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Provides how-to guidelines for inpatient and outpatient insulin therapy in children and adults and during pregnancy and in hyperglycemic emergencies. Evaluating strategies for the management of types 1 and 2 diabetes, this reference explores the pharmacokinetics of insulin and insulin programs as well as the latest glucose self-monitoring equipment and assessment strategies to achieve optimal glycemic control and reduce the occurrence of complications including retinopathy, neuropathy, nephropathy, and cardiovascular disease. Describes current treatment procedures and goals of therapy for patients with diabetes mellitus as summarized by the American Diabetes Association. Insulin Therapy stresses the need for analogs that mimic normal patterns of physiological insulin delivery the design of individualized nutritional goals and meal plans to improve metabolic control new approaches for insulin replacement in children and adolescents the importance of blood glucose management for hospitalized patients means to avoid hypoglycemia and considers the etiology and pathogenesis of types 1 and 2 diabetes novel methods to achieve and maintain normoglycemia throughout pregnancy treatment of hyperglycemic emergencies such as ketoacidosis and nonketotic hyperosmolar syndrome insulin pump therapy in children and adults Offering guidelines for the formulation of specialized patient care programs, Insulin Therapy is a much-needed guide for endocrinologists, family practice physicians, internists, pediatricians, pharmacologists, nutritionists, physiologists, dietitians, cardiologists, pathologists, epidemiologists, obesity specialists, and medical school students in these disciplines.
The aim of this book is to provide clear and concise information about the safe prescribing of insulin both subcutaneously and intravenously. It provides information on the different types of insulin, the delivery devices, side effects of insulin and, most importantly, on rational dose adjustment.‚Äč
Glucose control in type 2 diabetes can be improved with additional insulin, self-monitoring of blood glucose and self-adjusting of the insulin dose. Insuling therapy can be safely started in primary care. Evening insulin is the therapy of choice in most patients. A realistic target in type 2 diabetics is to reduce the HbA1c level to 7.0 % (53 mmol/mol).
This issue of Endocrinology Clinics brings the reader up do date on the current standards and important advances in insulin therapy. The following clinical topics are discussed: types of insulins, including new insulins; goals of therapy; pathophysiology of, and insulin treatment in type1 and type 2 diabetes mellitus; pumps and glucose sensors; alternative insulin delivery; patient and provider insulin resistance; inpatient insulin therapy; insulin therapy in pregnancy; and pediatric insulin therapy.
This book is a useful review of current concepts in the use of insulin therapy for the management of diabetes. Beginning with discussion on the history of insulin therapy and associated physiology, the following chapters examine different types of insulin, and its delivery and uses for both type 1 and type 2 diabetes. A complete chapter is dedicated to analogue insulin, a sub-group of human insulin, which is laboratory grown but genetically altered to create either a more rapid acting or more uniformly acting form of the insulin (Diabetes.co.uk). The final chapter covers adverse effects of insulin therapy and a detailed appendices section discusses storage of insulin, and injection sites and techniques. Key points Presents current concepts in use of insulin therapy for management of diabetes Complete chapter dedicated to insulin analogues Detailed appendices section examines storage of insulin and injection administration Highly experienced author team

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