Acknowledgments | p. viii |
Introduction | p. ix |
What Is Diabetes? | p. 1 |
A Growing Problem | p. 1 |
The Endocrine System | p. 2 |
The Pancreas and Liver | p. 2 |
Insulin and Blood Sugar | p. 4 |
Managing Diabetes: A Balancing Act | p. 6 |
The Name Game | p. 8 |
Type 1 Diabetes | p. 11 |
Type 1A, or Autoimmune, Diabetes | p. 11 |
Type 1B, or Idiopathic, Diabetes | p. 13 |
Genetics and Heredity | p. 13 |
Environmental Triggers | p. 15 |
Signs and Symptoms | p. 17 |
Insulin Is Not a Cure | p. 18 |
Type 2 Diabetes | p. 20 |
Insulin Resistance and Type 2 | p. 20 |
Prediabetes | p. 21 |
Progression to Type 2 Diabetes | p. 22 |
Risk Factors | p. 23 |
Risks Associated with Weight and BMI | p. 25 |
Signs and Symptoms | p. 29 |
Not Just for Adults Anymore | p. 31 |
Gestational Diabetes (GDM) | p. 34 |
Diabetes, Your Baby, and You | p. 34 |
Who Is at Risk? | p. 35 |
GDM Diagnosis | p. 36 |
Develop a Plan | p. 38 |
Treating GDM | p. 38 |
How GDM Affects Your Baby | p. 42 |
Beyond Pregnancy | p. 43 |
Diagnosis and Beyond | p. 46 |
Making the Diagnosis | p. 46 |
Choosing a Doctor | p. 51 |
Your Health Care Team | p. 53 |
Getting a Good Education | p. 57 |
Taking Control | p. 59 |
A Treatment Triad | p. 60 |
Standards of Care | p. 61 |
Tests, Tests, and More Tests | p. 62 |
The AIC Test | p. 62 |
Other Glucose Tests | p. 65 |
Lipid Profile | p. 66 |
More Cardiovascular Tests | p. 68 |
Kidney Function Tests | p. 69 |
Ketones and Diabetic Ketoacidosis | p. 73 |
Comprehensive Eye Exam | p. 74 |
Self-Monitoring of Blood Glucose | p. 76 |
Why Test? | p. 76 |
Developing a Testing Schedule | p. 78 |
Target Goals | p. 80 |
The Blood Glucose Meter and Other Equipment | p. 80 |
How It Works | p. 85 |
Troubleshooting | p. 87 |
Tracking Your Test Results | p. 88 |
Ways to Reduce the "Ouch" Factor | p. 90 |
Continuous Glucose Monitoring Systems | p. 91 |
All about Insulin | p. 94 |
How Does Insulin Work? | p. 94 |
Insulin Types and Quantities | p. 94 |
Selecting the Insulin Delivery Device | p. 96 |
Injecting Insulin | p. 99 |
Storing and Transporting Insulin | p. 103 |
All about Insulin Pumps | p. 104 |
Sharps Disposal | p. 108 |
Type 2 Medications | p. 110 |
The Basics | p. 110 |
Sulfonylureas | p. 112 |
Biguanides | p. 114 |
Thiazolidinediones (TZDs) | p. 116 |
Alpha-Glucosidase (AG) Inhibitors | p. 118 |
Meglitinides | p. 119 |
Dipeptidyl Peptidase-IV (DPP-IV) Inhibitors | p. 120 |
Other Injectables | p. 121 |
Combination Drugs | p. 124 |
No Magic Pill | p. 125 |
Food and Blood Glucose | p. 126 |
All about Carbohydrates | p. 126 |
Why Fiber Is Important | p. 129 |
The Facts about Sugar | p. 131 |
Caloric Intake | p. 135 |
Fats and Cholesterol | p. 136 |
Protein and Diabetes | p. 138 |
Sensible Sodium Intake | p. 139 |
Eating Right in Action | p. 141 |
Menu Planning | p. 141 |
Carbohydrate Counting | p. 144 |
Dietary Exchanges | p. 147 |
Glycemic Index (GI) | p. 149 |
Weights and Measures: Portion Control | p. 152 |
Eating Out | p. 153 |
When Temptation Strikes | p. 155 |
