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.

The only Spanish-English resource to help you communicate with your patients with diabetes

With more and more physicians, clinicians, educators, and administrators working with Latino and Hispanic patients, ensuring accurate communication is more important than ever. This handy pocket reference offers the Spanish equivalents to common phrases you use every day. From patient introductions to medical histories, examinations, and follow-up, you can provide a more trusting environment and quality care by engaging patients directly. Phrases are divided into nine, natural groups for ease of use. A glossary of related terms is included. Provides accurate communication is critical in all aspects of medical diagnosis, education, and general diabetes care. Helps you communicate more effectively with your Spanish-speaking patients. Written by the experts at the American Diabetes Association, the nation's leading voluntary health organization supporting diabetes research, information, and advocacy and the leading publisher of comprehensive diabetes information.

Topics include:
Greeting and Introduction; Identifying the Patient; . Medications and Allergies; Chief Complaint (CC); History of Present Illness; Past Medical History; Review of Systems; Examination; Follow-Up and Plan; List of Relevant Terms

A critical study of diabetes in the popular imagination Over twenty-nine million people in the United States, more than nine percent of the population, have some form of diabetes. In Managing Diabetes, Jeffrey A. Bennett focuses on how the disease is imagined in public culture. Bennett argues that popular anecdotes, media representation, and communal myths are as meaningful as medical and scientific understandings of the disease. In focusing on the public character of the disease, Bennett looks at health campaigns and promotions as well as the debate over public figures like Sonia Sotomayor and her management of type 1 diabetes. Bennett examines the confusing and contradictory public depictions of diabetes to demonstrate how management of the disease is not only clinical but also cultural. Bennett also has type 1 diabetes and speaks from personal experience about the many misunderstandings and myths that are alive in the popular imagination. Ultimately, Managing Diabetes offers a fresh take on how disease is understood in contemporary society and the ways that stigma, fatalism, and health can intersect to shape diabetes's public character. This disease has dire health implications, and rates keep rising. Bennett argues that until it is better understood it cannot be better treated.

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.

Dealing with Diabetes Burnout: How to Recharge and Get Back on Track When You Feel Frustrated and Overwhelmed Living with Diabetes is an inspiring and empowering guide to managing the daily work and pressure of diabetes management - counting carbohydrates at every meal, constantly adjusting medication doses, taking daily injections, pricking fingers multiple times a day, and struggling with the unavoidable challenges of fancy, yet imperfect, technology - that can lead to burnout. Vieira provides the tools and encouragement needed to help readers get back on track and make diabetes management a rewarding priority. Chapters directly address burnout in relation to: food, exercise, insulin dosing, blood sugar checking, fear of low blood sugar, being a caregiver/spouse of a person with diabetes, communicating more effectively with your doctor, taking a healthy ""vacation"" from diabetes, and creating realistic expectations and goals.

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

Over the past two decades, type 2 diabetes has emerged as a leading threat to global health, and the considerable overlap in obesity and diabetes trends are likely no coincidence. While the underpinnings for both etiologies are linked to lifestyles, particularly dietary and physical activity patterns, determining optimal approaches for preventing and managing type 2 diabetes using dietary composition remains a challenge. Nutrition and Type 2 Diabetes: Etiology and Prevention rigorously examines various perspectives on diet and type 2 diabetes. The book presents a comprehensive description and evaluation of the central research to date, primarily in humans, on the macronutrients and their subclasses, micronutrients, foods, beverages, and overall dietary patterns with respect to the risk of type 2 diabetes. It addresses the mediating/mechanistic role of obesity and body composition throughout the text where appropriate. The chapter authors, all leading researchers in the field, discuss fundamental nutritional principles applied to the pathophysiology of type 2 diabetes as well as applied behavioral studies on nutrition and diabetes for each subject area. The depth and breadth of this book includes aspects of the "food synergy" model for understanding the complicated pathways between nutrition, dietary habits, and risk for type 2 diabetes. It also examines the effects of artificially sweetened beverages and coffee. This reference provides a review of the science on the potential impact of many components of dietary behavior and nutritional properties on etiology and risk for this disease, knowledge that is essential for formulating informed approaches to public health progress in this area.

