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| A Word About This Guide | |
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| Contributors to the Fifth Edition | |
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| Acknowledgments | |
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| Terminology of Intensive Diabetes Management | |
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| Rationale for and Physiological Basis of Intensive Diabetes Management | |
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| Highlights | |
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| Intensive Diabetes Management | |
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| Physiological Basis of Intensive Management Methods | |
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| Normal Fuel Metabolism | |
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| Regulation of Fuel Metabolism | |
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| Implications for Therapy | |
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| The Team Approach | |
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| Highlights | |
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| Concept of Team Management | |
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| Integrated Diabetes Management Team | |
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| Role Definition | |
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| Team Communication | |
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| Functional Considerations | |
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| Diabetes Self-Management Education | |
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| Highlights | |
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| Integration of the Team Approach | |
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| Diabetes Continuing Education | |
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| Assessment | |
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| Instruction | |
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| Environment | |
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| Planning | |
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| Content | |
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| Sequencing of Classes | |
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| Approaches/Strategies | |
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| Motivation and Support | |
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| Action Planning | |
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| Evaluation | |
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| Documentation | |
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| Conclusion | |
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| Psychosocial Issues | |
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| Highlights | |
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| Assessing Patient Suitability for Intensification | |
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| Practicing Behavior | |
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| Psychological Status and Psychosocial Support System | |
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| The Individual | |
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| Assessing the Effect of Stress on Glycemic Control | |
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| The Family System | |
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| Assessing Coping Skills | |
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| Assessment of Diabetes-Related Coping | |
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| Identifying Psychosocial Resources | |
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| Supporting and Maintaining Patients' Behavior Changes | |
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| Adoption of New Therapies and Therapeutic Modalities | |
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| Helping Patients with Long-Term Adherence | |
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| Lifestyle Changes | |
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| Potential Adverse Psychological Outcomes of Treatment | |
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| Depression | |
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| Eating and Body Image Disorders | |
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| Fear of Hypoglycemia | |
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| Needle Phobia | |
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| Helping Patients Deal with Complications | |
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| Conclusion | |
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| Patient Selection and Goals of Therapy | |
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| Highlights | |
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| Patient Selection | |
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| Patients with Type 1 Diabetes | |
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| Patients with Type 2 Diabetes | |
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| Goals of Therapy | |
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| Glycemic Goals | |
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| Modifying Glycemic Goals | |
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| Weighing Benefits and Risks in Type 2 Diabetes | |
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| Conclusion | |
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| Multiple-Component Insulin Regimens | |
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| Highlights | |
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| Insulin Pharmacology | |
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| Insulin Timing and Action | |
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| Stability of Insulins | |
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| Insulin Absorption | |
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| Insulin Regimens | |
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| Multiple-Component Insulin Regimens: General Points | |
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| Specific Flexible Multiple-Component Insulin Regimens | |
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| Other Insulin Regimens | |
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| Insulin Dose and Distribution | |
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| Initial Insulin Doses | |
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| Insulin Dose Distribution | |
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| Insulin Adjustments | |
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| Acute Adjustments | |
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| Pattern Adjustments | |
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| Injection Devices | |
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| Conclusion | |
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| Insulin Infusion Pump Therapy | |
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| Highlights | |
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| Benefits of CSII | |
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| Initial Dosage Calculations for Insulin Pump Therapy | |
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| Basal Insulin Dosage | |
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| Bolus Insulin Dosage | |
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| Insulin Dosage Adjustments | |
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| Diet | |
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| Exercise | |
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| Illness | |
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| Risks of CSH | |
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| Skin Infection | |
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| Unexplained Hyperglycemia and Ketoacidosis | |
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| Hypoglycemia | |
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| Wearing the Pump | |
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| Patient Education for CSII | |
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| Sensor Augmented Pump Therapy | |
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| The Future | |
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| Summary and Conclusion | |
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| Monitoring | |
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| Highlights | |
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| Monitoring by the Patient | |
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| Blood Glucose | |
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| Ketone Monitoring | |
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| Record Keeping | |
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| Monitoring by the Health Care Team | |
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| A1C - Estimated Average Glucose | |
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| Real-Time Continuous Glucose Monitoring | |
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| Monitoring for Long-Term Complications | |
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| Retinal Examinations | |
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| Lipid Screening | |
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| Blood Pressure | |
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| Urinary Albumin Screening | |
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| Foot Examinations | |
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| Nutrition Management | |
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| Highlights | |
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| Goals of MNT | |
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| Target Nutrition Recommendations | |
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| Strategies for Type 1 Diabetes | |
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| Strategies for Type 2 Diabetes | |
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| Glucose Monitoring and the Nutritional Plan | |
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| Blood Glucose Monitoring | |
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| Continuous Glucose Monitoring | |
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| Hypoglycemia | |
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| Omitting or Delaying Planned Meals or Snacks | |
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| Inappropriate Timing of Insulin Relative to Meals | |
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| Imbalance Between Food and Meal-Related Insulin Dose | |
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| Inadequate Food Supplementation for Exercise | |
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| Consuming Alcohol on an Empty Stomach | |
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| Oral Treatment of Hypoglycemia | |
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| Facilitating Nutrition Self-Management | |
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| Meal-Planning Approaches for Intensified Management | |
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| Carbohydrate Counting | |
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| Weight Gain Associated with Intensive Management | |
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| Prevention | |
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| Index | |