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Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome (eBook)

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2007 | 2005
XVIII, 248 Seiten
Humana Press (Verlag)
978-1-59259-932-5 (ISBN)

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Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome - Ronald A. Codario
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Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome: The Primary Care Guide to Diagnosis and Management is an important addition to the literature for primary care phy- cians. It covers concisely and with attention to clinical relevance the full spectrum of insulin resistance and diabetes. This book gives a practical, no-nonsense approach to understanding the basic pathophysiology of diabetes and the metabolic syndrome, an approach to treatment with oral agents and insulin, and an approach to risk factor management. By putting all this information in one readable text, Dr. Codario provides a service to us all, facilitating the understanding of a body of knowledge that cannot be obtained through any attempt to read portions of much larger textbooks in the field. This textbook will serve as a resource for medical students, residents in family medicine and internal medicine, and attending physicians who wish to update and improve their kno- edge in the field of diabetes and the newly emerging science of the metabolic syndrome. In addition, it allows attending physicians the opportunity to obtain Continuing Medical E- cation credits while performing self-directed learning. At the end of reading Type 2 Dia- tes, Pre-Diabetes, and the Metabolic Syndrome: The Primary Care Guide to Diagnosis and Management, the physician should feel comfortable and confident that they have acquired a solid understanding of the latest information in the field, and by so doing, should be better able to take excellent care of patients with diabetes and the metabolic syndrome.
Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome: The Primary Care Guide to Diagnosis and Management is an important addition to the literature for primary care phy- cians. It covers concisely and with attention to clinical relevance the full spectrum of insulin resistance and diabetes. This book gives a practical, no-nonsense approach to understanding the basic pathophysiology of diabetes and the metabolic syndrome, an approach to treatment with oral agents and insulin, and an approach to risk factor management. By putting all this information in one readable text, Dr. Codario provides a service to us all, facilitating the understanding of a body of knowledge that cannot be obtained through any attempt to read portions of much larger textbooks in the field. This textbook will serve as a resource for medical students, residents in family medicine and internal medicine, and attending physicians who wish to update and improve their kno- edge in the field of diabetes and the newly emerging science of the metabolic syndrome. In addition, it allows attending physicians the opportunity to obtain Continuing Medical E- cation credits while performing self-directed learning. At the end of reading Type 2 Dia- tes, Pre-Diabetes, and the Metabolic Syndrome: The Primary Care Guide to Diagnosis and Management, the physician should feel comfortable and confident that they have acquired a solid understanding of the latest information in the field, and by so doing, should be better able to take excellent care of patients with diabetes and the metabolic syndrome.

Dedication 6
Series Editor’s Introduction 7
Preface 8
Acknowledgments 10
Contents 11
Continuing Medical Education 12
Value-Added eBook/PDA 14
Pathophysiology of Type 2 Diabetes 15
CONTENTS 15
INTRODUCTION 15
THE NATURAL HISTORY OF TYPE 2 DIABETES 17
SUMMARY 23
REFERENCES 23
CME Questions 25
Guidelines and Classifications 27
CONTENTS 27
INTRODUCTION 27
TYPE 1 DIABETES (INSULIN-DEPENDENT DIABETES) 27
TYPE 2 DIABETES (NONINSULIN-DEPENDENT DIABETES) 28
DIABETES ASSOCIATED WITH OTHER FACTORS 31
DIAGNOSING DIABETES 32
SCREENING RECOMMENDATIONS (4) 33
EFFICACY OF DIETS AND MEDICATIONS 34
GESTATIONAL DIABETES 37
MALNUTRITION-ASSOCIATED DIABETES 37
REFERENCES 37
CME Questions 39
Exercise 40
CONTENTS 40
INTRODUCTION 40
STRESS TESTING AND EXERCISE TOLERANCE 43
PRECAUTIONS 44
GUIDELINES FOR EXERCISE 48
REFERENCES 50
CME Questions 52
Nutrition 53
CONTENTS 53
INTRODUCTION 53
DIABETES AND CARBOHYDRATES (2) 54
DIABETES AND PROTEIN (4) 56
DIABETES AND FATS (6) 57
DIABETES AND MINERALS, VITAMINS, AND DIETARY SUPPLEMENTS 60
SUMMARY 65
REFERENCES 65
CME Questions 67
Obesity and the Metabolic Syndrome 68
CONTENTS 68
INTRODUCTION 68
THE METABOLIC SYNDROME 69
OBESITY 76
WEIGHT REDUCTION 79
REFERENCES 82
CME Questions 84
Oral Agents for Type 2 Diabetes 86
CONTENTS 86
INTRODUCTION 86
ORAL AGENT CLASSES 87
ORAL AGENT COMBINATIONS 96
TRIPLE ORAL AGENT THERAPY 99
SUMMARY 99
REFERENCES 100
CME Questions 102
Insulin Use 104
CONTENTS 104
INTRODUCTION 104
HUMAN INSULIN PREPARATIONS 109
INSULIN ANALOGS 109
MIXED INSULINS 110
SHORT-ACTING INSULINS AND THEIR ANALOGS 111
PREMIXED INSULINS 114
LONG-ACTING INSULINS 114
CONTINUOUS SUBCUTANEOUS INSULIN INFUSION PUMPS 119
NOVEL THERAPEUTICS 120
SUMMARY 122
CASE PRESENTATIONS 123
REFERENCES 125
CME Questions 127
Macrovascular Disease 128
CONTENTS 128
INTRODUCTION 128
CORONARY ARTERY DISEASE 128
PERIPHERAL ARTERIAL DISEASE 135
CEREBRAL ARTERIOSCLEROTIC VASCULAR DISEASE 139
SUMMARY 140
REFERENCES 140
Microvascular Disease 144
CONTENTS 144
INTRODUCTION 144
RETINOPATHY 144
DIABETIC NEUROPATHY 148
DIABETIC NEPHROPATHY 157
SUMMARY 162
REFERENCES 162
CME Questions 165
Diabetic Dyslipidemia 166
CONTENTS 166
INTRODUCTION 166
RISK DETERMINANTS 166
CLINICAL TRIALS 170
REFERENCES 178
CME Questions 181
Hypertension in Patients With Diabetes 182
CONTENTS 182
INTRODUCTION 182
CLINICAL TRIALS 182
MEDICATIONS MONOTHERAPY 184
COMBINATION THERAPY 190
REFERENCES 197
CME Questions 200
Glycemic Control 202
CONTENTS 202
INTRODUCTION 202
CLINICAL TRIALS 202
MONITORS 211
RESEARCH 211
REFERENCES 212
CME Questions 214
Risk Reduction in Patients With Diabetes 216
CONTENTS 216
INTRODUCTION 216
GLYCEMIC CONTROL 217
LIPID CONTROL 217
BLOOD PRESSURE CONTROL 222
THROMBOSIS PREVENTION 224
MULTIPLE RISK-FACTOR REDUCTION 225
SUMMARY 230
REFERENCES 230
CME Questions 234
Resources 235
Suggested Reading 239
Index 245

Erscheint lt. Verlag 28.10.2007
Reihe/Serie Current Clinical Practice
Current Clinical Practice
Zusatzinfo XVIII, 248 p. 26 illus.
Verlagsort Totowa
Sprache englisch
Themenwelt Medizinische Fachgebiete Innere Medizin Diabetologie
Schlagworte Care • Diabetes • Insulin • Management • medical education • Nutrition • Physiology • Treatment
ISBN-10 1-59259-932-X / 159259932X
ISBN-13 978-1-59259-932-5 / 9781592599325
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