By Ian N. Scobie
Diabetes mellitus is a really universal disorder that's achieving epidemic proportions due to significant raises within the prevalence of weight problems and the propensity for a sedentary existence. the necessity for physicians to familiarize themselves with all types of diabetes is key and the Atlas of Diabetes Mellitus is going a ways towards making the duty more uncomplicated for either certified physicians and people in education.
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Extra info for Atlas of Diabetes Mellitus (Encyclopedia of Visual Medicine Series) (3rd Edition)
Interstitial fluid glucose is measured frequently and the data are downloaded at a later time. This information can then be used to refine and adjust patients’ diabetes management resulting in improved glycemic control and avoidance of hypoglycemia. Studies to date have demonstrated disturbing changes in blood glucose values that could not have been anticipated using conventional self-monitoring techniques. A wristwatchlike device that uses a process known as reverse iontophoresis and is able to produce similar results on a real-time basis with warning of hypoglycemia has been marketed, but has not proved to be as useful and as acceptable in practice as had been thought at product launch.
Somatostatinomas (D cell tumors) cause weight loss, malabsorption, gallstones, hypochlorhydria and diabetes Figure 27 Electron micrograph (EM) of an islet of Langerhans from a normal pancreas showing mainly insulin storage granules in a pancreatic β-cell. A larger α-cell is also seen. The normal adult pancreas contains around 1 million islets comprising mainly β-cells (producing insulin), α-cells (glucagon), D cells (somatostatin) and PP (pancreatic polypeptide) cells. Islet cell types can be distinguished by various histologic stains and by the EM appearances of the secretory granules (as seen here).
Insulin therapy dictates the need to practice self blood glucose monitoring. Other drugs Logically, drugs used for the treatment of obesity might have a beneficial effect in type 2 DM by improving insulin sensitivity as a result of weight loss. Studies have demonstrated such benefit for the lipase inhibitor orlistat (Xenical) and for the serotonin– norepinephrine reuptake inhibitor sibutramine (Knoll Pharmaceuticals), but the exact role of these drugs in the management of type 2 DM is not clear.
Atlas of Diabetes Mellitus (Encyclopedia of Visual Medicine Series) (3rd Edition) by Ian N. Scobie