Medical Management of Type 1 Diabetes / Edition 5

Medical Management of Type 1 Diabetes / Edition 5

by American Diabetes Association
     
 

ISBN-10: 1580403093

ISBN-13: 9781580403092

Pub. Date: 06/04/2008

Publisher: American Diabetes Association


New insulins and administration protocols, advanced carbohydrate counting, and emphasis on continuing patient education are all advances in diabetes treatment that have dramatically shifted potential outcomes for patients with type 1 diabetes. This new edition of Medical Management of Type 1 Diabetes focuses on the latest molecular advances, new treatment methods,…  See more details below

Overview


New insulins and administration protocols, advanced carbohydrate counting, and emphasis on continuing patient education are all advances in diabetes treatment that have dramatically shifted potential outcomes for patients with type 1 diabetes. This new edition of Medical Management of Type 1 Diabetes focuses on the latest molecular advances, new treatment methods, recent clinical trials, and the American Diabetes Association's Standards of Care.

Product Details

ISBN-13:
9781580403092
Publisher:
American Diabetes Association
Publication date:
06/04/2008
Edition description:
New Edition
Pages:
265
Product dimensions:
6.00(w) x 8.90(h) x 0.70(d)

Related Subjects

Table of Contents


A Word About This Guide     xi
Contributors to the Fifth Edition     xiii
Acknowledgments     xv
Diagnosis and Classification/Pathogenesis     1
Highlights     2
Diagnosis and Classification     5
Criteria for Diagnosis     5
Risk of Developing Type 1 Diabetes     6
Distinguishing Type 1 Diabetes from Other Forms     7
Clinical Presentation of Type 1 Diabetes     10
Conclusion     11
Pathogenesis     12
Pathophysiology of the Clinical Onset of Type 1 Diabetes     12
Progression of Metabolic Abnormalities During Onset     13
Clinical Onset of Diabetic Symptoms and Metabolic Decompensation     14
Genetics and Immunology of Type 1 Diabetes     16
Conclusion     19
Diabetes Standards and Education     21
Highlights     22
Philosophy and Goals     25
Glycemic Control and Complications: A Summary of Evidence     25
Goals of Treatment     27
Clinical Goals     29
Conclusion     33
Patient Self-Management Education     35
General Principles     35
Self-Management EducationProcess     37
Content of Diabetes Self-Management Education     42
Additional Topics of Importance for Type 1 Diabetes     46
Incorporating Patient Education in Clinical Practice     47
Conclusion     48
Tools of Therapy     51
Highlights     53
Insulin Treatment     57
Insulin Preparations     57
Treating Newly Diagnosed Patients     60
Insulin Regimens     63
Alternating Insulin Delivery Systems     71
Optimizing Blood Glucose Control     72
Common Problems in Long-Term Therapy     75
Insulin Allergy     76
Special Considerations     77
Conclusion     80
Treatment with Amylin Analog Pramlintide     83
Monitoring     86
Patient-Performed Monitoring     86
Glucose Sensors     88
Ketone Testing     90
Physician-Performed Glucose Monitoring     90
Other Monitoring     92
Conclusion     92
Nutrition     94
Nutrition Recommendations     94
Nutrition Therapy for Type 1 Diabetes     96
Additional Nutrition Considerations      105
The Process of Medical Nutrition Therapy     109
Practical Approaches to Nutrition Counseling     111
Conclusion     113
Exercise     118
Glycemic Response to Exercise     118
Potential Benefits of Exercise     120
Potential Risks of Exercise     120
Reducing Exercise Risks     121
Exercise Prescription     123
Aerobic Training     123
Strategies for Maintaining Optimal Glycemic Control with Exercise     126
Conclusion     128
Special Situations     129
Highlights     131
Diabetic Ketoacidosis     135
Presentation of DKA     135
Acute Patient Care     137
Other Important Considerations     141
Intermediate Patient Care     142
Preventive Care     143
Conclusion     143
Hypoglycemia     145
Pathophysiology     145
Mild, Moderate, and Severe Hypoglycemia     146
Common Causes of Hypoglycemia     147
Treatment     149
Hypoglycemia Unawareness     151
Hypoglycemia with Subsequent Hyperglycemia     152
Dawn and Predawn Phenomena     152
Conclusion     153
Pregnancy     154
Risk Factors     154
Maternal Metabolism During Pregnancy     155
Preconception Care and Counseling     155
Congenital Malformations: Risk and Detection     159
Maternal Glucose Control During Pregnancy     160
Nutrition Needs     162
Outpatient Care     162
Timing of Delivery     164
Labor and Delivery     164
Postpartum Care     165
Family Planning and Contraception     166
Conclusion     166
Surgery     168
General Principles     168
Major Surgery     168
Minor Surgery     169
Conclusion     169
Islet Transplantation     170
Psychosocial Factors Affecting Adherence, Quality of Life, and Well-Being: Helping Patients Cope     173
Highlights     131
Periods of Increased Emotional Distress     177
Maintaining Adherence     179
Diabetes Complications     180
Developmental Considerations in Children     181
Developmental Considerations in Adolescents      185
Adults     188
The Elderly     189
Emotional and Behavioral Disorders and Diabetes     190
Stress and Diabetes     192
Complications     195
Highlights     197
Retinopathy     201
Eye Examination     201
Clinical Findings in Diabetic Retinopathy     201
Evaluation     204
Treatment     206
Conclusion     208
Nephropathy     210
Clinical Syndrome     210
Natural History     210
Pathogenesis     211
Testing for Nephropathy     212
Management of Nephropathy     213
Hypertension     214
Other Aspects of Treatment     217
Dialysis and Kidney Transplantation     217
Conclusion     218
Neuropathy     220
Overview of Neuropathies     220
Distal Symmetric Sensorimotor Polyneuropathy     220
Late Complications of Polyneuropathy     221
Management of Distal Symmetric Polyneuropathy and Complications     224
Autonomic Neuropathy     226
Focal Neuropathies     229
Conclusion      229
Macrovascular Disease     231
Prevalence and Risk Factors     231
Assessment and Treatment     232
Symptoms and Signs of Atherosclerosis     234
Conclusion     237
Limited Joint Mobility     239
Detection and Evaluation     239
Conclusion     240
Growth     241
Subtle Growth Abnormalities     241
Determining Growth Rate     242
Conclusion     243

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