Get Diabetes Care-Supplement1-2011 PDF

By Amer Diabetes Assn

This magazine offers learn advances with medical relevance. Articles on scientific perform, commentaries, digests of modern learn stories, medical information, scientific stories, and rules of the yankee Diabetes organization of keep watch over, analysis, vitamin and treatment.

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Additional resources for Diabetes Care-Supplement1-2011

Example text

Children with diabetes differ from adults in many respects, including changes in insulin sensitivity related to sexual maturity and physical growth, ability to provide self-care, supervision in child care and school, and unique neurological vulnerability to hypoglycemia and DKA. Attention to such issues as family dynamics, developmental stages, and physiological differences related to sexual maturity are all essential in developing and implementing an optimal diabetes regimen. Although recommendations for children and adolescents are less likely to be based on clinical trial evidence, expert opinion and a review of available and relevant experimental data are summarized in the ADA statement on care of children and adolescents with type 1 diabetes (307).

Their recommendations are summarized below, but clinicians should refer to the task force report (305) for further details and practical descriptions of how to perform components of the comprehensive foot examination. At least annually, all adults with diabetes should undergo a comprehensive foot examination to identify high risk conditions. Clinicians should ask about history of previous foot ulceration or amputation, neuropathic or peripheral vascular symptoms, impaired vision, tobacco use, and foot care practices.

CHD screening and treatment Recommendations Screening In asymptomatic patients, routine screening for CAD is not recommended, as it does not improve outcomes as long as CVD risk factors are treated. (A) ● Treatment ● In patients with known CVD, ACE inhibitor (C) and aspirin and statin therapy (A) (if not contraindicated) should be used to reduce the risk of cardiovascular events. ● In patients with a prior myocardial infarction, ␤-blockers should be continued for at least 2 years after the event (B).

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Diabetes Care-Supplement1-2011 by Amer Diabetes Assn


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