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The straight facts on treating diabetes successfully With diabetes now considered pandemic throughout the world, there have been enormous advances in the field. Now significantly revised and updated, this new edition of Diabetes For Dummies includes the latest information on diabetes medications and monitoring equipment, new findings about treating diabetes in the young and elderly, new ways to diagnose and treat long- and short-term complications, updated nutritional guidelines, new tools for measuring blood sugar and delivering insulin to the body, and much more. There's no question that the burden of diabetes is increasing globally: it's estimated that 387 million people worldwide are living with diabetes, and that staggering number is expected to increase an additional 205 million+ by 2035. If you or a loved one is part of this overwhelming statistic, you can take comfort in the sensitive and authoritative information provided in this hands-on guide. From monitoring and maintaining your glucose to understanding the importance of exercising and eating right--and everything in between--Diabetes For Dummies takes the guesswork out of living with diabetes and empowers you to take control and keep your life on a healthy track. * Reduce your risk of diabetes complications * Discover the latest and the tried-and-true options for monitoring blood sugar * Get up to speed on the various diabetes medications and lifestyle strategies * Improve diabetes control and overall health If you're one of the millions of diabetics or pre-diabetics in search of an accessible and up-to-date resource to help you manage this disease, Diabetes For Dummies is the trusted guide you'll turn to again and again.
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Table of Contents
Cover
Introduction
About This Book
Foolish Assumptions
Icons Used in This Book
Beyond This Book
Where to Go from Here
Part I: Getting Started with Diabetes
Chapter 1: Dealing with Diabetes
Achieving Anything … Or Everything!
Reacting to Your Diagnosis
Maintaining a High Quality of Life
Chapter 2: Making the Diagnosis with Glucose and Hemoglobin A1c
Realizing the Role of Glucose
Understanding the Hemoglobin A1c
Getting a Wake-Up Call from Prediabetes
Detecting Diabetes
Tracing the History of Diabetes Treatment
Explaining the Obesity (and Diabetes) Epidemic
Putting Faces to the Numbers: Sharing Some Real Patient Stories
Chapter 3: Recognizing the Various Types of Diabetes
Getting to Know Your Pancreas and Its Role in Diabetes
Understanding Type 1 Diabetes and You
Having Type 2 Diabetes
Dealing with Gestational Diabetes
Recognizing Other Types of Diabetes
Part II: Knowing How Uncontrolled Diabetes Affects Your Body
Chapter 4: Avoiding Short-Term Complications
Solving (and Steering Clear of) Short-Term Complications
Dropping Too Low: Hypoglycemia
Combating Ketoacidosis
Managing Hyperosmolar Syndrome
Chapter 5: Warding Off Long-Term Complications
Knowing How Long-Term Complications Develop and How to Avoid Them
Kidney Disease
Eye Disease
Nerve Disease, Also Known as Neuropathy
Heart Disease
Diabetic Blood Vessel Disease Away from the Heart
Diabetic Foot Disease
Skin Disease in Diabetes
Gum Disease in Diabetes
Sleep Apnea
Other Conditions Associated with Diabetes That You Should Know
Chapter 6: Preserving Sexual Function and Protecting Pregnancy
Examining Erection Problems
Facing Female Sexual Problems
Striving for a Healthy Pregnancy
Dealing with Polycystic Ovarian Syndrome
Part III: Managing Diabetes: The “Thriving with Diabetes” Lifestyle Plan
Chapter 7: Self-Testing for Glucose and Other Key Tests
Testing, Testing: Tests You Need to Stay Healthy
Monitoring Blood Glucose: It’s a Must
Choosing a Blood Glucose Meter
Tracking Your Glucose over Time: Hemoglobin A1c
Testing for Kidney Damage: Moderately Increased Albumin (MIA)
Checking for Eye Problems
Examining Your Feet
Tracking Cholesterol and Other Fats
Measuring Blood Pressure
Checking Your Weight and BMI
Testing for Ketones
Testing the C-Reactive Protein
Checking the TSH
Evaluating Testosterone in Men with Type 2 Diabetes
Checking Vitamin D
Chapter 8: Tackling What You Eat: Healthful Nutrition
Considering Total Calories First
Getting Enough Vitamins, Minerals, and Water
Counting Alcohol as Part of Your Diet
Using Sugar Substitutes
Eating Well for Type 1 Diabetes
Reducing Your Weight
