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Everyday Diabetes in Primary Care

A Case-Based Approach
Edition: 1
9781975209865
ISBN/ISSN:
9781975209865
Publication Date:
March 24, 2023
2023-03-24
9781975209865
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A Case-Based Approach
  • A Case-Based Approach
  • Edition
    1
    ISBN/ISSN
    9781975209865
    Product Format
    Vitalsource Interactive eBook
    Edition
    1
    Publication Date
    March 24, 2023
  • Jay H. Shubrook
  • 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
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