Exercise and Diabetes

A Clinician's Guide to Prescribing Physical Activity
Author: Sheri R. Colberg
Publisher: American Diabetes Association
ISBN: 158040507X
Category: Medical
Page: 424
View: 4946

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Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.

Prescribing in Diabetes

Author: Jill Hill,Molly Courtenay
Publisher: Cambridge University Press
ISBN: 9780521713351
Category: Medical
Page: 214
View: 7181

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The effective management of diabetes can delay or even prevent the development of complications. Patients will often need to take a variety of medications, in addition to lifestyle modifications, to achieve this. Prescribing in Diabetes gives clear information about the options for treating the various aspects of diabetes, such as abnormal blood glucose, high blood pressure and abnormal cholesterol. It also gives practical advice on how to support people in managing their condition independently and improving their lifestyle, by making better choices armed with a thorough understanding of treatment options. Chapters include a description of the different methods available for the delivery of medicines to patients, the differences between type 1 and type 2 diabetes and an overview on how the drugs work. The book also discusses normal blood glucose regulation, self-monitoring, weight management, smoking cessation and the range of complications.

Issues in Diabetes, Endocrinology, and Hepatology: 2011 Edition

Author: N.A
Publisher: ScholarlyEditions
ISBN: 1464964459
Category: Medical
Page: 1605
View: 892

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Issues in Diabetes, Endocrinology, and Hepatology: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Diabetes, Endocrinology, and Hepatology. The editors have built Issues in Diabetes, Endocrinology, and Hepatology: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Diabetes, Endocrinology, and Hepatology in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Diabetes, Endocrinology, and Hepatology: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Providing Diabetes Care in General Practice

A Practical Guide to Integrated Care
Author: Gwen Hall
Publisher: Class Publishing Ltd
ISBN: 185959154X
Category: Diabetes
Page: 434
View: 7317

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This practical handbook, now in its fifth edition, addresses how to provide health care for people with diabetes in the primary care setting. It includes education checklists, sample letters for patient recall and templates for patient record cards.

Diabetes in Hospital

A Practical Approach for Healthcare Professionals
Author: Paula Holt
Publisher: John Wiley & Sons
ISBN: 9780470743263
Category: Medical
Page: 224
View: 7018

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This book is written to give healthcare professionals a comprehensive, understandable and practical text on which to base their care to patients with diabetes whilst in hospital. It gives the conceptual hooks required to be able to understand the principles of diabetes, maintaining and achieving blood glucose control and the effective treatment of diabetes. If the book is read as a whole, a complete picture of diabetes care is provided, or, you can ‘dip in and out’ of the chapters relating to your specialism.

Prescribing in Pregnancy

Author: Peter C. Rubin,Margaret Ramsey
Publisher: John Wiley & Sons
ISBN: 0470695552
Category: Medical
Page: 256
View: 4911

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This thoroughly revised edition of Prescribing in Pregnancy is a practical and authoritative guide for all doctors who prescribe for pregnant women. Covering both the prescribing of drugs for common conditions in pregnant women and the effect of different drugs on pregnancy, the fourth edition now also features: strengthened evidence for the prescribing regimens updated prescribing information throughout a new user-friendly design Written by leading specialists, Prescribing in Pregnancy covers the common medical problems encountered in pregnancy, and includes information on travel medicine, breast feeding and the management of drug and alcohol abuse. The fourth edition of this comprehensive and relevant book is an invaluable reference for the busy doctor, on the wards and in general practice.

Emergencies in Primary Care

Author: Chantal Simon,Karen O'Reilly,Robin Proctor,John Buckmaster
Publisher: Oxford University Press
ISBN: 0198570686
Category: Medical
Page: 275
View: 8206

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This book provides a practical, accessible guide to all emergencies encountered in primary care from the immediately life threatening to the small but urgent problems that can arise.

The Maudsley Prescribing Guidelines

Author: David Taylor,Carol Paton,Robert Kerwin
Publisher: CRC Press
ISBN: 9780415424165
Category: Medical
Page: 543
View: 1892

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Now entering its ninth edition, The Maudsley Prescribing Guidelines is the most widely used guide to psychiatric prescribing in the UK. The guidelines are an essential means by which psychiatrists and other healthcare professional stay current with the latest advances in prescribing. It provides practical advice for common clinical situations and is an essential text for prescribers, nursing staff, pharmacists, GPs, and those in related professions.

