Nihal, Thomas; Nitin, Kapoor, Jachin Velavan, Senthil Vasan,'s A Practical Guide to Diabetes Mellitus PDF

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By Nihal, Thomas; Nitin, Kapoor, Jachin Velavan, Senthil Vasan,

ISBN-10: 9351528537

ISBN-13: 9789351528531

A realistic advisor to Diabetes Mellitus is the newest version of this entire, hugely illustrated advisor to diabetes. The publication is made out of 30 chapters, encompassing a number of useful remedies for diabetes. starting with an summary of the anatomy and body structure of the pancreas, next chapters hide subject matters similar to scientific foodstuff treatment, insulin remedy, diabetic foot, and ocular ailment. This variation contains fresh chapters on weight problems, wound care, the aged and epidemiology. The bankruptcy on insulin remedy outlines key elements of insulin injection ideas, blending of insulin, and websites for insulin management. This revised and better version of a realistic consultant to Diabetes Mellitus is more suitable by way of 136 complete color pictures and illustrations, making it an amazing spouse for all scholars and practitioners of diabetology, and basic physicians. Key issues * most recent variation of finished consultant to diabetes * earlier version released 2012 (9789350259672) * New chapters on weight problems, wound care, the aged, and epidemiology *136 complete color photographs and illustrations

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Additional resources for A Practical Guide to Diabetes Mellitus

Example text

It is important to note that differentiating autoimmune diabetes from other forms is critical in early initiation of insulin therapy to preserve β cell function and good glycemic control from early periods to delay the onset of microvascular complications. Environmental Factors Although there is little direct relationship between environmental factors and T1DM develop­ ment, sufficient evidence have demonstrated the role of certain viruses and dietary factors in disease etiopathogenesis. Potential dietary triggers investigated include early exposure to cow’s milk, gluten-containing diet, shorter duration of breast feeding and some food additives.

Increased fat breakdown leads to increased formation of ketone bodies, which leads to ketosis and acidosis. The ketone bodies include acetoacetate, acetone and β-hydroxybutyrate. The hydrogen ions formed from acetoacetate and β-hydroxybutyrate are buffered to a great extent, beyond which metabolic acidosis occurs. The pH drops due to the acidosis and the increased hydrogen ion concentration stimulates the respiratory center causing the characteristic rapid and regular deep breathing called Kussmaul breathing.

Since lot of water is lost in the urine, it leads to dehydration and this triggers the processes regulating water intake and causes increased thirst (polydipsia). Electrolytes are also lost in the urine. The quantity of glucose lost in urine is enormous and thus to maintain energy balance the patient takes in large quantities of food. Reduced glucose utilization by the ventromedial nucleus of hypothalamus (satiety center) is also possibly the cause for the polyphagia. The plasma glucose levels can get elevated to such an extent that the hyperosmolarity of plasma can cause coma called hyperosmolar coma.

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A Practical Guide to Diabetes Mellitus by Nihal, Thomas; Nitin, Kapoor, Jachin Velavan, Senthil Vasan,


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