New Release
Everyday Diabetes in Primary Care
A Case-Based Approach
Edition:
1
ISBN/ISSN:
9781975209841
Publication Date:
June 12, 2023
2023-06-12
9781975209841
More than 85% of people with diabetes receive their diabetes care in the primary care setting. With the busy primary ...
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More than 85% of people with diabetes receive their diabetes care in the primary care setting. With the busy primary care practitioner in mind, Everyday Diabetes in Primary Care: A Case-Based Approach offers dozens of diabetes cases in an easy-to-digest format—each representing a common clinical question that clinicians face in this common and complex area. For every case, fellowship-trained diabetologist Dr. Jay Shubrook shares his considerable expertise, providing authoritative, real-world guidance for your day-to-day management of patients with diabetes.
Uses commonly seen cases to introduce each problem and provide a framework for building a diagnostic or therapeutic plan
Explores such key topics as clinical presentation, initial evaluation, engaging the patient in therapeutic lifestyle change, navigating pharmacotherapy, getting ahead of diabetes, and treating across the spectrum of disease
Allows clinicians to access specific, relevant topics in a quick-reference, highly focused format
Provides high-yield information and guidance from an expert in this complex field
Enrich Your eBook Reading Experience
Read directly on your preferred device(s), such as computer, tablet, or smartphone.
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Edition1ISBN/ISSN9781975209841Product FormatPaperback BookTrim Size6 x 9Pages277Table29Edition1Publication DateJune 12, 2023Weight1.1
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- Jay H. Shubrook
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Foreword vii
Preface ix
Acknowledgments xi
Chapter 1 Clinical Presentation 1
Case 1. Type 2 Diabetes in Adults . . . . . . . . . . . . . . . . . . . . . . . 2
Case 2. Type 2 Diabetes in Adolescents . . . . . . . . . . . . . . . . . . 6
Case 3. Type 1 Diabetes in Children . . . . . . . . . . . . . . . . . . . . . 10
Case 4. Latent Autoimmune Diabetes in Adults (LADA)
Clinical Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Case 5. Monogenic Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Case 6. Ketosis- Prone Type 2 Diabetes . . . . . . . . . . . . . . . . . 23
Case 7. Pregestational Diabetes . . . . . . . . . . . . . . . . . . . . . . . 26
Case 8. Gestational Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . 28
Case 9. Secondary Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Chapter 2 Initial Approach to the Patient 37
Case 1. Type 2 Adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Case 2. Type 2 Adolescent . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Case 3. Type 1 Child . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Case 4. Type 1 Young Adulthood . . . . . . . . . . . . . . . . . . . . . . . . 61
Case 5. Developing an Engaged Family Approach . . . . . . . . . 65
Chapter 3 Key Aspects of Treatment 69
Case 1. Type 2 Is Progressive . . . . . . . . . . . . . . . . . . . . . . . . . 70
Case 2. Develop Your Diabetes Care Team . . . . . . . . . . . . . . 75
Case 3. Older Adults With Health Problems and Diabetes . . . 80
Case 4. It Is About the Process Not Result . . . . . . . . . . . . . . . 85
Case 5. Reengaging Your Patient . . . . . . . . . . . . . . . . . . . . . . 89
Case 6. Handling Serious Comorbid Illness . . . . . . . . . . . . . . . 92
Chapter 4 Navigating Diabetes Treatments 95
Case 1. Therapeutic Lifestyle Change . . . . . . . . . . . . . . . . . . 96
Case 2. Best Practices With Metformin Therapy . . . . . . . . . . 103
Case 3. How to Select a Diabetes Medication . . . . . . . . . . . . 108
Case 4. Extraglycemic Effects of Medications . . . . . . . . . . . . 114
ContentsCase 5. Best Practices in Starting Insulin . . . . . . . . . . . . . . . . 121
Case 6. Effective Correction Insulin . . . . . . . . . . . . . . . . . . . . 126
Case 7. Intensive Insulin Therapy . . . . . . . . . . . . . . . . . . . . . . 130
Chapter 5 Hypoglycemia 134
Case 1. Reactive Hypoglycemia . . . . . . . . . . . . . . . . . . . . . . . 135
Case 2. Defensive Eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Case 3. Somogyi Effect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Case 4. Dawn Phenomenon . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Case 5. Hypoglycemic Unawareness . . . . . . . . . . . . . . . . . . . 150
Chapter 6 Anticipating and Responding to
Major Life Changes 155
Case 1. Prediabetes and Diabetes Prevention . . . . . . . . . . . . 156
Case 2. Increasing Responsibility in Self- Care . . . . . . . . . . . . 161
