A. CORBIN Investigations on LHRH and its analogs have just completed their first decade. We have witnessed a veritable explosion of chemical, physiologic and pharmacologic data on this hypothalamic peptide and the approximately 1500 agonist and antagonist analogs that have been synthesized. In order to track this expanding field, I was asked to organize an international symposium on basic and clinical aspects of LHRH analogs as part of the Reproductive Health Care: CDS Symposium held in Maui, Hawaii, in October 1982. This meeting brought together a number of the leading investigators in the field. Much new state-of-the-art information was presented which I and my colleagues felt deserved a wider audience. Drs Vickery, Nestor, and Hafez consented to undertake this task. Upon review of the literature, it was apparent that there was no recent text which fully covered the breadth of developments in the field. Accordingly, the editors decided to use the symposium as a nucleus on which to build a singular, comprehensive state-of-the-art analysis of this rapidly growing discipline, and the application of such knowledge to reproductive medicine. As exemplified by the various areas of expertise provided by the individual contributors, it becomes obvious that the scope of the subject matter, while relating solely to a well-defined chemical class (LHRH analogs) and a circumscribed physiologic and pharmacologic entity (reproduction), has expanded enormously.

A lot of time has been spent trying to convince health care providers and policy makers of the enormous importance of macrovascular disease in persons with type 2 diabetes. In this volume, we present facts that dem onstrate how important it is to recognize macrovascular disease in these patients in daily practice. This volume has been compiled to help those already involved in dia betes care, to be more involved in cardiovascular risk control, a task that is not easily achieved. The area of cardiovascular risk in type 2 diabetes is heterogeneous. Trying to characterize it, we can only say: certainly we know more than we do, but for sure we do less than we could. Our challenge is to change this. Nicolae Htmcu Professor N. Hancu was born in Romania in 1940. He studied medicine at the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, and obtained his speciality in internal medicine in 1970, and in diabetes, nutrition and metabolic disease in 1986. He was appointed Professor and Head of the Department of Diabetes, Nutrition and Metabolic Diseases of the same university in 1993. He has been a full member of the Romanian Academy of Medical Sciences since 1995. Professor Hancu's major interest is related to clinical lipidology, visceral obesity, and cardiovascular risk in type 2 diabetes. He has published over 200 papers and 14 books in this area. He has been invited as Visiting Professor at many universities in Madrid, Valladolid, Barcelona, and Los Angeles.

Understanding the importance of nanosciences in diabetes is problematic as some texts can be too technical for the novice. This book uses a reader friendly format suitable not only for practitioners but newcomers as well. It begins with general aspects of nanotechnology and nanomedicine in diabetes. It then discusses glucose and glucose sensors based on functional nanocomposites before moving on to a discussion of insulin and the use of nanoprobes to monitor cell processes in the pancreas. Finally, it explores drugs and other treatments, including second-generation sulfonylurea glipizide loaded biodegradable nanoparticles and nanoparticle-mediated delivery of angiogenic inhibitors in diabetic retinopathy."

'Phil Vickery is not only a talented chef, but something rarer still, a sensible and sensitive one.' The Independent Phil Vickery's Diabetes Meal Planner gives anyone living with diabetes the tools to make the right choices and achieve a healthy, balanced lifestyle. The tempting dishes can be enjoyed by the whole family and range from Braised Aubergines with Spiced Butterbeans and Crispy Garlic to Five Vegetable Curry, Spring Braised Chicken with Little Gem, Peas and Beans, Banana, Oat and Peanut Cookie Balls and Plum Compote. All of them are accompanied by nutritional analysis and traffic light labelling that reveals at a glance what you are eating, as well as useful tips about food groups and ingredients.

A concise survey by physicians and researchers of the latest thinking about the causes of diabetes and the best approaches to treating its acute and chronic complications. The authors pay special attention to explaining the molecular basis of diabetes and its complications, as well as to the many recent developments in whole pancreas and islet cell transplantation, including the means for avoiding the rejection of transplanted islets.