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.

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.

Diabetic Foot Care: Case Studies in Clinical Management uses a 100% illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face. Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcot's osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists.

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.

'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 simple new dietary approach to preventing and treating diabetes

You can help prevent and control diabetes through simple diet and lifestyle changes that are a pleasure to make instead of a chore. This book shows you how. Drawing on the latest diabetes research, Healthy Eating for Life to Prevent and Treat Diabetes presents a complete and sensible plant-based nutrition program that can help you prevent, manage, and, in certain cases, even reverse diabetes.

Covering Type 1(childhood-onset), Type 2 (adult-onset), and gestational diabetes, this book provides detailed nutritional guidelines that have been carefully drafted by Physicians Committee diabetes experts, along with nearly 100 delicious, easy-to-make recipes to help you put these healthy eating principles to work right away. Healthy Eating for Life to Prevent and Treat Diabetes contains important information on:

• Exercise and lifestyle issues
• Achieving and maintaining healthy weight
• Diabetes and pregnancy
• Preventing complications from diabetes
• And more

Whether you or a loved one has diabetes or is at risk of developing it, this book will give you the crucial knowledge you need to take charge now–of your diet, your health, and your life.

Also available:

Healthy Eating for Life to Prevent and Treat Cancer (0-471-43597-X)
Healthy Eating for Life for Children (0-471-43621-6)
Healthy Eating for Life for Women (0-471-43596-1)

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

With the increasing incidence of Type 2 diabetes in the adult population and the realization that this is a vascular disease and a major coronary risk factor, Professor Betteridge has chosen fifty diabetologists to contribute a case which has had an effect on their clinical practice. Both Types 1 and 2 diabetes are included, along with other forms of diabetes, eg gestational. Each case is presented in the same format. The various cases are informative and educational and should provide the reader with a sounder knowledge of patient and disease types.

Bryan Williams and his international team of collaborators provide the reader with their views for treatment of diabetes associated with hypertension and the prevention of subsequent coronary artery disease and other disorders. Diabetes mellitus, particularly non-insulin-dependent diabetes Type 2, is a common disease and, even though insulin has been around for seventy years, this endocrine disorder still reduces the life expectancy of diabetic patients because of the development of long-term complications, including hypertension. Hypertension occurs twice as often in diabetic patients as in non-diabetic ones. The combination of diabetes and hypertension creates a greater risk of coronary artery disease which is the major cause of death in westernized societies. Bryan Williams and his international team of collaborators provide the reader with their views for treatment of diabetes associated with hypertension and the prevention of subsequent coronary artery disease and other disorders.

The low-carb lifestyle continues to be a popular choice among those trying to lose weight through the ketodiet, resolve insulin resistance, and combat pre-diabetes and Diabetes. Those in the gluten-free and Paleo/Primal diet communities are also searching for recipes with that, help the gut, work with their lifestyle and benefit their health. Foods that are high in fat and low in carbs are, in some cases, just what the doctor ordered. Bestselling low-carb author and advocate, Dana Carpender, strips away the carbohydrates (grains and starches) and reveals 200 of her best ultra-low carb recipes for those who are looking to take their low-carb lifestyle to the next level. These recipes have been recipes updated to be Paleo/Primal-friendly, featuring no artificial sweeteners, gluten, or other processed ingredients. The official cookbook of HEAL Diabetes and Medical Weight Loss Centers, founded by Dr. Eric Westman, this book has 200 recipes to jumpstart your nutrition and get you on the path to a healthier, happier you.

You can feel great again!

