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Recent research in diabetes has proven Type 1 diabetes is no longer only a juvenile disease. It has been projected adult Type 1 diabetes will increase 40% from 1997-2010, and as our understanding of the pathogenesis of Type 1 and Type 2 diabetes grows - it is apparent that some cases previously classified as Type 2 are actually adult onset Type 1 diabetes. This volume is the first to focus exclusively on Type 1 diabetes in adults, seeks to clarify the complexities by explaining latest concepts in the pathophysiology and management of the disease, and to assist clinicians in the optimal utilization of cutting edge technology, therapeutics, and management strategies available to them.
Skin lesions are often the first sign for an endocrine disease. Their description is thus of relevance for early diagnosis and treatment of endocrine disease for specialists in endocrinology as well as in dermatology. Lavishly illustrated, this book describes the clinical and histological features of skin lesions observed in endocrine diseases. All features are reader-friendly structured and written in the language of dermatologists in order to enable a simple association between the features observed and the endocrine etiology.
Skin lesions are often the first sign for an endocrine disease. Their description is thus of relevance for early diagnosis and treatment of endocrine disease for specialists in endocrinology as well as in dermatology. Lavishly illustrated, this book describes the clinical and histological features of skin lesions observed in endocrine diseases. All features are reader-friendly structured and written in the language of dermatologists in order to enable a simple association between the features observed and the endocrine etiology.
Recent research in diabetes has proven Type 1 diabetes is no longer only a juvenile disease. It has been projected adult Type 1 diabetes will increase 40% from 1997-2010, and as our understanding of the pathogenesis of Type 1 and Type 2 diabetes grows - it is apparent that some cases previously classified as Type 2 are actually adult onset Type 1 diabetes. This volume is the first to focus exclusively on Type 1 diabetes in adults, seeks to clarify the complexities by explaining latest concepts in the pathophysiology and management of the disease, and to assist clinicians in the optimal utilization of cutting edge technology, therapeutics, and management strategies available to them.
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.
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