Coping with Eating Disorders
Chapter 9: Metabolic Surgery: A Possible Cure for Type 2 Diabetes
Realizing the Benefits of Metabolic Surgery
Considering Surgery over Traditional Diabetes Care
Getting Familiar with Guidelines for Surgical Candidates
Choosing the Operation
Preparing for Surgery
Identifying Short-Term and Long-Term Complications of Surgery
Eating Properly and Exercising after Surgery
Hearing from Real Patients
Considering New Guidelines for Surgery
Chapter 10: Creating Your Exercise Plan
Getting Off the Couch: Why Exercise Is Essential
Exercising When You Have Diabetes
Determining How Much Exercise to Do
Is Golf a Sport? Choosing Your Activity
Walking 10K Steps a Day
Lifting Weights
Chapter 11: Medications: What You Should Know
Taking Drugs by Mouth: Oral Agents
Taking Insulin
Using Other Medications
Avoiding Drug Interactions
Finding Assistance Obtaining Drugs
Chapter 12: Assembling Your Diabetes Team
Your Role as Author, Producer, Director, and Star
The Primary Physician: Your Assistant Director
The Diabetologist or Endocrinologist: Your Technical Consultant
The Eye Doctor: Your Lighting Designer
The Foot Doctor: Your Dance Instructor
The Dietitian: Your Food-Services Provider
The Diabetes Educator: Your Researcher
The Pharmacist: Your Usher
The Mental-Health Worker: Your Supporting Actor
Your Family and Friends: Your Captivated and Caring Audience
The Internet: Your Potential Partner in Lifestyle Change
Part IV: Special Considerations for Living with Diabetes
Chapter 13: Managing Diabetes in Children
Dealing with Diabetes in Your Baby or Preschooler
Helping Your Primary-School Child with Diabetes
Managing Your Adolescent’s Diabetes
Handing Over the Reins to Your Young Adult Child with Diabetes
Preventing and Treating Obesity and Type 2 Diabetes in Children
Taking Special Care of Sick Children
Checking for Thyroid Disease in Type 1 Children
Appreciating the Value of Team Care
Chapter 14: Diabetes and the Elderly
Diagnosing Diabetes in the Elderly
Evaluating Intellectual Functioning
Considering Heart Disease
Preparing a Proper Diet
Avoiding Hypoglycemia
Using Medications
Dealing with Eye Problems
Coping with Urinary and Sexual Problems
Monitoring Foot Problems
Considering Treatment Approaches
Understanding the Medicare Law
Chapter 15: Dealing With Occupational and Insurance Problems
Traveling with Diabetes
Knowing Where You Can’t Work
Becoming Familiar with Workplace Law
Navigating the Health-Insurance System
Changing or Losing a Job
Considering Long-Term Care Insurance
Shopping for Life Insurance
Chapter 16: Eyeing What’s New in Diabetes Care
Protecting Yourself from the Dangers of New Drugs
Checking the Role of Intestinal Organisms in Type 2 Diabetes
Eating One Meal a Day to Control Diabetes
Losing Weight with Gastric Artery Embolization
Blocking the Vagus Nerve for Weight Loss
Lowering Blood Glucose in Pregnancy
Using an Endoscopic Duodenal-Jejunal Bypass Liner for Weight Loss
Placing a Gastric Balloon
Understanding the Importance of the ACCORD Trial
Taking Advantage of Metabolic Memory
Chapter 17: Discovering What Doesn’t Work When You Treat Diabetes
Developing a Critical Eye
Identifying Drugs and Supplements That Don’t Work
Avoiding Illegal Drugs
Knowing the Dangers of Some Legal Drugs for Other Purposes
Recognizing Diets That Don’t Work
Part V: The Part of Tens
Chapter 18: Ten Commandments for Excellent Diabetes Care
Major Monitoring
Devout Dieting
Tenacious Testing
Enthusiastic Exercising
Lifelong Learning
Meticulous Medicating
Appropriate Attitude
Preventive Planning
Fastidious Foot Care
Essential Eye Care
Chapter 19: Ten Myths about Diabetes That You Can Forget
Perfect Treatment Yields Perfect Glucoses
Type 2 Diabetes Occurs in All Overweight People and Not in Normal Weight People
You Can’t Enjoy Your Food
You Can Tell the Level of Your Blood Glucose by How You Feel
People With Diabetes Get More Colds and Other Illnesses
If You Need Insulin, You’re Doomed
People with Diabetes Shouldn’t Exercise
You Can’t Give Blood Because You Have Diabetes
If You’re Sick and Can’t Eat, You Can Skip Your Diabetes Medications
Diabetes Wrecks Your Sense of Humor
Soak Your Feet Daily if You Have Diabetes
Chapter 20: Ten Ways to Get Others to Help You
Explain Hypoglycemia
Follow the Standards of Care
Find an Exercise Partner
Use Your Foot Doctor
Enlist Help to Fight Food Temptation
Expand Your Diabetes Knowledge