Case 3. Young Adult With Type 1 Diabetes . . . . . . . . . . . . . . . 166
Case 4. Genetics of Diabetes Types . . . . . . . . . . . . . . . . . . . . 171
Case 5. Older Adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Chapter 7 Technology in Diabetes 179
Case 1. How to Make Your Diabetes Office
Visits More Efficient . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Case 2. Targeted Glucose Monitoring . . . . . . . . . . . . . . . . . . . 195
Case 3. Introducing Glucose Sensors . . . . . . . . . . . . . . . . . . . 199
Case 4. Benefits of Glucose Sensing . . . . . . . . . . . . . . . . . . 205
Case 5. Drawbacks of Glucose Sensing . . . . . . . . . . . . . . . . . 211
Case 6. Introduction to Insulin Pumps . . . . . . . . . . . . . . . . . . . 213
Chapter 8 Diabetes Potpourri 220
Case 1. Identifying Lipohypertrophy . . . . . . . . . . . . . . . . . . . . 221
Case 2. Glucose Testing and Diabetes Supply Snafus . . . . . 225
Case 3. Make a Sick Day Plan . . . . . . . . . . . . . . . . . . . . . . . . 229
Case 4. Steroid- Associated Hyperglycemia . . . . . . . . . . . . . 232
Case 5. Diabetes Complications—Microvascular—
Retinopathy, Nephropathy, Neuropathy . . . . . . . . . . 234
Case 6. Nonalcoholic Fatty Liver Disease . . . . . . . . . . . . . . . 238
Index 245 -
Uses commonly seen cases to introduce each problem and provide a framework for building a diagnostic or therapeutic plan
Explores such key topics as clinical presentation, initial evaluation, engaging the patient in therapeutic lifestyle change, navigating pharmacotherapy, getting ahead of diabetes, and treating across the spectrum of disease
Allows clinicians to access specific, relevant topics in a quick-reference, highly focused format
Provides high-yield information and guidance from an expert in this complex field
Enrich Your eBook Reading Experience
Read directly on your preferred device(s), such as computer, tablet, or smartphone.
- Easily convert to audiobook, powering your content with natural language text-to-speech.
-
- "A Case-Based Approach is an insightful book on diabetes for the primary care clinician. The clarity of language, thought and organization of the book stands out among academic texts. It is written with the learner in mind. Whether you are a student, resident, or an attending physician there is something in this book for you and you will learn a lot about the care of patients with diabetes. And….it is an enjoyable read!" - Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Associate Director, Family Medicine Residency Program, Jefferson Health - Abington
- "As a dedicated pediatrician and medical educator, I am always on the lookout for resources that can enhance my understanding and approach to patient care. Everyday Diabetes in Primary Care: A Case-Based Approach has truly exceeded my expectations. The case-based approach is brilliant, as it provides real-world scenarios that resonate with primary care clinicians like myself. Each case is meticulously crafted to encompass the complexities and challenges that we often encounter in our day-to-day interactions with patients. One of the standout features of the book is its practicality. Dr. Shubrook doesn't just present cases; he guides us through the diagnostic and management process, offering insightful strategies and evidence-based recommendations. I particularly appreciate how he addresses the nuances of diabetes care, taking into account individual patient preferences, comorbidities, and cultural considerations. Everyday Diabetes in Primary Care also excels in its readability. Dr. Shubrook has a remarkable ability to explain complex medical concepts in a clear and concise manner, making the book accessible to a wide range of healthcare professionals. Whether you're a seasoned physician or a student in training, you'll find the content engaging and easy to grasp. The book doesn't just stop at clinical cases. It delves into the psychosocial aspects of diabetes, shedding light on the emotional challenges that patients face. This compassionate approach resonates deeply with me. Furthermore, the book stays up-to-date with the latest developments in diabetes management, ensuring that readers receive the most current information. In conclusion, Everyday Diabetes in Primary Care: A Case-Based Approach by Dr. Jay Shubrook is exceptional. Its practicality, readability, and comprehensive coverage make it an invaluable resource for any healthcare professional looking to enhance their diabetes management skills. I wholeheartedly recommend this book to my colleagues and students." Tami Hendriksz, DO, FACOP, FAAP, Dean & Chief Academic Officer, College of Osteopathic Medicine, Touro University California
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