"Syndrome X proactively lays out a nutritious, tasty, and simple diet plan to get us back to the basics of healthy nutrition."–Lendon H. Smith, M.D., New York Times bestselling author of Feed Your Body Right

"Syndrome X is the best new book to help you understand the facts about nutrition, health, and aging. . . . It is full of new information and insights most readers have never had access to before. Everyone who values his or her health will want to read the book and then individualize the program to suit his or her needs–the authors have made this easier than ever to do."–Richard A. Kunin, M.D., author of Mega-Nutrition

What is Syndrome X? It’s a resistance to insulin–the hormone needed to burn food for energy–combined with high cholesterol or triglycerides, high blood pressure, or too much body fat. Syndrome X ages you prematurely and significantly increases your risk of heart disease, hypertension, obesity, eye disease, nervous system disorders, diabetes, Alzheimer’s, cancer, and other age-related diseases.

Syndrome X is the first book to tell you how to fight the epidemic disorder that is derailing the health of nearly a third of North Americans. It outlines a complete three-step program–including easy-to-follow diets, light physical activity, and readily available vitamins and nutritional supplements–that will safeguard you against developing Syndrome X or reverse it if you already have it.

Contents:
Part 1. Insulin Signaling 1. Overview: Tyrosine Kinase Signaling in Insulin Action Martin G, Meyers, Jr. 2. Defects in Early Insulin Signaling in Skeletal Muscle M. Dodon Michel and C. Ronald Kahn 3. Defects in Intermediate Insulin Signaling in Skeletal Muscle: (PI) 3-kinase and Glucose Transport Francesco Giorgino Part 2. Glucose Transport 4. Glucose Transport in Muscle John O. Hollozsy and Lorrine A. Nolte 5. The GLUT4 Compartments of Skeletal Muscle Toolsie Ramlal, Peter Tong, Tony Lam, Romel Somwar, Maureen Charron and Amira Klip Part 3. Substrate Utilization 6. Adverse Metabolic Consequences of Hyperglycemia ('Glucose Toxicity'): Implications for the Pathogenesis of Diabetes Mellitus Donald A. McClain 7. Cellular Mediators of Glucose-Induced Autoregulation of Hexose Transport Evgenia Alpert, Hanan Totrie and Shlomo Sasson 8. Physiological Adaptations in Glucose Utilization of Skeletal Muscle Julian M.R. Mathoo and Mladen Vranic 9. Fatty Acids and Muscle Insulin Resistance Edward W. Kraegen, Gregory J. Cooney, Jiming Ye, Alison L. Thompson and Stuart M. Furler 10. Role of AMP Kinase and Malonyl CoA in Exercise-stimulated Skeletal Muscle Metabolism and Insulin Action David J. Dean and Neil B. Ruderman Part 4. Transgenic and Genetic Models 11. The Use of Mouse Transgenic and Homologous Recombination Technologies to Analyze the Physiologic Basis of Glucose Homeostasis Silvia Mora and Jeffrey E. Pessin 12. Transgenic Approaches to Insulin Signaling Yasuo Terauchi and Takashi Kadowaki 13. Transgenic Models to Study Glucose Transport and Metabolism in Skeletal Muscle Armelle Leturque and Anna-Maria Lombardi Part 5. Diabetic Animals 14. Insulin Resistance in Skeletal Muscle: a Role for Impaired Insulin Activation of Glycogen Synthase Heidi K. Ortmeyer 15. Muscle GLUT4 Traffic and Insulin Resistant States Antonio Zorzano, Eva Tomas, Marta Camps, Anna Guma and Manuel Palacin 16. Glucose Transport in Heart: Special Emphasis on Insulin Resistance and NIDM Jurgen Eckel 17. Cellular Redox State and Insulin Sensitivity: Potential Role of Lipoic Acid Assaf Rudich and Nava Bashan Part 6. Exercise and Aging 18. Exercise Training and Muscle Insulin Resistance: Cellular Adaptations John L. Ivy 19. Effects of Physical Exercise on the Decreased Insulin Action Caused by Aging Yuzo Sato 20. Effects of Aging on Glucose Homeostasis: Cellular Approaches Gregory D. Cartee Part 7. Application to Humans 21. Insulin Resistance: Whole Body Mechanisms in Humans Hannele Yki-Jarvinen 22. Cellular Mechanisms Dana Galuska and Anna Krook

From an award-winning endocrinology pioneer and metabolism expert comes a revolutionary, sustainable and scientific approach to help you lose weight, regain energy, clear your mind, and prevent disease.

