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Handbook of Type II Diabetes in the Middle Aged & Elderly (Hardcover, New)
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Handbook of Type II Diabetes in the Middle Aged & Elderly (Hardcover, New)
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Diabetes mellitus type 2 or Type 2 Diabetes (formerly called non -
insulin-dependent diabetes mellitus (NIDDM), or adult-onset
diabetes) is a metabolic disorder that is primarily characterised
by insulin resistance, relative insulin deficiency, and
hyperglycemia. It is often managed by increasing exercise and
dietary modification, although medications and insulin are often
needed, especially as the disease progresses. It is rapidly
increasing in the developed world and there is some evidence that
this pattern will be followed in much of the rest of the world in
coming years. CDC has characterised the increase as an epidemic. In
addition, whereas this disease used to be also seen primarily in
adults over age 40, in contrast to type 1 diabetes, it is now
increasingly seen in children and adolescents, an increase thought
to be linked to rising rates of obesity in this age group, although
it remains a minority of cases. Unlike type 1 diabetes, there is
little tendency toward ketoacidosis in type 2 diabetes, though it
is not unknown. One effect that can occur is nonketonic
hyperglycemia which also is quite dangerous, though it must be
treated very differently. Complex and multifactorial metabolic
changes very often lead to damage and function impairment of many
organs, most importantly the cardiovascular system in both types.
This leads to substantially increased morbidity and mortality in
both Type 1 and Type 2 patients, but the two have quite different
origins and treatments despite the similarity in complications.
This comprehensive book deals with type 2 diabetes in the
middle-aged and elderly.
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