Staged Diabetes Management A Systematic Approach

by Mazze, Roger; Strock, Ellie S.; Simonson, Gregg D.; Bergenstal, Richard M.

• ISBN13: 9780470061268
• ISBN10: 047006126X
• Edition: 2nd
• Format: Hardcover
• Copyright: 2007-01-23
• Publisher: WILEY

Summary

Using evidence-based medicine, this title addresses the prominent issues of primary care diabetes management. It provides practical solutions to the detection and treatment of diabetes, its complications and such new areas as metabolic syndrome, pre-diabetes and diabetes in children. The text reviews the fundamental basis of diabetes management and then addresses treatment of each type of diabetes and the major micro- and macrovascular complications. This Revised Second Edition uniquely focuses on advanced technologies and advanced therapeutics. Key changes include: Integration of incretin hormones in the basic pathophysiology of type 2 diabetes; Incretin mimetics and potentiators; Revised clinical decision paths with new medications and advanced insulin algorithms; New section on continuous glucose monitoring. Staged Diabetes Management: A Systematic Approach, Second Edition, Revised presents a clear set of clinical algorithms consistent with the EASD/ADA recommended algorithms. It provides a means of applying the principles using a proven methodology and one that has been applied internationally. Based on the highly successful diabetes programmes for primary care developed by the the world-renowned International Diabetes Center in Minneapolis, USA Features Decision Paths and Practice Guidelines to facilitate clinical decision making Clearly written and illustrated: each chapter may be read alone but complements the others to give a broad view of diabetes care This title is an invaluable guide for healthcare professionals, particularly primary care physicians, diabetes specialist nurses, and for all those with an interest in diabetes. It is also useful for all Diabetes educators and medical students.

Author Biography

Roger S. Mazze, PhD, Chief Academic Officer, International Diabetes Center, Vice President, Park Nicollet Institute. Director, World Health Organization Collaborating Center at International Diabetes Center and Clinical Professor of Family Practice and Community Health, University of Minnesota Medical School. Formerly, Professor of Biostatistics, Epidemiology and Community Health, and Executive Director and Co-Principal Investigator of the Diabetes Research and Training Center, Albert Einstein College of Medicine and Distinguished Visiting Scientist to the United States Centers for Disease Control. Past Co-Chairperson, American Diabetes Association Council on Health Care Delivery.

Ellie S. Strock, RN, BC, ANP, CDE, Chief of Professional Services, International Diabetes Center, Vice President, Park Nicollet Institute. Chief Education Director, World Health Organization Collaborating Center at International Diabetes Center. Board Certified Adult Nurse Practitioner, Department of Endocrinology, Park Nicollet Health Services.

Gregg D. Simonson, PhD, Director, Program Research and Implementation and Chief Research Officer, World Health Organization Collaborating Center at International Diabetes Center. Adjunct Assistant Professor, Department of Family Practice and Community Health, University of Minnesota Medical School. Formerly, Post-Doctoral Fellow, Juvenile Diabetes Foundation, Department of Pediatrics, University of Wisconsin.

Richard M. Bergenstal, MD, Executive Director, International Diabetes Center and Clinical Professor of Medicine in Endocrinology, University of Minnesota Medical School. Consultant, Department of Endocrinology, Park Nicollet Health Services. Formerly, Assistant Professor of Medicine, University of Chicago. Past Member, National Board of Directors, American Diabetes Association.

Table of Contents

About the Authors

Acknowledgements

Staged Diabetes Management in Practice

Introduction to Staged Diabetes Management

The development of Staged Diabetes Management

The structure of Staged Diabetes Management

Practice guidelines

Master DecisionPaths

Specific DecisionPaths

Criteria for adjusting and changing therapy

Diabetes Management Assessment DecisionPaths

Metabolic syndrome, complications, and hospitalization DecisionPaths

The patient and Staged Diabetes Management

The diabetes care team

The changing perspective of diabetes care: DCCT and UKPDS

Metabolic syndrome (insulin resistance syndrome)

Children and adolescents with type 2 diabetes and/or metabolic syndrome

Common diagnostic criteria

Diabetes management improvement initiatives

References

The Implementation of Staged Diabetes Management

Community diabetes care needs assessment

Group formation

Orientation to Staged Diabetes Management

Customization of Staged Diabetes Management

Evaluation of Staged Diabetes Management

References

Therapeutic Principles for the Treatment of Diabetes

Medical nutrition therapy stage

Oral agent stage

Insulin stage

Combination therapies

Evaluating blood glucose control

References

The Treatment of Diabetes

Type 2 Diabetes

Etiology

Overview of treatment options for type 2 diabetes

Prevention of type 2 diabetes

Type 2 diabetes detection and treatment

Type 2 Diabetes Practice Guidelines

Type 2 Diabetes Master DecisionPath

New treatment alternatives

Management of acute complications

Type 2 diabetes and pregnancy

Patient education

Behavioral issues and assessment

References

Type 2 Diabetes and Metabolic Syndrome in Children and Adolescents

Etiology

Prevention of type 2 diabetes

Major studies

Overview of treatment options for children and adolescents with type 2 diabetes

Obesity and weight management in children and adolescents

Type 2 diabetes in children and adolescents

Metabolic syndrome in children and adolescents

References

Type 1 Diabetes

Etiology

Type 1 diabetes detection and treatment

Type 1 Diabetes Practice Guidelines

Screening and Diagnosis DecisionPath

Type 1 Diabetes Master DecisionPath

Management of acute complications

Type 1 diabetes and pregnancy

Patient education

Behavioral issues and assessment

References

Pregestational and Gestational Diabetes

Etiology of GDM and hyperglycemia

Adverse fetal and perinatal outcome

Preventing gestational diabetes and subsequent type 2 Diabetes

Pregestational diabetes

Gestational diabetes detection and treatment

Gestational diabetes practice guidelines

Gestational Diabetes Master DecisionPath

Pregestational (type 1 and type 2) diabetes treatment options

Fetal and maternal assessment

References

Insulin Resistance and Diabetes Complications

Overview

Metabolic syndrome (insulin resistance syndrome) and complications

Hospitalization overview

Macrovascular Disease

Diabetes and the risk of cardiovascular disease

Role of inflammation in macrovascular disease

Prevention of cardiovascular disease in diabetes: importance of a multifactorial approach

Insulin resistance, hypertension, and cardiovascular disease

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