By Ronald A. Codario
Recognized and hugely revered diabetes authority Ronald A. Codario, MD, information for busy fundamental care practitioners the cutting-edge in diagnosing and handling diabetes, in addition to in decreasing sufferer hazard elements. utilizing an evidence-based method, Dr. Codario explains, in uncomplicated medical phrases that stay away from the complexity of a lot higher textbooks, our most up-to-date knowing of the pathophysiology of diabetes, its therapy with insulin and oral brokers, and the administration of its threat elements. the writer additionally generally stories such significant issues because the metabolic syndrome, the function of workout and meals, and the major concerns linked to using herbs and nutraceuticals. additionally integrated are carrying on with scientific schooling (CME) questions that offer the chance to procure as much as a greatest of 10 AMA/PRA class 1 CME credit. For the previous 15 years, the writer has given CME lectures on diabetes in the course of the state.
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Extra info for Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome (Current Clinical Practice)
True or false? Patients with hemochromotosis usually develop type 2 diabetes. a. True. b. False. 6. True or false? Hemoglobin A1-C should be used to screen and diagnose type 2 diabetes. a. True. b. False. 7. True or false? Exposure to tetrachlorodibenzo(para)dioxin has been associated with an increased risk of developing type 2 diabetes. a. True. b. False. 8. True or false? Certain antipsychotics can aggravate glycemic control. a. True. b. False. 9. True or false? A repeated random glucose of 141 mg/dL means that the patient is diabetic.
Implications for clinical practice. Prim Care 26:771–789. 4. Engelgau MM, Narayan KM, Herman WH. (2000) Screening for type 2 diabetes. Diabetes Care 23:1563– 1580. 5. American Diabetes Association. (2003) Screening for type 2 diabetes. Diabetes Care 26(Suppl 1):S21– S24. 6. Rolka DB, Narayan KM, Thompson TJ, et al. (2001) Performance of recommended screening tests for undiagnosed diabetes and dysglycemia. Diabetes Care 24:1899–1903. 7. Sobngwi E, Boudou P, Mauvais-Jarvis F, et al. (2003) Effect of a diabetic environment in utero on predisposition to type 2 diabetes.
11) demonstrated that patients with type 2 diabetes who performed high-intensity aerobic exercise three times a week for a 2-month period were able to increase both insulin sensitivity and aerobic capacity, despite little change in body weight. Interestingly, there was a concomitant loss of visceral and subcutaneous abdominal fat. Visceral fat loss was better correlated with improved insulin sensitivity. This data suggests that an important effect at the adipocyte level may be associated with exercise (see Table 1) in modifying arteriosclerotic risk factors.
Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome (Current Clinical Practice) by Ronald A. Codario