Diabetes - A. Barnett (Clinical Publishing, 2010) WW(1).pdf

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DIABETES

Anthony H. Barnett

CLINICAL PUBLISHING

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CLINICAL CHALLENGES IN

DIABETES

Edited by

Anthony H. Barnett

Professor of Medicine

Department of Diabetes and Endocrinology

Heart of England NHS Foundation Trust and University of Birmingham

Birmingham Heartlands Hospital

Birmingham, UK

CLINICAL PUBLISHING

OXFORD

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Clinical Publishing

an imprint of Atlas Medical Publishing Ltd

Oxford Centre for Innovation

Mill Street, Oxford OX2 0JX, UK

Tel: +44 1865 811116

Fax: +44 1865 251550

Email: info@clinicalpublishing.co.uk

Web: www.clinicalpublishing.co.uk

Distributed in USA and Canada by:

Clinical Publishing

30 Amberwood Parkway

Ashland OH 44805, USA

Tel: 800-247-6553 (toll free within US and Canada)

Fax: 419-281-6883

Email: order@bookmasters.com

Distributed in UK and Rest of World by:

Marston Book Services Ltd

PO Box 269

Abingdon

Oxon OX14 4YN, UK

Tel: +44 1235 465500

Fax: +44 1235 465555

Email: trade.orders@marston.co.uk

© Atlas Medical Publishing Ltd 2010

First published 2010

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,

or transmitted, in any form or by any means, without the prior permission in writing of Clinical

Publishing or Atlas Medical Publishing Ltd.

Although every effort has been made to ensure that all owners of copyright material have been

acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or

editions any omissions brought to our attention.

Clinical Publishing and Atlas Medical Publishing Ltd bear no responsibility for the persistence or

accuracy of URLs for external or third-party internet websites referred to in this publication, and

do not guarantee that any content on such websites is, or will remain, accurate or appropriate.

A catalogue record for this book is available from the British Library.

ISBN 13

978 1 84692 054 7

ISBN e-book

978 1 84692 6 23 5

The publisher makes no representation, express or implied, that the dosages in this book are

correct. Readers must therefore always check the product information and clinical procedures

with the most up-to-date published product information and data sheets provided by the

manufacturers and the most recent codes of conduct and safety regulations. The authors and

the publisher do not accept any liability for any errors in the text or for the misuse or

misapplication of material in this work.

Project manager: Gavin Smith, GPS Publishing Solutions, Hertfordshire, UK

Typeset by Mizpah Publishing Services Private Limited, Chennai, India

Printed by Marston Book Services Ltd, Abingdon, Oxon, UK

Cover image reproduced with permission from: Hodgkin MN, Rogers GJ, Squires PE. Pancreas 2007;

34 (1):170-1

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Contents

Editors and Contributors

vii

1

Diabetes: early screening costs and benefits

1

M. Marre, F. Travert

2

Obesity-related disease: how can we stem the tide?

15

J. Webber

3

Managing the normotensive type 2 diabetic patient with microalbuminuria

27

F. Joseph, A. Mon, J. Vora

4

Should south Asians with type 2 diabetes have lower treatment targets?

43

S. Bellary

5

Does pharmacotherapy have a place in the weight management of patients

with type 2 diabetes?

55

L. F. Van Gaal, C. E. De Block

6

What should be the second-line therapy after metformin in the overweight

type 2 diabetic patient?

73

B. Gallwitz

7

The place of incretin-based therapies in patients with type 2 diabetes

91

M. Evans, R. Peter

8

How should we manage a diabetic patient who has recently had

a myocardial infarction?

111

M. Fisher

9

Can we prevent problems in the at-risk diabetic foot?

125

M. J. Stevens, R. Pop-Busui, C. M. Holmes

10

How should we manage the pregnant patient with type 2 diabetes?

141

F. Dunne

11

What can we do to improve adherence in patients with diabetes?

155

J. Rungby, B. Brock

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vi

Contents

12

Organization of diabetes care and the multiprofessional team

163

J. Hill, R. Gadsby

List of abbreviations

171

Index

175

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