16,99 €
Mehr erfahren.
- Herausgeber: John Wiley & Sons
- Kategorie: Ratgeber
- Sprache: Englisch
- Veröffentlichungsjahr: 2011
Don't just survive - thrive! That's the message of this state-of-the-art guide to diabetes management. From causes, symptoms and side effects to treatments and diet, this book will help British diabetics understand all types of diabetes and delivers sound advice on staying fit and feeling great. The best-selling second edition has been updated to cover key information on managing pre-diabetes, plus new content on screening tests, medications and lifestyle advice. With additional information on the latest advances in therapy for diabetes and its complications, this new edition will make sure you're covered from every aspect.
Sie lesen das E-Book in den Legimi-Apps auf:
Seitenzahl: 686
Ähnliche
Diabetes For Dummies®, 3rd Edition
Table of Contents
Diabetes For Dummies®, 3rd Edition
by Dr Sarah Jarvis, GP and Alan L Rubin, MD
Diabetes For Dummies®, 3rd Edition
Published byJohn Wiley & Sons, LtdThe AtriumSouthern GateChichesterWest SussexPO19 8SQEngland
E-mail (for orders and customer service enquires): [email protected]
Visit our Home Page on www.wiley.com
Copyright © 2011 John Wiley & Sons, Ltd, Chichester, West Sussex, England
Published by John Wiley & Sons, Ltd, Chichester, West Sussex
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, electronic, mechanical, photocopying, recording, scanning or otherwise, except under the terms of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London, W1T 4LP, UK, without the permission in writing of the Publisher. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, England, or emailed to [email protected], or faxed to (44) 1243 770620.
Trademarks: Wiley, the Wiley Publishing logo, For Dummies, the Dummies Man logo, A Reference for the Rest of Us!, The Dummies Way, Dummies Daily, The Fun and Easy Way, Dummies.com and related trade dress are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries, and may not be used without written permission. All other trademarks are the property of their respective owners. Wiley Publishing, Inc., is not associated with any product or vendor mentioned in this book.
Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
For general information on our other products and services, please contact our Customer Care Department within the U.S. at 877-762-2974, outside the U.S. at 317-572-3993, or fax 317-572-4002.
For technical support, please visit www.wiley.com/techsupport.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
British Library Cataloguing in Publication Data: A catalogue record for this book is available from the British Library
ISBN: 978-0-470-97711-8 (hardback), ISBN 978-0-470-97730-9 (ebk), ISBN 978-0-470-97729-3 (ebk), ISBN 978-0-470-97754-5 (ebk)
Printed and bound in Great Britain by Bell & Bain Ltd, Glasgow
10 9 8 7 6 5 4 3 2 1
About the Authors
Dr Sarah Jarvis has been a GP in London, England for 20 years and a GP trainer for 15. She has also been involved in medical writing and broadcasting for many years. She is the doctor to The One Show on BBC1 and the Radio 2 doctor, as well as writing regular columns for Good Housekeeping and My Weekly magazines. She has also been the ITN lunchtime news doctor and takes part regularly in interviews on GMTV, BBC 1, Sky News, BBC Radio 4 and BBC Radio 5 live. She has authored and edited several books for patients including Pregnancy For Dummies, Children’s Health For Dummies, Women’s Health for Life and The Welcome Visitor, a book on the ethics of dying, co-authored with the broadcaster John Humphrys. Sarah has a particular interest in diabetes and cardiovascular disease and chairs the Health Care Committee of HEART UK, the cholesterol charity.
Alan L Rubin, MD, is one of the foremost experts on diabetes in the US. He is a professional member of the American Diabetes Association and the Endocrine Society and has been in private practice specialising in diabetes and thyroid disease for 30 years. Dr Rubin has been on numerous radio and television programmes, and has spoken to medical audiences and non-medical audiences around the world. He was Assistant Clinical Professor of Medicine at University of California Medical Center in San Francisco for 20 years.
Dedication
This book is dedicated to my mother. She was my role model, and her kindness, boundless energy and enthusiasm were an inspiration to all who knew her.
– Sarah Jarvis
Author’s Acknowledgements
Life is a constant learning experience, and I would like to thank all my consultant colleagues, especially Professor Tony Barnett, for their wise counsel. Most of all, though, my thanks must go to my wonderful children, Seth and Matilda, who accept with such good grace that they must share their mother with her working demands!