At a time of dramatic increases in the prevalence of obesity, it is appropriate that Type 2 diabetes has received a great deal of attention by the endocrinology community. Clearly, the management of insulin resistance and cardiovascular risk is a critical issue. However, it is important to also acknowledge and address Type 1 diabetes, whose prevalence is also increasing, and whose management remains complex. Currently it is estimated that 10-15% of those with diabetes carry the diagnosis of Type 1 diabetes, and frequently the diagnosis is not straightforward, as many clinicians recognize that more adults previously thought to have Type 2 diabetes actually have late-onset Type 1 diabetes (also termed latent autoimmune diabetes of the adult or LADA). Over the last decade tools for the management of Type 1 diabetes have also evolved; therefore, clinicians now have the opportunity to more closely replicate normal physiologic insulin secretion with either basal-bolus insulin therapy or continuous subcutaneous insulin infusions. While these advancements allow clinicians to manage patients with Type 1 diabetes better, they also add complexity to patient treatment. An updated text to address the concepts behind the recognition of new onset Type 1 diabetes in adults, the ongoing care of adults with established Type 1 diabetes, and future potential therapies and devices is warranted to review these issues for both endocrinologists and primary care providers with an interest in diabetes.
As part of the Oxford American Endocrinology Library, this volume stands as a concise guide in the treatment of Type 1 Diabetes in adults. The authors briefly examine the classification and pathophysiology of Type 1 diabetes (including predication and prevention and LADA) and address management (blood glucose monitoring, insulin therapy, and Continuous Subcutaneous Insulin Infusion) and complications (Hyperglycemia, Retinocpathy, Nephropathy, Neuropathy, etc) of the disease. Finally and perhaps most significantly, the authors consider "special situations" associated with Type 1 Diabetes patients, including inpatient treatment, pancreas and inslet transplantation, and how to treat pregnant and depressed patients and patients with eating disorders.

Over 20 million people in the United States have diabetes, a metabolic disorder characterized by the body's lack of production or ineffective use of insulin, and the rate is on the rise. Diabetes can cause acute, as well as long-term complications when not properly controlled. Some of the complications may include coma, cardiovascular disease, renal failure, blindness, nerve damage, vascular damage, and poor healing which can lead to amputation. Though there is no cure for either Type I or Type II diabetes, ongoing effort to develop new drug and gene therapies continues. In the meantime, the goals of treatment are disease management, prevention of complications, and improved quality of life. The choice of therapeutics varies by diabetes type and may depend on other significant factors. The selected regimen often includes medication, injection therapy, exercise and change in diet.
Over the past few decades, awareness of the importance of early diagnosis and treatment of diabetes has increased significantly. With approximately one-third of those affected by diabetes unaware of their illness, it is critical to make every effort to identify the disease early in its course. The primary care physician is frequently the first to see patients presenting with pre-diabetes and diabetes symptoms. This highly practical volume is specifically designed for primary care physicians and internists on the frontlines of care. It provides a clinically-focused roadmap to providing optimal care for patients with pre-diabetes and diabetes, from the initial patient visit through testing, goal-setting and follow-up care. It offers up-to-date information on diagnosis and treatment options for all types of diabetes, helping to expedite delivery of appropriate care.
Part of the new Oxford American Endocrinology Library, this concise yet comprehensive guide covers current approaches and new developments in the diagnosis, management and treatment of diabetes, including Type I, Type II, and gestational diabetes, as well as additional notes on pre-diabetes. The text covers new and emerging pharmacotherapies and complementary treatment guidelines, as well as valuable guidance on managing the major complications of diabetes. In addition to diet and exercise tips for patients, the guide also provides strategies and tools for inspiring healthier lifestyles and patient compliance to reach health goals.

This book focuses on precocious puberty, providing a unique continuum of expertise looking at puberty from anthropologic, epidemiologic, clinical, and molecular perspectives. The volume addresses broad pubertal changes in the general population while at the same time providing in depth information about specific disorders of puberty and the latest management changes. In particular, the book is intended for endocrinologists and internists.

This book presents an up-to-date survey of the current scientific understanding of obesity and the metabolic syndrome, as well as an overview of the most significant changes to the field over the past 30 years. The book defines obesity and realistically assesses its prevalence. It further examines and evaluates the success of traditional cognitive behavioral treatment. This volume is a thorough reference for obesity and the metabolic syndrome.

This is a comprehensive and novel text that examines key features that predispose individuals to autoimmune diseases. The first section details the basic mechanism of autoimmunity and examines immunogenetic and environmental factors in autoimmunity. The next section examines autoimmune thyroid disease. The third section takes a look at Type 1 diabetes mellitus. In the final section, authors explain other autoimmune endocrinopathies.

This unique and authoritative book presents an up-to-date overview of the many aspects of energy balance and its relationships to disease processes resulting from excess energy consumption and storage. It provides a comprehensive treatment of important research and clinical aspects of energy metabolism and obesity. It will be a valuable resource for endocrinologists, diabetes specialists, internists and family practitioners.

