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The statistics are alarmingthe incidence of diabetes in the general population and pregnancy in particular is on the rise. As a result, the need for effective treatments to control the blood glucose level in pregnant diabetic women is likely to grow. James Bernasko, OB/GYN, is one of the few physicians in the United States who is a Maternal-Fetal Medicine Specialist and a Certified Diabetes Educator. He relies on his professional experience to provide a practical guide for healthcare practitioners and insulin pump users that illustrates a protocol for insulin pump therapy during pregnancy. With the goal of achieving good blood glucose control to ensure an excellent short- and long-term outcome for both baby and expectant mother, Dr. Bernasko extensively covers a wide array of topics such as: Components of pre-conception care for diabetic women Action of insulin during pregnancy Value of choosing the right insulin pump Advantages of rapid-acting insulin analogs over regular insulin Employing effective strategies for controlling blood glucose levels before, during, and after pregnancy are essential to diabetic womens care. A Practical Guide to Insulin Pump Therapy for Pregnancy provides valuable information that will minimize complications and enhance a pregnant womans life.
The statistics are alarming the incidence of diabetes in the general population and pregnancy in particular is on the rise. As a result, the need for effective treatments to control the blood glucose level in pregnant diabetic women is likely to grow. James Bernasko, OB/GYN, is one of the few physicians in the United States who is a Maternal-Fetal Medicine Specialist and a Certified Diabetes Educator. He relies on his professional experience to provide a practical guide for healthcare practitioners and insulin pump users that illustrates a protocol for insulin pump therapy during pregnancy. With the goal of achieving good blood glucose control to ensure an excellent short- and long-term outcome for both baby and expectant mother, Dr. Bernasko extensively covers a wide array of topics such as: Components of pre-conception care for diabetic women Action of insulin during pregnancy Value of choosing the right insulin pump Advantages of rapid-acting insulin analogs over regular insulin Employing effective strategies for controlling blood glucose levels before, during, and after pregnancy are essential to diabetic women's care. A Practical Guide to Insulin Pump Therapy for Pregnancy provides valuable information that will minimize complications and enhance a pregnant woman's life.
The Sixth Edition of A Practical Guide to Diabetes Mellitus offers a unique combination of rigorous pathophysiology with very practical approaches to diabetes prevention and control. This outstanding textbook will equip a cadre of doctors and other health care professionals to deliver high quality care to vulnerable populations around India and far beyond. Based on research as well as clinical practice, the text describes diabetes in relation to physiology, ocular, cardiovascular, neuropathy, pregnancy, emergencies, childhood diabetes, etc. Each chapter beings with a brief outline of the disease concerned followed by introduction, definition/terminology, classification, treatment, conclusion and ending with set of question for self-assessment. Covers step wise images describes insulin administration in subcutaneous and using pen devices in the chapter: Insulin therapy: practical aspects. Feet, Footcare and Neuroarthropathy chapter deals with etiology and pathophysiology and is divided into three parts: Ulceration, Neuroarthropathy and Peripheral Artery Occlusive(PAD) diseases. Infection in diabetes chapter focuses on infection related to head and neck, genitourinary, skin and soft tissue, pulmonology and abdominal. Recent advances includes application of new drugs like Taspoglutide, Albiglutide, Lixisenatide, Newer DPP-IV inhibitors, along with new insulin receptor activators, PPAR agonists, new hepatic targets for glycemic control in diabetes. This book contains more than 300 coloured images and illustrations, 40 clinical cases, 50 questions for quick revision along with answers to the self-assessments question given at the end of book."
In a clear and concise style, the extensively revised Putting Your Patients on the Pump offers physicians, nurse practitioners, physician assistants, clinicians, and educators experience and practical guidance on how to help patients successfully manage their diabetes using an insulin pump. Ten chapters provide an in-depth description of insulin pump therapy advantages and disadvantages, pump and infusion set options and selection, pump candidate basics, getting the patient ready, pump start-up, pump therapy management, other considerations (e.g., dining out, alcohol, exercise and physical activity, intimacy, managing sick days, stress, travel, weight change, menses and menopause, pregnancy, pediatrics, and older patients), resources, tips from pump experts, and insulin pumps of the future. Filled with checklists and step-by-step instructions, Putting Your Patients on the Pump is the ideal resource for health care professionals with expertise in diabetes care who wish to successfully start and maintain diabetes patients on insulin pump therapy.
The current epidemic of diabetes, obesity and related disorders is a driving force in the development of new technologies. Technological advances offer great new opportunities for the treatment of these chronic diseases. This review presents an update of developments that promise to revolutionize the treatment of diabetes. It examines hospital and outpatient care, intensive insulin therapy, blood glucose monitoring and innovative steps towards the construction of an artificial pancreas. Providing a comprehensive overview on the latest advances, this volume of Frontiers in Diabetes will be of particular interest to all healthcare providers involved in the daily management of patients with diabetes or related diseases.
As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.
This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy.
Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.
Diabetes mellitus, one of the most prevalent complications during pregnancy, can cause a range of problems for women and their developing babies. The number of types of diabetes during pregnancy has dramatically increased worldwide in recent years. Obesity is a very common risk factor for the development of GDM and type 2 diabetes. To prevent birth defects and other health problems, optimal healthcare before and during pregnancy is mandatory. To reach this goal, a multidisciplinary approach is of major importance. This book presents the latest knowledge on the physiopathology, diagnosis, autoimmunity, genetics, omics, and management and treatment of diabetic pregnancy. Renowned healthcare professionals and academic experts provide insights into the complexity of diabetic pregnancy, its treatment, and pregnancy complications. This is a comprehensive overview of the clinical characteristics of pregnancy-related type 1 and 2 diabetes as well as of gestational diabetes. It is a must-read for everyone involved in the monitoring of diabetes during pregnancy.