Now completely updated, this guide to diabetes care includes discussions of the underlying causes of diabetes and why achieving near-normal blood sugar values is important. It offers insight on how to monitor, manage, and live with diabetes, and how to prevent serious complications from the disease.

Preface

v

Part 1: The Facts

Chapter 1 Understanding diabetes

3

(18)

What is diabetes?

4

(2)

Types of diabetes

6

(4)

Signs and symptoms

10

(2)

Factors that increase your risk

12

(4)

Tests to detect diabetes

16

(2)

Can diabetes be prevented?

18

(1)

Questions and answers

19

(2)

Chapter 2 The dangers of uncontrolled diabetes

21

(20)

Medical emergencies

22

(1)

Low blood glucose (hypoglycemia)

22

(2)

Hyperosmolar hyperglycemic state (HHS)

24

(1)

High level of ketones (diabetic ketoacidosis)

25

(2)

Long-term complications

27

(1)

Heart and blood vessel disease

27

(5)

Nerve damage (neuropathy)

32

(1)

Kidney disease (nephropathy)

33

(1)

Eye damage (retinopathy)

34

(2)

Increased risk of infection

36

(1)

Questions and answers

37

(4)

Part 2: Taking Control

Chapter 3 Monitoring your blood glucose

41

(16)

When to test

42

(1)

Tools you need

43

(3)

Are you getting quality results?

46

(2)

Recording your results

48

(1)

Factors that affect blood glucose

49

(4)

When test results signal a problem

53

(1)

Advances in blood glucose monitoring

53

(1)

Questions and answers

54

(3)

Chapter 4 Developing a healthy-eating plan

57

(16)

There is no diabetes diet

57

(1)

Carbohydrates: The foundation

58

(4)

Protein: The building block

62

(1)

Fats: The calorie heavyweights

62

(2)

Planning your meals

64

(4)

Watch your serving sizes

68

(2)

Keep motivated

70

(1)

Questions and answers

71

(2)

Chapter 5 Achieving a healthy weight

73

(12)

Do you need to lose weight?

74

(3)

Are you ready?

77

(1)

Set realistic goals

77

(3)

Follow your healthy-eating plan

80

(1)

Identify your unique challenges

81

(1)

Accept and deal with setbacks

82

(1)

Questions and answers

83

(2)

Chapter 6 Getting more active

85

(20)

Physical activity vs. exercise

85

(2)

Benefits of exercise

87

(1)

What type of exercise?

88

(4)

How much exercise?

92

(1)

Getting started

93

(2)

Finding the right intensity level

95

(2)

Avoiding injury

97

(2)

Exercise and blood glucose monitoring

99

(2)

Questions and answers

101

(4)

Part 3: Medical Treatments

Chapter 7 Insulin therapy

105

(18)

Types of insulin

106

(1)

Insulin regimens

107

(1)

Intensive insulin therapy

107

(6)

How to inject insulin

113

(6)

How insulin pumps work

119

(3)

Questions and answers

122

(1)

Chapter 8 Medications for type 2 diabetes

123

(16)

Oral drugs

123

(3)

Sulfonylureas

126

(1)

Biguanides

127

(2)

Alpha-glucosidase inhibitors

129

(1)

Thiazolidinediones (TZDs)

130

(1)

Meglitinides

131

(1)

Oral drug combinations

131

(3)

Oral drugs and insulin

134

(1)

New injectable drugs

135

(2)

Questions and answers

137

(2)

Chapter 9 Dialysis and transplantation

139

(14)

Kidney dialysis

140

(1)

Kidney transplant

141

(3)

Pancreas transplant

144

(2)

Islet cell transplant

146

(2)

Choosing a transplant center

148

(1)

Questions and answers

149

(4)

Part 4: Successful Management

Chapter 10 Important tests: Are you getting them?

153

(12)

What to expect during a checkup

155

(1)

A1C test

156

(3)

Lipid panel

159

(1)

Serum creatinine test

160

(1)

Urine test for protein

161

(2)

Questions and answers

163

(2)

Chapter 11 Self-care: Reducing your risk of complications

165

(18)

Have a yearly physical

165

(1)

Get a yearly eye exam

166

(1)

See your dentist regularly

167

(1)

Keep up-to-date on your vaccinations

168

(1)

Care for your feet

169

(4)

Don't smoke

173

(1)

Take a daily aspirin if your doctor approves

174

(1)

Monitor your blood pressure

175

(1)

Watch your cholesterol

176

(1)

Manage stress

177

(2)

Questions and answers

179

(4)

Part 5: Special Issues

Chapter 12 Sexual health: Issues for men and women

183

(20)

Dealing with erectile dysfunction

184

(5)

Menstruation and blood glucose

189

(1)

Menopause and diabetes: Unique challenges

190

(2)

Diabetes and pregnancy

192

(10)

Questions and answers

202

(1)

Chapter 13 If your child has diabetes

203

(14)

Type 1 diabetes

203

(4)

Type 2 diabetes

207

(2)

Caring for medical needs

209

(3)

Emotional and social issues

212

(2)

Staying healthy by making lifestyle changes

214

(3)

Questions and answers

217

(2)

Additional resources

219

(2)

Index

221

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