The growing problem of diabetes presents difficult challenges for sufferers and for those in the healthcare professions, who are in the unenviable position of trying to convince patients to change their lifestyle "for their own good." Handbook of Diabetes Management provides practical knowledge and advice that can help you anticipate the challenges of working with these Patients. What's more, since the knowledge here is evidence-based, you can assure your patients that the guidelines you're presenting to them have been shown to be effective. This guide takes into account the complexity of the disease, the diversity of the populations it affects, and the continued improvement of care systems. It discusses the origins of diabetes and medication management and treatment, then presents advice based on the latest research findings on: -behavioral health and self-management issues and interventions -tips for patients dealing with issues such as travel, surgery, and foot care -treating specific patient populations including Latinos, Native Americans, rural communities, and the uninsured -case studies from successful, replicable programs Also addressing the business aspects of diabetes care related to such areas as legal and regulatory issues and health policy initiatives, Handbook of Diabetes Management, brings you practical insights based on the latest research. "This handbook book by expert professionals covers every aspect of diabetic care. It is a sound, evidence-based, culturally informative, practical approach to diabetes prevention and disease management." -Kathleen Lambert, BSN, RN, JD, from the Foreword

Metabolic Syndrome (MS) is a highly prevalent condition in developed countries and is a cluster of several risk factors for type 2 diabetes and cardiovascular disease that includes increased body mass index/waist circumference, visceral obesity, insulin resistance, hyperclycaemia, dyslipidaemia and hypertension, which are all major causes of morbidity and death. This volume provides a critical review and discussion of the knowledge gathered on MS and analyzes the interplay between oxidative stress, chronic inflammation and angiogenesis features. There is a special focus on recent discoveries and progress toward possible therapeutic strategies, such as the role of glucose transporters within MS; the effects of polyphenols as anti-oxidant, anti-inflammatory and anti-angiogenic compounds. The role of NFkB, nitric oxide synthases, hypoxia-inducible factors, and many other molecules that play a part in the development of oxidative stress and inflammation as well as angiogenesis is also covered. This book fills the gap between basic science and medical care, and provides the reader with the skills to apply rigorous basic science to clinical settings of metabolic syndrome-associated disorders.

Heart failure is the biggest killer in the western world, and the prevalence is expected to increase due to aging of the population. Over the past decade there has been an increasing awareness of left ventricular (LV) diastolic dysfunction as a mechanism of congestive heart failure. This book provides the clinician with essential insights into the epidemiology and aetiology of diastolic heart failure, and will enable them to understand how the condition can be diagnosed. Furthermore, the book will provide insights in cardiac function that are needed to perform and interpret the diagnostic tests, and to provide some guides to treatment choices.

The incidence and prevalence of type 2 diabetes mellitus have increased dramatically in modernized and developing nations over the past few decades. Thoroughly revised and expanded, this Second Edition responds to the epidemic and supplies a current overview and guide to the management of diabetes in the modern healthcare environment. This Second Edition offers a current perspective on diabetes demographics, epidemiology, pathophysiology, disease monitoring, and approaches to glucose control, and supplies new chapters by world-renowned experts on non-pharmacological management options, complications of the skin and urogenital function, related macrovascular conditions, coronary heart disease, stroke, and peripheral vascular disease, and rare forms of diabetes, PCOS, and NASH.

This issue of Medical Clinics devoted to prediabetes and diabetes prevention belongs in the hands of every practicing internist, PCP, hospitalist, nurse practitioner, endocrinologist, and any healthcare provider who is concerned about the diabetes epidemic. The importance of this resides in our ability to prevent diabetes by early identification of individuals with a precursor condition termed prediabetes that affect 54 million adult Americans. This entity has grown globally over the recent decades paralleling the obesity epidemic. No country or region of the world is immune. Overweight and obesity affect approximately 60% of our population and children as well as adolescents are not spared. Approximately 13% of adolescents have prediabetes which has doubled since the year 2000. Both type 2 diabetes and prediabetes are preventable and reversible with lifestyle changes involving weight loss and exercise. This issue gives a historical perspective on diabetes prevention, examines its public health implications, and explores diabetes prevention initiatives. Essential topics covered include prediabetes definition, epidemiology, mechanisms of complications, pathophysiology, diagnosis, and treatment recommendations. Diabetes prevention trials and the economics of prevention are also covered.