The Foot in Diabetes

Author: Andrew J. M. Boulton,Peter R. Cavanagh,Gerry Rayman
Publisher: John Wiley & Sons
ISBN: 0470029366
Category: Medical
Page: 464
View: 3437

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Since the publication of the third edition of The Foot in Diabetes, there have been important developments in the field of diabetic foot care and its scientific basis, including: The introduction of new technologies such as vacuum therapy, new casting techniques, the use of hormones and growth factors in wound healing; Advances in the understanding of the biomechanics of foot problems; Increased problems with multidrug-resistant organisms; The introduction of new international guidelines for the management of foot infections; Significant progress in the use of cytokines, metalloproteinase inhibitors, stem cells and gene therapy in wound healing. This fourth edition of this popular title maintains the strengths of earlier editions, with a strong emphasis on practical applications and management. All the chapters have been fully revised and updated, with new chapters introduced to cover the topics listed above. This book features more international contributors, giving it more global relevance than before, and for the first time it includes colour plates. With its focus on practically oriented advice, this book is essential reading for all members of the diabetes specialist team including diabetologists, podiatrists, specialist nurses, general practitioners, surgeons and clinical researchers.

Non-medical Prescribing

Author: Mahesh Sodha,Soraya Dhillon
Publisher: N.A
ISBN: 9780853697688
Category: Medical
Page: 226
View: 3881

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A new guide designed to ensure confident prescribing in specialist areas. The need for this text stems from the necessity to develop non-medical prescribing in practice. It offers a resource for all non-medical prescribers including nurses, pharmacists, optometrists, physiotherapists and other healthcare professionals who desire to become supplementary or independent prescribers in their field. The book is divided into two comprehensive sections and provides an overview of non-medical prescribing by healthcare professionals other than doctors.

Management of Type 2 Diabetes Mellitus E-Book

A Practical Guide
Author: Steven Levene,Richard Donnelly
Publisher: Elsevier Health Sciences
ISBN: 0702049972
Category: Medical
Page: 312
View: 2036

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This title is directed primarily towards health care professionals outside of the United States. In the 21st Century, the management of type 2 diabetes has become even more important both in the primary health care setting and in the UK government's health policy. With the publication of the National Service Framework and the allied National Clinical Guidelines, both patients and the government expect practices to deliver appropriate and effective care to a high standard. This handbook addresses many concepts important in the day-to-day management of these patients. In addition to the discussion of specific medical management of type 2 diabetes (including the improvement of cardiovascular risk factors), the book explores the use of self-management techniques, the consultation process, and the use of psychological techniques to influence health-related behavior. All aspects of the text are linked, when appropriate, to the GMS contract. The authors include a full time GP delivering diabetic care and an eminent Consultant/academic at the leading edge of diabetes research The text is completely up-to-date with numerous current references, incorporating the latest guidance The span of the text is comprehensive, including clinical, organisational and psycho-social topics of importance in delivering high-quality diabetes care The text is cross-referenced to the relevant QOF indicators and NSF standards This book also covers the relevant aspects of diabetes in Curriculum Statement 15.6 prepared by the Royal College of General Practitioners, which forms the basis of the new membership examination and the competencies expected of General Practitioners. The management options include extensive balanced discussions about not just drugs, but also health education and appropriate referrals to specialists The approach is neither didactic nor promotional, and aims to provide sufficient practical information to help clinicians make optimal decisions that take full account of the latest authoritative guidance, but which can be tailored rationally to the individual patient's needs Many of the concepts covered - including reduction of cardiovascular risk, health education, audit and lifestyle - are extremely relevant to non-diabetes care The appendices include a detailed drug formulary and the relevant 2006-2008 QOF clinical indicators. Future trends and further reading are clearly set out, ensuring that the book will remain useful for the next few years.

