Joslin's Diabetes Deskbook

More than 20 million Americans have diabetes, which can lead to blindness, kidney failure, and amputations. This book from the world-renowned Joslin's Diabetes Center in Boston is directed to primary care providers—internists, family practitioners, nurse practitioners, physician assistants, dieticians, counselors—who manage diabetes in their patients most every day. The authors discuss the pathogenesis of diabetes and its complications, along with the most current thinking and guidelines about diagnosis, prescription, monitoring, nutrition, exercise, medications, insulin, patient education, and many other topics. All chapters have been peer-reviewed.

Table Of Contents
Chapter 1 Diabetes: Definition Pathophysiology

Introduction

Normal Glucose Homeostasis

The Pancreas

Insulin Production

The Pathophysiology of Diabetes

Types of Diabetes

Epidemilogy of Diabetes

Chapter 2 The Approach to Diagnose and Treatment of Diabetes Mellitus

Diagnosing Diabetes

Symptoms of Diabetes

Standards of Care Treating Diabetes Aggressively

Chapter 3 Monitoring Diabetes

The Importance of Self-Monitoring of Blood Glucose and Glycohemoglobin Measurements

Chapter 4 Adipose tissue as an Endocrine Gland: A Possible Key in Understanding the Metabolic Mysteries

Understanding the Endocrine Role of Adipose Tissue

Chapter 5 Medical Nutrition Therapy and Diabetes

Nutrition Therapy Is Not New

Chapter 6 Physical Activity for Fitness

Effect of Physical Activity on People without Diabetes

Chapter 7 Type 2 Diabetes: Multiple Treatments for a Multicomponent Condition

Insulin Resistance

Chapter 8 Pharmacotherapy for Type 2 Diabetes: Medications to Match the Pathophysiology

Options for Therapy

The Classes of Antidiabetes Medicatioins

Chapter 9 Using Insulin To Treat Diabetes-General Principles

Endogenous Insulin

Insulin for Exogenous Therapy

Chapter 10 Designing a Conventional Insulin Treatment Program

Indications for Inslin Therapy

Goals of Insulin Treatment

Chapter 11 Physiologic Insulin Treatment Programs

What Is Physiologic Insulin Therapy

Why Physiologic therapy Makes Sense

Chapter 12 Educating the Patient

The Emotional Component

Evaluation, Negotiation and Goal Setting

Chapter 13 Acute Complications

Diabetic Ketoacidosis(DKA)

Hyperosmolar Hyperglycemic State (HHS)

Chapter 15 Macrovascular Complications

Hypertension

Dyslipidemia

Chapter 16 Diabetic Neuopathy

Classification

Evaluation of Diabetic Peripheral Neuropathy

Chapter 17 The Foot: Clinical Care and Problem Prevention

Risk Factors for Foot Wounds

The Foot Examination

Chapter 18 Surgical Management of the Patient with Diabetes

General Approach to Surgical Management

Preoperative Evaluation

Chapter 19 Gender-Specific Issues

Women's Health Issues

Male Sexual Dysfunction

Chapter 20 Pregnancy and Diabetes

Metabolic Changes during Pregnancy

Gestational Diabetes(GDM)

Pregestational Diabetes - Preparing Women with Type 1 or Type 2 Diabetes for Pregnancy

Chapter 21 Treatmenr of Children with Diabetes

Epidemilogy

Team Approach to Patient Care

Goals of Treatment

Chapter 22 Diabetes in the Older Adult

Treatment Goals

Screening for and Diagnosing Diabetes

Chapter 23 Psychological Issues in the Treatment of Diabetes

Diagnosis and Ongoing Support

Major Psychological Obstacles to Diabetes Care

Chapter 24 Diabetes in Culturally Diverse Populatiions: Facing the Challenge in Clinical Practice

Type 2 Diabetes in Culturally Diverse Populations:Genes or Culture?

Biological Factors