Diabetes For Dummies - Alan L. Rubin - E-Book

Diabetes For Dummies E-Book

Alan L. Rubin

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Beschreibung

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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Diabetes For Dummies

Visit www.dummies.com/cheatsheet/diabetes to view this book's cheat sheet.

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

Guide

Cover

Table of Contents

Begin Reading

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Introduction

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.

About This Book

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?