The Unofficial Guide to Prescribing

Author: Zeshan Qureshi,Simon R J Maxwell
Publisher: Elsevier Health Sciences
ISBN: 0702055190
Category: Medical
Page: 448
View: 6893

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The Unofficial Guide to Prescribing lays out the practical steps of how to assess, investigate and manage a patient, with a focus on what to prescribe and how to prescribe it. Its aim is to empower newly graduated junior doctors to excel at dealing with emergencies and handling complex prescribing scenarios. Prescribing errors cost healthcare systems millions annually, so early training in prescribing has become an urgent priority of medical education and now forms an essential part of teaching and assessment. The Unofficial Guide to Prescribing (from the same stable as The Unofficial Guide to Passing OSCEs) is a new book designed to address this requirement. It is written by junior doctors still close to the transition from theory to practice, overseen by a review panel of senior clinicians to ensure accuracy, and designed to help medical students practise and learn as much as possible about prescribing, in actual clinical scenarios, before they have to do it for real. Each scenario is presented as you would see it in the hospital setting and covers: Initial step-by-step assessment of the patient: how to assess, assessment findings, and immediate management Initial investigations Initial management Reassessment Treatment Handing over the patient 'Prescribe' alerts throughout Written-up drug charts Blank drug charts for copying and practice

Curative Properties of Honey and Bee Venom

Author: N. Yoirish
Publisher: The Minerva Group, Inc.
ISBN: 9780898754094
Category: Health & Fitness
Page: 200
View: 5615

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For centuries honey has been regarded as a wonderful gift of nature in which the properties of an excellent food, beneficial alike to adults and children, are combined with medicinal properties. Ancient Russian manuscripts attached great importance to honey as a medicine. Popular medicine has successfully used it for many diseases from time immemorial. The results of experiments and observations made by the medical science in recent decades have proved that honey is an important medicine possessing many-sided therapeutic properties.Honey is very effective in the treatment of some pathological conditions of the intestinal tract, the respiratory organs, the heart, and the nerves.The knowledge that bee venom possesses medicinal properties has come down to us from remote antiquity. Written evidence, as well as the observations of many beekeepers and our own long experience, confirm the effectiveness of been venom in the treatment of rheumatic fever, neuritis and some other diseases.Honey and bee venom treatment must be carried on under the supervision of a physician and can be made a component part in a complex of curative measures for many diseases.

Department of Health

The Management of Adult Diabetes Services in the NHS, Seventeenth Report of Session 2012-13, Report, Together with Formal Minutes, Oral and Written Evidence
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215049803
Category: Medical
Page: 46
View: 6317

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The percentage of the population diagnosed with diabetes doubled between 1994 and 2009 and is continuing to increase which could have a significant impact on NHS resources. Too many diabetic people are developing complications because they are not receiving the straightforward care and support they need. The Department estimates that 24,000 people with diabetes die prematurely each year because their diabetes has not been managed effectively and it's estimated 80% of the costs of diabetes in the NHS are attributable to the treatment and management of serious, yet avoidable, diabetic complications. These costs will continue to increase as the number of diabetic people rises as will premature deaths. The National Service Framework for Diabetes, 2001 set out minimum standards for good diabetes care, including nine basic care processes which check for the early signs of avoidable diabetic complications as well as treatment targets for the management of blood glucose, blood pressure and cholesterol to minimise the risk of diabetic complications developing. Progress in delivering these standards of care and in achieving treatment targets has been poor. There is no strong national leadership, no effective accountability arrangements for commissioners, and no appropriate performance incentives for providers. The Committee saw no evidence that the Department will ensure that these issues are addressed effectively in the new NHS structure. Variation in the level of progress across the NHS also means that there is an unacceptable "postcode lottery" of care

Lipids in Diabetes - ECAB

Author: S V Madhu
Publisher: Elsevier Health Sciences
ISBN: 8131232131
Category: Medical
Page: 128
View: 2133

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Type 2 diabetes mellitus is associated with a greater risk of developing atherosclerotic macrovascular diseases like myocardial infarction, stroke, and peripheral vascular disease. There is 2- to 4-fold increased risk of atherosclerotic heart disease and stroke in diabetic patients compared to non-diabetic patients. As the prevalence of type 2 diabetes is increasing rapidly, this diabetes related atherosclerotic disease is predicted to be a major public health problem. Atherosclerosis is a complex process and in diabetic patients, it behaves differently with increased lesion progression and severity. This accelerated atherosclerotic process in diabetics is explained on the basis of several risk factors like hyperglycemia, dyslipidemia, accelerated formation of advanced glycation end products, increased oxidative stress, and genetic factors. It is difficult to establish precisely the elements responsible for this atherosclerosis in diabetics, but by epidemiological, clinical, and by animal studies, it has been possible to get an idea of this problem in diabetics. Of the several risk factors for atherosclerosis in diabetes, dyslipidemia is the leading one, and an insight into the pathophysiologic relation of isolated triglyceridemia in Indian diabetics with the identification of the targets for control of lipids in diabetes (practical vs. ideal) needs to be well understood by the treating physician. This book is designed to address such issues with supportive typical clinical scenarios, with which the readers will be able to identify. Thus, it provides an excellent opportunity to widen one’s perspective in this area.