More Than 3 Million American Medical Association Books Sold

From America's Most Trusted Health Authority, the Ultimate Guide to Understanding, Preventing, and Managing Type 2 Diabetes

Millions of Americans have type 2 diabetes, and millions more are at risk of developing the disease. The good news is that it is both preventable and treatable. In the American Medical Association Guide to Living with Diabetes you'll learn everything you need to know to prevent type 2 diabetes, take control of it if you already have it, and reduce your risk of life-threatening complications.

This book provides clear, easy-to-understand explanations of what type 2 diabetes is, what causes it, and how to determine if you are at risk. You'll find a detailed, easy-to-follow program for preventing diabetes by eating a healthy diet, exercising regularly, and reaching and maintaining a healthy weight. If you are living with diabetes, this invaluable guide offers in-depth explanations of the recommended lifestyle changes that can help you manage the disease, stressing the importance of rigorous testing and control of your blood sugar to avoid complications. You will learn about the available medications for treating diabetes and about alternative and complementary therapies. The book also includes sections on gestational diabetes and the increasing threat that type 2 diabetes poses to at-risk children. By following the recommendations and guidelines in the American Medical Association Guide to Living with Diabetes, you can reduce or eliminate the symptoms, avoid or minimize the risk of serious complications, and become more physically fit, energetic, and alert. In fact, there's no reason you can't behealthier than you've ever been.

From America's most trusted health authority, this is the ultimate guide to managing Type 2 diabetes. Diabetes is a leading cause of death and disability in the U.S., and in recent years the disease has reached epidemic levels: nearly 19 million Americans now live with Type 2 diabetes and 13 million more are affected by its precursor, prediabetes. Now, at last, America's leading group of medical experts has created an easy-to-understand self-care reference to help people prevent and manage the disease. Authoritative and up to date, the book explains what diabetes is, describes its risk factors, and offers practical strategies for reducing those risks including improving nutrition, exercising more, and losing weight. For people who are currently living with diabetes, it offers comprehensive, helpful information about recommended lifestyle changes, blood-glucose testing, medications, alternative and complementary therapies, and how to prevent serious complications.Complete with special sections on gestational diabetes and the increasing numbers of American children who are at risk of developing Type 2 diabetes or who are living with it, this guide is an essential home reference for everyone with diabetes or prediabetes. The American Medical Association has been the leading group of medical experts in the United States and one of the most respected health-related organizations in the world for more than 150 years. Previous AMA books include the more than 2 million-copy bestseller, American Medical Association Family Medical Guide, now in its fourth edition (0-471-26911-5). Boyd E. Metzger, MD (Chicago, IL) is the Tom D. Spies Professor of Metabolism and Nutrition in the Division of Endocrinology, Metabolism, and Molecular Medicine, Department of Medicine at Northwestern University, Feinberg School of Medicine, and Attending Physician at Northwestern Memorial Hospital in Chicago. He headed Northwestern University's Clinical Center for the Type 2 Diabetes Prevention Program funded by the National Institute of Health

The right diet is the foundation for successful management of Diabetes. Published in association with The British Diabetic Association 'Recipes For Health: Diabetes' contains over 200 delicious recipes each carefully designed to meet the special nutrition needs of people with diabetes.

Calorie counts and carbohydrate rating are provided for every recipe so it's easy to keep track of your glucose levels.

• Children's recipes and advice to help the child with diabetes
• Easy everyday meals
• Dishes for special occasions
• Vegetarian options
• A range of puddings, cakes and desserts

Azima Govindji was formerly Chief Dietician for the British diabetic Association. Jill Myers is the former Home economist to the British Diabetic association

The management of diabetes in children and young people continues to develop in important areas, including self-monitoring, insulin delivery, dietary prescription, concept of control and the early identification of complications. Meanwhile responsibility for care has become a partnership between patients, parents and a multi-disciplinary team of health professionals. Key features of Childhood and Adolescent Diabetes include:

• Stand-alone chapters offering practical solutions to problems confronting children, young people and their parents
• Rational advice on monitoring and managing diabetic complications
• Guidance on the involvement of families, schools and teachers
• Discussion of the psychological aspects
• Recommendations on setting standards of care, audit, data-handling and registration
• Suggestions for setting up and running activities beyond the clinic

The enormous increase in our knowledge and understanding of diabetes mellitus in recent years has resulted in new management strategies for greatly enhancing care in diabetic pregnancy. Clinicians responsible for the care of women with diabetes need to keep abreast of these advances. Diabetes and Pregnancy: An International Approach to Diagnosis and Management is a comprehensive, yet practical guide to the present state of knowledge regarding diabetic pregnancy. It summarizes published literature, and offers clear and valuable information on the practicalities of providing special care before, during and after pregnancy. This volume will be indispensable to all members of the health care team involved in the care of pregnant diabetic women and their babies, including obstetricians, neonatologists, diabetes physicians, specialist nurses, midwives as well as general practitioners.

