Staged Diabetes Management

Abstract

About the Authors. Acknowledgements. PART ONE STAGED DIABETES MANAGEMENT IN PRACTICE. 1 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. 2 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. 3 Therapeutic Principles for the Treatment of Diabetes. Medical nutrition therapy stage. Oral agent stage. Insulin stage. Combination therapies. Evaluating blood glucose control. References. PART TWO THE TREATMENT OF DIABETES. 4 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. 5 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. 6 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. 7 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. PART THREE INSULIN RESISTANCE AND DIABETES COMPLICATIONS. Overview. Metabolic syndrome (insulin resistance syndrome) and complications. Hospitalization overview. 8 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. Detection and treatment of hyperglycemia, hypertension, and dyslipidemia. Practice guidelines: hypertension and dyslipidemia. Staged management of hypertension. Staged management of hyperlipidemia and dyslipidemia. Additional therapeutic options for prevention and treatment of cardiovascular disease. References. 9 Microvascular Complications. Detection and treatment of diabetic nephropathy. Detection and treatment of eye complications. Detection and treatment of diabetic neuropathy. Detection and treatment of foot complications. Detection and treatment of dermatological, connective tissue, and oral complications. Polycystic ovary syndrome (PCOS). References. 10 Hospitalization. The current impact of diabetes related hospitalizations. Hospitalization practice guidelines. Hospitalization for problems related to glycemic control. Hospitalization for illness. Hospitalization for surgery. Reference. Appendix. Index.