Don't Forget to Exercise! | p. 158 |
The Importance of Exercise | p. 158 |
Getting Started | p. 159 |
Exercise Intensity | p. 161 |
Blood Sugars and Exercise | p. 162 |
Everyone Can Exercise | p. 165 |
Staying Motivated | p. 168 |
Tackling Weight Loss | p. 170 |
In Control and Gaining Weight | p. 170 |
Weight Loss and Type 2 Diabetes | p. 173 |
Shedding Smart | p. 174 |
The Low-Carb Conundrum | p. 177 |
Weight-Loss Drugs | p. 181 |
Gastric Surgery | p. 181 |
Keeping It Off | p. 182 |
In Case of Emergency | p. 184 |
Hypoglycemic Episodes | p. 184 |
Hypoglycemic Unawareness | p. 188 |
Diabetic Ketoacidosis (DKA) | p. 190 |
Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS) | p. 192 |
High-Risk Situations | p. 194 |
Buddy System | p. 196 |
Medical Identification | p. 198 |
Complications-Head to Toe | p. 201 |
Neurological Complications | p. 201 |
Musculoskeletal Complications | p. 206 |
Cardiovascular Complications | p. 209 |
Visual Complications | p. 213 |
Kidney Disease | p. 216 |
Digestive Complications | p. 218 |
Skin Problems | p. 220 |
The Diabetic Foot | p. 222 |
Treat Your Feet Right | p. 222 |
The Right Equipment | p. 224 |
Monofilament Test | p. 227 |
When to See a Podiatrist | p. 228 |
Charcot Foot or Joint | p. 229 |
Diabetic Foot Ulcers | p. 230 |
Kids and Diabetes | p. 233 |
The Littlest Patients: Infants and Toddlers | p. 233 |
Taking Diabetes to School | p. 236 |
Coming of Age with Diabetes | p. 240 |
Handling Special Days | p. 241 |
Babysitters and Child Care | p. 242 |
Kids Being Kids | p. 243 |
Type 2 and Kids-A Growing Problem | p. 244 |
Special Issues for Women | p. 246 |
At Puberty | p. 246 |
Diabetes and Menstruation | p. 247 |
Pregnancy: Treatment for Two | p. 248 |
Breastfeeding | p. 251 |
When It's Time for Menopause | p. 253 |
Female Sexual Dysfunction | p. 254 |
How Women Cope | p. 256 |
Special Issues for Men | p. 259 |
At Puberty | p. 259 |
Changes in Testosterone Levels | p. 260 |
Sexuality and Impotence | p. 261 |
Diabetes and Fertility | p. 264 |
Complications: Gender Bias? | p. 265 |
How Men Cope | p. 265 |
Diabetes, Emotions, and Relationships | p. 268 |
Dealing with Diagnosis | p. 268 |
The Emotional Roller Coaster | p. 269 |
Managing Stress and Burnout | p. 271 |
Turning to a Support Group | p. 273 |
The Dating Game | p. 274 |
For Spouses and Significant Others | p. 275 |
Caring for Kids with Diabetes | p. 276 |
Living Life with Diabetes | p. 279 |
Diabetes at Home | p. 279 |
Diabetes at Work | p. 282 |
Eat, Drink, and Be Wary | p. 286 |
Behind the Wheel | p. 286 |
On a Road Trip | p. 287 |
Travel Tips for the Wise | p. 289 |
Search for a Cure | p. 292 |
A Short History | p. 292 |
Unlocking the Beta Cell | p. 293 |
Stem Cell Research | p. 296 |
Reversing Autoimmunity | p. 297 |
Building a Better Pancreas | p. 298 |
Clinical Trials | p. 298 |
Advocacy Groups | p. 300 |
Additional Resources | p. 301 |
Preventive Care Guidelines | p. 305 |
Index | p. 306 |
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