ISBN-10:
1580403107
ISBN-13:
9781580403108
Pub. Date:
05/28/2008
Publisher:
American Diabetes Association
Medical Management of Type 2 Diabetes / Edition 6

Medical Management of Type 2 Diabetes / Edition 6

by American Diabetes Association, Charles F. Burant M.D.

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Product Details

ISBN-13: 9781580403108
Publisher: American Diabetes Association
Publication date: 05/28/2008
Edition description: Sixth Edition
Pages: 167
Product dimensions: 5.90(w) x 8.90(h) x 0.40(d)

Table of Contents


A Word About This Guide     ix
Contributors to the Sixth Edition     xi
Acknowledgments     xiii
Diagnosis and Classification     1
Highlights     2
Definition of Diabetes     3
Diagnosis of Diabetes     4
Classification of Diabetes     5
Type 1 diabetes     6
Type 2 diabetes     8
Other specific types of diabetes     8
Stage of disease     8
Screening for Diabetes     9
IGT and Impaired Fasting Glucose     10
Gestational Diabetes     11
Risk Factor Clustering     11
Evaluation and Classification of Patients Before Treatment     13
Pathogenesis     17
Highlights     18
Genetic and Environmental Factors     19
Insulin Resistance     20
Sites of insulin resistance     20
Mechanisms of insulin resistance     21
The Fat Cell as an Endocrine Organ     22
Defects in Insulin Secretion     23
Factors modulating insulin secretion     23
Physiological consequences of defective insulin secretion     24
Conclusion     23
Management     27
Highlights     29
Therapeutic Objectives and Plan     33
Nutrition     36
Body weight     36
Protein     41
Fat     41
Carbohydrate     43
Sugar and fat substitutes     45
Vitamins and minerals     46
Alcohol     46
Exercise     48
Potential benefits of exercise     48
Precautions and considerations     49
The exercise prescription     51
Pharmacologic Intervention     54
Available agents     54
Insulins     62
Long-term combinations of oral agents with insulin     73
Adjusting insulin dosage in long-term type 2 diabetes     73
Assessment of Treatment Efficacy     78
Office methods     79
Self-monitoring     81
Special Therapeutic Situations     87
Highlights     88
Pregnancy     91
Diabetes in Youth     93
Differentiation of type 1 and type 2 diabetes in youth     93
Screening for type 2 diabetes in youth     93
Treating type 2 diabetes in youth      94
Diabetes in Hospitalized and Critically Ill Patients     97
Major Acute Complications     100
Hyperosmolar hyperglycemic state     100
Precipitating causes     100
Clinical presentation     101
Treatment     101
Hypoglycemia     101
Precipitating causes     101
Clinical presentation     101
Treatment     101
Infection     102
Detection and Treatment of Chronic Complications     105
Highlights     106
Rationale for Optimizing Glycemic Control in Type 2 Diabetes     109
Accelerated Macrovascular Disease     111
Diabetes as a cardiovascular risk factor     111
Screening for cardiovascular disease     112
Importance of modifying vascular risk factors     112
Treatment of cardiovascular disease     118
Diabetic Retinopathy     119
Stages of diabetic retinopathy     119
Prevention of vision loss from retinopathy     121
Treatment of retinopathy     122
Diabetic Renal Disease     122
Clinical presentation of nephropathy     123
Conditions that influence renal function      123
Prevention and treatment of diabetic renal disease     124
Diabetic Foot Problems     125
Causes of diabetic foot problems     126
Prevention of foot problems     126
Treatment of foot problems     128
Diabetic Neuropathies     129
Diagnosis and treatment of neuropathy     130
Autonomic neuropathy     131
Other varieties of diabetic neuropathy     133
Behavior Change Strategies     139
Highlights     140
Influences on Behavior Change     141
Strategies for Behavior Change     142
Self-Management Support     143
Redesigning Practice to Support Behavior Change     143
Summary     144
Index     147

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