基本説明
Concise handbooks organised in a straightforward way. Designed to meet the needs of GPs, junior doctors, practice nurses and other primary care providers.
Full Description
The "In Clinical Practice" series aims to provide expert information 'at your fingertips' - concise handbooks organised in a straightforward way. Dr Barnett runs one of the largest diabetes clinics in the UK, and the book addresses the strong link between type II diabetes and cardiovascular disease. Cardiac disease is the leading cause of diabetes-related deaths, and the book includes discussions on the scale of the problem, co-occurrence of risk factors, and symptoms such as dyslipidaemia, hypertension and glycaemia. Also discussed is the importance of the metabolic or insulin-resistant syndrome. Key clinical trials are covered, and there are chapters on Treatment and Future Developments .
Contents
Introduction and background - scale of the problem of diabetes; reasons for exponential rise in numbers; overview of vascular complications. Definition and epidemiology - diabetes and cardiovascular disease focus on the heart scale of the problem Aetiology - importance of metabolic (insulin resistance) syndrome. Co-occurrence of risk factors for atherogenesis and vascular disease Obesity Lipids Hypertension Glycaemia Smoking Diagnosis - diabetes is a cardiovascular disease risk factor screening low threshold for investigations tools for investigation Prevention - evidence base for treatment key clinical trials Treatment - obesity, dyslipidaemia, hypertension, glycaemia, lifestyle advice Future developments - emphasis on care pathways algorithmic approaches treating to target new uses for established therapies (e.g. glitazones, rapid acting insulin secretagogues) Clinical cases Appendices References Index