Dietary Considerations in Diabetes - ECAB

Author: Anoop Misra
Publisher: Elsevier Health Sciences
ISBN: 8131232093
Category: Medical
Page: 108
View: 2274

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Diet plays an important role in the treatment of diabetes, alone or in combination with insulin or oral hypoglycemic drugs. The diabetic nutrition plan of an individual necessitates to be based upon, excepting the usual parameters, his/her socioeconomic status, ethnicity/religion, and local food habits. It is important that diet plan is individualized and also region based. Since there are a number of artificial sweeteners available now, it is necessary that physicians should take in account scientific data while prescribing any artificial sweetener. This issue in the ECAB Update Series: Diabetology reviews these issues in accordance with the Indian Dietary habits and available evidence to support the clinical decisions.

Unconventional Organ Damage in Diabetes - ECAB

Author: Samar Banerjee
Publisher: Elsevier Health Sciences
ISBN: 813123214X
Category: Medical
Page: 108
View: 734

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Cell health depends on a steady supply of fuel from glucose and free fatty acids. Both these major fuels are regulated by insulin. Cells in the muscle, liver, and fat need insulin to receive glucose, and hence do not become exposed to high blood glucose levels when the blood sugars are high and insulin levels are low. The lack of insulin slows the movement of glucose into these cells, and probably spares them from damage when blood sugars are high. However, other cells such as those in the brain, nervous system, heart, blood vessels and kidneys pick up glucose directly from the blood without using insulin. These cells, except the brain, are more prone to damage from high blood sugars because they become exposed to high internal levels of glucose. This to quite an extent explains why damage tends to occur in specific organs such as in nerve and kidney cells, and in small blood vessels like those in the eyes. This project on the organ damage in diabetes is an attempt to elaborate on the various factors to be considered in managing these patients, the pointers for early diagnosis and prevention of the same.


Diabetes, Insulin, and the Transformation of Illness
Author: Chris Feudtner
Publisher: Univ of North Carolina Press
ISBN: 0807863181
Category: Health & Fitness
Page: 320
View: 1614

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One of medicine's most remarkable therapeutic triumphs was the discovery of insulin in 1921. The drug produced astonishing results, rescuing children and adults from the deadly grip of diabetes. But as Chris Feudtner demonstrates, the subsequent transformation of the disease from a fatal condition into a chronic illness is a story of success tinged with irony, a revealing saga that illuminates the complex human consequences of medical intervention. Bittersweet chronicles this history of diabetes through the compelling perspectives of people who lived with this disease. Drawing on a remarkable body of letters exchanged between patients or their parents and Dr. Elliot P. Joslin and the staff of physicians at his famed Boston clinic, Feudtner examines the experience of living with diabetes across the twentieth century, highlighting changes in treatment and their profound effects on patients' lives. Although focused on juvenile-onset, or Type 1, diabetes, the themes explored in Bittersweet have implications for our understanding of adult-onset, or Type 2, diabetes, as well as a host of other diseases that, thanks to drugs or medical advances, are being transformed from acute to chronic conditions. Indeed, the tale of diabetes in the post-insulin era provides an ideal opportunity for exploring the larger questions of how medicine changes our lives.

Insulins in Diabetes - ECAB

Author: R V Jayakumar
Publisher: Elsevier Health Sciences
ISBN: 8131232077
Category: Medical
Page: 118
View: 663

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Decision making in instituting insulin therapy is an important aspect of diabetes management. The appropriate insulin regimen for an individual patient should take into account the patient’s lifestyle, age, motivation, general health, self-management skills, and treatment goals. In addition, a discussion of the newer insulins versus older insulin is a much desired topic in the Indian context. Another area of interest is the insulin delivery mechanism in the intensive care units in hospital settings. This CME module is designed to address such questions with supportive typical clinical scenarios, with which all readers will be able to identify. Thus it provides an excellent opportunity to widen one’s perspective in this area.