monitoring in diabetes? Is there a role for postprandial glucose monitoring? How does continuous glucose monitoring integrate into clinical practice? (Rami Almokayyad and Robert Cuddihy).

6 The optimal diet for diabetes is? (Maria L. Collazo-Clavell).

7 How to determine when to pursue lifestyle change alone versus pharmacotherapy at diagnosis? (Galina Smushkin and F. John Service).

8 Insulin sensitizers versus secretagogues as first-line therapy for diabetes: Rationale for clinical choice (Robert J. Richards, L. Yvonne Melendez-Ramirez, and William T. Cefalu).

9 Are insulin sensitizers useful additions to insulin therapy? (John W. Richard III and Philip Raskin).

10 Is there a role for incretin-based therapy in combination with insulin? (Matheni Sathananthan and Adrian Vella).

11 HbA1c: Is it the most important therapeutic target in outpatient management of diabetes? (Steven A. Smith).

Part III Management of Associated Risk Factors and Disease.

12 Primary therapy for obesity as the treatment of type 2 diabetes (Manpreet S. Mundi and Michael D. Jensen).

13 Are statins the optimal therapy for cardiovascular risk in patients with diabetes? Are triglycerides an important independent risk factor for diabetes? (Michael O'Reilly and Timothy O'Brien).

14 The role of bariatric surgery in obese patients with diabetes: Primary or rescue therapy? (Praveena Gandikota and Blandine Laferrere).

15 Hyperglycemia should be avoided in critical illness and the postoperative period (Kalpana Muthusamy and John M. Miles).

16 Is there an optimal revascularization strategy in diabetic patients with ischemic heart disease? (Stephen H. McKellar, Morgan L. Brown, and Robert L. Frye).


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