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Diabetes mellitus is a very common disease which affects approximately 150,000,000 worldwide. With its prevalence rising rapidly, diabetes continues to mystify and fascinate both practitioners and investigators by its elusive causes and multitude of This textbook is written for endocrinologists, specialists in other disciplines who treat diabetic patients, primary care physicians, housestaff and medical students. It covers, in a concise and clear manner, all aspects of the disease, from its pathogenesis on the molecular and cellular levels to its most modern therapy.
This title contains up-to-date, evidence-based clinical information for all health professionals managing patients with diabetes. It provides practical guidelines covering the important aspects of management, and contains concise advice that can be accessed quickly and easily. There are 29 chapters and each chapter includes a clinical case study.
Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.
This book presents state of the art knowledge on diabetes in stroke, covering both basic and clinical aspects in detail. The focus is in particular on two major areas: general knowledge of diabetes and diabetes from a stroke neurologist’s perspective. Readers will find up-to-date information on glucose metabolism, the pathophysiology of diabetes, the clinical significance of diabetes in stroke, the differential influence of diabetes on stroke mechanisms, principles of diabetes care, advances in treatment options, and clinical practice in the real world. The individual components of pathophysiology, management, and key issues are fully addressed with the aid of complementary illustrations that facilitate understanding of practical aspects and enable the reader to retrieve fundamental information quickly. The book is timely in bringing together within one volume the most important current knowledge on diabetes in stroke. It will be invaluable for stroke physicians, epidemiologists, and students seeking to acquire up-to-date knowledge.
Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
These Guiding Principles for Diabetes Care: For Health Care Professionals provide an overview of the key elements of early and intensive clinical diabetes care and prevention. They form the basis of the National Diabetes Education Program's (NDEP's) public and professional awareness programs. The principles are based on the best level of evidence available, and key sources are noted. The NDEP adopts guidelines developed by the American Diabetes Association (ADA), and many have been incorporated into these guiding principles. Numerous other guidelines are available and some are noted in this document. It is essential that in practice, health care professionals focus on the similarities rather than the differences in diabetes-related guidelines. This document also provides links to supporting resources and further information. As the proportion of both minority populations and people aged 60 and older increases in the United States, and the obesity epidemic continues, people with diabetes are becoming a larger part of the practices of family physicians and other primary care clinicians. Health care professionals involved in new or expanding diabetes care practices can use these guiding principles to ensure that they provide essential components of comprehensive diabetes care. In addition, health care payers, managed care organizations, and large employers can use this information to establish diabetes care principles and to assure quality diabetes care and treatment options in health plans. NDEP encourages people with or at risk for diabetes and their families to participate actively with their health care team to plan and implement their care. While these principles serve as a guide for diabetes prevention and management, each person and his or her health care team should determine a specific prevention or management plan. Team care is essential for effective diabetes prevention and management. Team structure is best determined by the practice setting. Teams should be led by the most appropriate health care professional, and may include primary care physicians, diabetes educators, endocrinologists, dietitians, nurses, nurse practitioners, pharmacists, physician assistants, psychologists, dental professionals, exercise professionals, social workers, specialists for care of the eye, foot, heart, and kidney, and others as necessary. Many of these team members also may be certified diabetes educators. Trained lay educators such as “promotores” and community health workers can be effective team members. Other elements of importance to the delivery of diabetes care, in addition to team care, such as creating a patient registry, assessing practice needs, implementing processes of care, connecting to community resources, and evaluating outcomes are presented in detail on www.BetterDiabetesCare.nih.gov. This website provides tools and resources to help health care professionals implement systems changes. Early identification and management of pre-diabetes can delay or prevent the onset of type 2 diabetes. In people with type 1 and type 2 diabetes, ongoing comprehensive diabetes care, including the ABCs of diabetes (A1C for glucose, Blood pressure, and Cholesterol), can prevent or control diabetes-related microvascular and macrovascular complications. With proper medical management, education, self-care, and attention to behavior, social, and environmental factors, people with diabetes and pre-diabetes can live long, active, and productive lives.
The Diabetes Textbook: Clinical Principles, Patient Management and Public Health Issues (2nd Edition) addresses diabetes from a comprehensive, multidisciplinary perspective. Its purpose is to integrate state-of-the-art information on diabetes from specialists in various disciplines, including epidemiology, public health, pathophysiology, non-pharmacologic and pharmacologic treatment, patient support, acute and chronic complications, new and unproven therapies, and prevention. The main benefit of “The Diabetes Textbook” is its integrative approach. The book is therefore intended for three main types of readers: 1) physicians and health professionals seeking a comprehensive approach to diabetes; 2) those with previous expertise in a specific professional area who want to expand their knowledge; and 3) those interested in learning about topics not previously covered, who will find the contents of “The Diabetes Textbook” both enriching and innovative. The Diabetes Textbook is intended for a broad readership, including professors of medicine and related disciplines (nursing, nutrition, psychology); general physicians; internists and specialists, e.g. in ophthalmology, endocrinology, cardiology, obstetrics and gynecology, pediatrics, geriatrics, epidemiology and public health. To address these readers’ needs, the second edition is divided into the following eleven sections: 1) Magnitude of the Problem from an Individual and Social Context, 2) Diagnosis, Classification and Mechanisms of Disease, 3) Global Experiences in Diabetes Care, 4) Basic Components of Management: Patient-Centeredness, Evidence-Based Medicine, and Outcomes, 5) Resources of Support for Persons with Diabetes, 6) Drug Therapy, 7) Cardiovascular Risk Factors, 8) Acute Complications, 9) Chronic Complications, 10) Diabetes in Special Populations, and 11) Novel Therapeutic Approaches: Evidence-Based and Non-Proven, and Diabetes Prevention.
The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.