Fit Your Favorite Foods into Your Diet with a Dietitian
Seek Out Appropriate Specialists
Discuss Your Meds with the Pharmacist
Share This Book with Everyone
Appendix: Mini-Cookbook
Getting to Know the Contributing Restaurants and Chefs
Cooking Some Healthful Recipes
About the Author
Cheat Sheet
Advertisement Page
Connect with Dummies
End User License Agreement
Cover
Table of Contents
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You’re reading the 5th edition of Diabetes For Dummies, and you may be wondering why another edition is necessary. The previous edition (published in 2012) had everything you needed to know to reverse the plague of diabetes, yet the problem seems to be increasing, not decreasing. Following are some of the possible explanations for this situation:
Not enough people bought the last edition of the book.
Even if they bought it, not enough people followed the recommendations in the book.
Too many people aren’t even aware that this book exists.
No book or books can stop an avalanche after the snow starts rolling downhill.
Some new information, not available three years ago, may be able to make a major difference toward reversing diabetes, especially the information in
Chapter 9
.
The real answer is actually all of the above (and probably more reasons).
The Centers for Disease Control and Prevention recently suggested that as many as one in three adults in the United States will have diabetes by the year 2050. The International Diabetes Federation reports that 387 million people had diabetes in 2014 and that 552 million will have the disease by 2030 — that’s one in every ten people on the earth. In a previous edition of this book, I set this figure at 366 million by 2030, so you can see that today’s predictions are even more dire than those of four years ago. This increase is because the population is aging, minority groups who have a higher risk for diabetes are increasing, and, fortunately, people with diabetes are living longer. However, these numbers are based on past trends. The prediction will not turn out to be true if people improve their lifestyle choices through the means discussed in this book.
Over the last decade, a large study was performed in Germany to see if lifestyle change could make a difference. Four major factors were evaluated in over 23,000 Germans. The factors were
Never smoking
Body-mass index less than 30
Exercising for three and a half hours or more a week
Following healthy dietary principles: high intake of fruits and vegetables, eating whole-grain bread, and low meat consumption
The happy finding was that the more factors a person followed, the lower the risk of major chronic diseases, including heart disease, diabetes, and cancer. People who followed all four had a 78 percent lower risk of those diseases than people who had no healthy factor. People with three factors were a little less protected, with two a bit less and with one even less but still better than no factors at all.
So much has changed in the three years since the fourth edition of Diabetes For Dummies was written that a fifth edition was clearly necessary. I need to tell you about new medicines (see Chapter 11), new glucose meters (Chapter 7), and new ideas about diet and exercise and curing diabetes with surgery (Chapters 8, 9, and 10). I also need to share new information about diabetes in children (Chapter 13) and the occupational and insurance problems of people with diabetes (Chapter 15). Just about every chapter has something new, especially (obviously) Chapter 16, which deals specifically with what’s new in diabetes care.
A new edition also gives me the opportunity to thank the thousands of people who have thanked me for Diabetes For Dummies. You have given me a sense of enormous gratification for writing this book. You have shared your stories with me, permitting me to laugh and cry with you. One of the best is the following from Andrea in Canada:
My 3-year-old daughter was recently diagnosed with diabetes type 1. It has been a rough time. To help us out, my brother and his wife bought us your book,
Diabetes For Dummies.
One day my daughter saw this bright yellow book and asked what I was reading. I told her Diabetes For Dummies. As soon as the words came out of my mouth, I regretted it. I didn’t want her to think that dummies got diabetes so I quickly added, “I am the dummy.” Without missing a beat, she then asked, “Am I the diabetes?
”