Like our fingerprints, each of us has a unique metabolism. Your metabolism will change as you move through life, shaping your mental and physical capabilities. However, one in four of us will experience trouble with our metabolism. Dr. Noel Maclaren, an award-winning endocrinologist and Sunita Singh Maclaren, a medical anthropology expert, share their revolutionary new approach to mastering your metabolism that combines medical and behavioral insights in order to help balance your weight, boost your energy and improve your cognitive abilities.

Imagine the metabolism as a beguiling jigsaw. We all fit into one of four ‘metabolic personality’ types, based on our bodies' levels of sensitivity to insulin. Maximize Your Metabolism offers a comprehensive self-assessment quiz to uncover yours. Drawing on pioneering data from a person’s genetic legacies, appetite signals and mental resilience, this book will enable you to create a unique plan specific to your needs, and will help you achieve robust brain and body health, including:

• Enhancing your cognitive abilities by limiting grains and fruits as the brain’s ability to absorb glucose declines from your late 40’s onwards
• Optimizing your weight by identifying the simple vs. complex carbohydrates that work for your metabolic type
• Overcoming insulin-related persistent fatigue and increasing your muscle’s energy efficiency through resistance and aerobic exercise
• Protecting yourself from disease-causing internal inflammation by opting for prebiotics found in artichokes, leeks and onions and avoiding certain “health” foods

Dr. Noel Maclaren and Sunita Singh Maclaren have helped thousands of patients in their clinic for over fifteen years, by reversing these metabolic imbalances. Filled with specific time-tested guidance and over 30 healthy and delicious recipes, Maximize Your Metabolism is perfect for anyone who wants to be a champion of their own health, gain an overall sense of wellbeing in as little as six months, and to sustain it for a lifetime.

Gestational diabetes, or diabetes during pregnancy, is an increasingly common medical condition, affecting around 35,000 women in England and Wales each year, with a threefold increase in diagnosis in the number of people diagnosed in the past ten years. A diagnosis of diabetes in pregnancy can be stressful and overwhelming and there are often more questions than answers, from 'why me'? to 'what's safe to eat?' to what's going to happen to my baby'? This book, written by by a leading consultant diabetologist, provides a practical, no nonsense approach to understanding the condition, reducing risks and achieving the balance of blood sugar that is crucial to a healthy outcome. Topics include: What is gestational diabetes? Coming to terms with the diagnosis Ante-natal care and support Diet and lifestyle Exercise Medication to help protect you and your baby Getting ready for delivery Your baby's birth and afterwards Diet plans and recipes

Stefany Shaheen takes readers on an emotional journey as she tries everything to manage her daughter Elle's deadly and unpredictable disease, all while juggling a family of four children. Overcoming the skepticism that a dog can provide answers that medical science is still seeking, the family finds a resounding sense of peace and reassurance through Coach's near miraculous abilities as a medic-alert dog, specially trained to detect dangerous changes in blood sugar levels. Elle & Coach is a story of determination and finding hope in the most unlikely of places.

"Unlike most books about diabetes, this book is readable as a story--jampacked with exciting recent information about a disease that afflicts 100 million people." --Leo P. Krall, MD, Joslin Clinic and Harvard Medical School, President of the Diabetes Research and Education Foundation Understanding diabetes is the first step a diabetic patient takes toward living a long, active life. If you or someone close to you has been diagnosed with diabetes, here, in lay terms, is a comprehensive explanation that will help you understand diabetes--and learn to cope with it. Specifically not a how-to guide, Diabetes presents clear, scientific coverage of how the body functions and how diabetes affects its various systems. It candidly addresses many controversies in treatment and discusses important new information on vascular damage caused by diabetes. Drs. Kilo and Williamson clearly and carefully explain:

• Psychological aspects
• Diabetes and men
• Diabetes and women
• Choosing a doctor
• Diet and exercise
• Obesity
• Medication
• Stress
• Complications of diabetes