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Intensive Diabetes Management,9781580401647

Intensive Diabetes Management

by ;
Edition: 3rd
Format: Paperback
Pub. Date: 6/9/2003
Publisher(s): American Diabetes Association
Availability: This title is currently not available.


Striving for intensive diabetes management is now the rule, rather than the exception, in diabetes care. Virtually all patients with diabetes -- type 1 or type 2 -- can improve their glyceic control and overall health through intensive diabetes management. With emphasis on the team approach, this hands-on book offers the information you need to help each patient move toward treatment goals appropriate for their individual skills and medical condition. For clinicians striving to deliver diabetes therapy for the 21st century, this book is the essential guide. Book jacket.

Author Biography

Georgeanna J. Klingensmith, M.D. is a diabetes specialist in practice at the Barbara Davis Center for Childhood Diabetes.

Table of Contents

A Word About This Guidep. ix
Contributors to the Third Editionp. xi
Acknowledgmentsp. xiii
Terminology of Intensive Diabetes Managementp. xiv
Rationale for and Physiological Basis of Intensive Diabetes Managementp. 1
Highlightsp. 2
Intensive Diabetes Managementp. 4
Physiological Basis of Intensive Management Methodsp. 6
Normal Fuel Metabolismp. 6
Regulation of Fuel Metabolismp. 8
Implications for Therapyp. 9
The Team Approachp. 13
Highlightsp. 14
Concept of Team Managementp. 15
Integrated Diabetes Management Teamp. 17
Role Definitionp. 19
Team Communicationp. 21
Functional Considerationsp. 21
Diabetes Self-Management Educationp. 25
Highlightsp. 26
Integration of the Team Approachp. 27
Diabetes Continuing Educationp. 27
Assessmentp. 28
Instructionp. 29
Environmentp. 29
Planningp. 30
Contentp. 30
Sequencing of Classesp. 31
Approaches/Strategiesp. 31
Motivationp. 33
Negotiationp. 33
Evaluationp. 34
Documentationp. 34
Conclusionp. 35
Psychosocial Issuesp. 37
Highlightsp. 38
Assessing Patient Suitability for Intensificationp. 40
Practicing Behaviorp. 40
Assessing Psychological Status and the Psychosocial Support Systemp. 41
The Family Systemp. 42
The Individualp. 43
Assessing the Effect of Stress on Glycemic Controlp. 44
Assessing Coping Skillsp. 46
Assessment of Diabetes-Related Copingp. 46
Identifying Psychosocial Resourcesp. 46
Helping Patients Deal with Complicationsp. 47
Potential Adverse Psychological Outcomes of Treatmentp. 48
Eating and Body Image Disordersp. 48
Fear of Hypoglycemiap. 49
Needle Phobiap. 50
Helping Patients with Long-Term Adherencep. 51
Supporting and Maintaining Patients' Behavior Changesp. 52
Helping Patients with New Therapiesp. 53
Acceptance of Multiple Therapiesp. 54
Lifestyle Changesp. 54
Conclusionp. 57
Patient Selection and Goals of Therapyp. 59
Highlightsp. 60
Patient Selectionp. 61
Patients with Type 1 Diabetesp. 63
Patients with Type 2 Diabetesp. 64
Goals of Therapyp. 65
Glycemic Goalsp. 67
Modifying Glycemic Goalsp. 68
Weighing Benefits and Risks in Type 2 Diabetesp. 69
Conclusionp. 69
Multiple-Component Insulin Regimensp. 73
Highlightsp. 74
Insulin Pharmacologyp. 76
Insulin Timing and Actionp. 76
Stability and Miscibility of Insulinsp. 78
Insulin Absorptionp. 79
Insulin Regimensp. 80
Multiple-Component Insulin Regimens: General Pointsp. 80
Specific Flexible Multiple-Component Insulin Regimensp. 82
Other Insulin Programsp. 86
Insulin Dose and Distributionp. 89
Initial Insulin Dosesp. 89
Insulin Dose Distributionp. 90
Insulin Adjustmentsp. 91
Acute Adjustmentsp. 91
Pattern Adjustmentsp. 92
Injection Devicesp. 96
Conclusionp. 96
Insulin Infusion Pump Therapyp. 99
Highlightsp. 100
Benefits of CSIIp. 104
Insulin Dosage Calculations for Insulin Pump Therapyp. 105
Insulin Adjustmentsp. 108
Dietp. 108
Exercisep. 108
Illnessp. 109
Correction of Hyperglycemiap. 109
Risks of CSIIp. 109
Skin Infectionp. 109
Unexplained Hyperglycemia and Ketoacidosisp. 110
Hypoglycemiap. 112
Wearing the Pumpp. 113
Patient Education for CSIIp. 114
Implantable Insulin Infusion Pumpsp. 117
Monitoringp. 121
Highlightsp. 122
Monitoring by the Patientp. 123
Blood Glucosep. 123
Ketone Monitoringp. 125
Record Keepingp. 126
Monitoring by the Health Care Teamp. 127
A1Cp. 127
Hypoglycemiap. 128
Preventionp. 128
Hypoglycemia Unawarenessp. 130
Continuous Glucose Monitoringp. 130
Monitoring for Long-Term Complicationsp. 131
Retinal Examinationsp. 131
Lipid Screeningp. 132
Blood Pressurep. 132
Urinary Albumin Screeningp. 133
Foot Examinationsp. 133
Nutrition Managementp. 135
Highlightsp. 136
Goals of MNTp. 138
Target Nutrition Recommendationsp. 139
Strategies for Type 1 Diabetesp. 141
Strategies for Type 2 Diabetesp. 143
Glucose Monitoring and the Nutritional Planp. 145
Hypoglycemiap. 145
Skipping or Delaying Planned Meals or Snacksp. 145
Inappropriate Timing of Insulin Relative to Mealsp. 147
Imbalance Between Food and Meal-Related Insulin Dosep. 148
Inadequate Food Supplementation for Exercisep. 148
Consuming Alcohol on an Empty Stomachp. 149
Oral Treatment of Hypoglycemiap. 150
Facilitating Nutrition Self-Managementp. 150
Meal-Planning Approaches for Intensified Managementp. 151
Carbohydrate Countingp. 151
Weight Gain Associated with Intensive Managementp. 153
Preventionp. 153
Indexp. 157
Table of Contents provided by Ingram. All Rights Reserved.

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