Intensive Diabetes Management

ISBN-10: 1580404588
ISBN-13: 9781580404587
Edition: 5th 2012
List price: $49.95
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Book details

List price: $49.95
Edition: 5th
Copyright year: 2012
Publisher: American Diabetes Association
Publication date: 5/29/2012
Binding: Paperback
Pages: 168
Size: 6.00" wide x 9.00" long x 0.50" tall
Weight: 0.594
Language: English

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

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