Self-manage digestive disorders through dietary choices

Suffering from a gastrointestinal disorder–whether it’s irritable bowel syndrome, gas, constipation, heartburn, or another condition–can be embarrassing and debilitating. While medical treatments and prescriptions can offer relief, one of the most important ways you can help yourself is to choose the right foods to eat.

Backed by the American Dietetic Association, this user-friendly guide shows you how to analyze your eating habits so that you can map out a dietary plan to manage and reduce the uncomfortable symptoms of digestive disorders. You’ll find practical recommendations for implementing changes in your lifestyle and advice on steering clear of common dietary mistakes. Your meals will be pleasurable and nourishing experiences–not painful ones–when you discover how to make the best and most comfortable food choices so you can embark on the road to digestive health.

The definitive guide to eating well and staying healthy with diabetes

"Nutrition is pivotal to diabetes care. This book is a terrific tool for managing diabetes through good nutrition. It’s a guide you can use every day–a treasure chest of advice on how to eat healthfully."
–Richard M. Bergenstal, MD, Executive Director
International Diabetes Center, Minneapolis, Minnesota

From the American Dietetic Association comes this authoritative guide to choosing foods to control your blood sugar and maintain an active, healthy lifestyle. It provides the must-know basics of daily diabetes care–from designing a food plan and preventing low blood glucose levels to losing weight and carbohydrate counting–so you can personalize diabetes and food decisions to fit your needs. You’ll see how to manage blood fat levels and blood pressure–an important part of diabetes care–and gain invaluable insight into making healthy food choices and planning tasty meals. You’ll also find tips on reducing sugar and fat in foods; quick and easy meal ideas; and a special section on prevention of type 2 diabetes.

• Detailed menu plans for daily caloric levels of 1,200, 1,500, 1,800, 2,000, and 2,500 calories
• Includes fast-food restaurant and ethnic food guides
• Ratings for high, low, and moderate glycemic index foods

As the incidence of diabetes increases worldwide, the need for recommendations on how to prevent and treat the condition grows exponentially, and so does the need for an authoritative source for information on the appropriate models to study the condition. The new edition of Animal Models of Diabetes is that source. The book presents updated and expanded information regarding the use of models in experiments with both Type 1 and Type 2 diabetes. The new edition compiles relevant time-saving information on well-recognized models, including various mice, rats, minipigs, and Rhesus monkeys, and provides extensive references for more in-depth study. It contains new and updated referenced reviews on animals with induced obesity as well as observations on retinopathy in spontaneous diabetes resembling human lesions. The book discusses nutritionally diabetes-prone animals and considerations of insulin resistance and obesity. The contributors also address the importance of recent findings on the pathogenesis of diabetes and its complications in relation to human disease. Including contributions from prominent experts in the field, the book brings together scattered data and lucidly presents it. This promotes the understanding of the etiopathology of diabetes and offers a new grasp of the insulin action, its negative feedback leading to insulin resistance, and its detrimental outcomes. The book also includes new knowledge on specific complications of diabetes, offering an incentive to test advanced modalities to prevent and inhibit their occurrence.

Sugar is everywhere. Do your children beg you to buy unhealthy sugary snacks at the supermarket, and kick up a tantrum if you refuse? Perhaps you crave sweet treats, bread, pasta and sauce-laden food yourself. Do you notice lethargy and mood swings in your children as a result of blood glucose spikes and dips?

If the answer to any of these questions is yes, your family's health is at risk. Dr Val Wilson can help. Having lived with Type 1 diabetes for more than four decades, her relationship with sugar has at times been very unhealthy, but today she is well in control of her sugar intake.

How to Reduce Your Child's Sugar Intake is packed with recent scientific research and nutritional information to help you understand addiction to sugar and conquer it. It provides simple, actionable advice and delicious recipes to help you break free from the mental, physical and emotional traps of old eating patterns.

This book shows the way to a sustainable, healthy lifestyle. It will enable you and your family to enjoy dramatically improved health and mood, increased energy levels and weight loss.