A third edition also gives me the opportunity to thank the thousands of people who have themselves thanked me for Diabetes For Dummies. You know who you are. You have given me a sense of enormous gratification for writing this book, having shared your stories with me and permitting me to laugh and cry with you. One of the best stories is the following from Andrea in Canada:
‘My three-year-old daughter was recently diagnosed with diabetes type one. 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 the book was called Diabetes For Dummies. As soon as the words came out of my mouth, I regretted them. 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?”’
‘The story doesn’t just end there. The other day she was relaxing on the couch. She looked at me and said, “I don’t want to have diabetes any more.” Feeling terrible I responded, “I know sweetie; I don’t want you to have it any more either.” I then explained that she would have diabetes for the rest of her life. With a very concerned look she then asked, “Will you be the dummy for the rest of your life?”’
As sad as it is, I guess you’re right. We must look for humour in everything, otherwise we break down.
– Sarah Jarvis
Publisher’s Acknowledgements
We’re proud of this book; please send us your comments through our Dummies online registration form located at www.dummies.com/register/.
Some of the people who helped bring this book to market include the following:
Acquisitions, Editorial, and Media Development
Project Editor: Jo Jones(Previous Edition: Steve Edwards)
Commissioning Editor: Nicole Hermitage
Assistant Editor: Ben Kemble
Proofreader: Charlie Wilson
Publisher: David Palmer
Production Manager: Daniel Mersey
Cover Photos: artpartner-images.com / Alamy
Cartoons: Ed McLachlan
Composition Services
Project Coordinator: Kristie Rees
Layout and Graphics: Melanee Habig, Joyce Haughey, Stephanie Jumper, Vida Noffsinger
Proofreader: Jessica Kramer
Indexer: Ty Koontz
Introduction
What’s funny about diabetes? It’s a disease, isn’t it? Yes, it’s a disease, but the people who have it at the start of the 21st century are the most fortunate group of diabetes sufferers in history.
You may know the story of the doctor who called his patient to give him the results of his blood tests. ‘I have bad news and worse news,’ said the doctor.
‘Gosh,’ said the patient. ‘What’s the bad news?’
‘Your blood tests indicate that you have only 24 hours to live,’ said the doctor.
‘What could be worse than that?’ said the patient.
‘I’ve been trying to reach you since yesterday,’ said the doctor.
Those of you with diabetes have a decade or more in which to avoid the long-term complications of the disease. In a sense, a diagnosis of diabetes is both good news and bad news. It’s bad news because you have a disease that you’d happily do without. It’s good news if you use the news to make some changes in your lifestyle that can not only prevent or minimise complications, but also help you to live a longer and higher-quality life.
As for laughing about diabetes, at times you probably feel like doing anything but laughing. Nevertheless, scientific studies are clear about the benefits of a positive attitude. In very few words: he who laughs, lasts. Another point is that people learn more and retain more when humour is part of the process.
If you’ve experienced something funny during the course of your diabetes care, we hope you share it with others. Our goal isn’t to trivialise human suffering by being comic about it, but to lighten the burden of a chronic disease by showing that it’s not all gloom and doom.
About This Book
The book isn’t meant to be read from cover to cover, although if you know nothing about diabetes, that may be a good approach. This book is intended to serve as a source of information about the problems that arise over the years. You can find the latest facts about diabetes and the best sources for discovering any information that comes out after the publication of this edition.
So much has changed in the eight years since we wrote the first edition that not one but two further editions have been needed.
New information and advice is available on screening for diabetes (see Chapter 2) and how to reduce your risk of heart disease (see Chapter 6).
Attitudes in the NHS towards surgery for weight loss have changed (see Chapter 9).
Medications have changed so fast that some drugs we discussed just three years ago as new advances in reducing blood sugar have become standard therapy, and other drugs for weight loss and inhaled insulin have been taken off the market (see Chapter 11).
The development of drugs has given rise to new interest in how diabetes develops and progresses and the concept of pre-diabetes (see Chapter 3).
New research on the benefits and risks of very tight blood sugar control and low blood sugar have made doctors rethink targets for long-term control (see Chapters 5 and 8) and given drivers pause for thought (see Chapter 16).
In fact, you can find something new in just about every chapter, especially, obviously, Chapter 17, ‘What’s New in Diabetes Care’.
Conventions Used in This Book
Diabetes, as you may already know, is all about sugar. But sugars come in many types. So doctors avoid using the words sugar and glucose interchangeably. In this book (unless we slip up), we use the word glucose rather than sugar. (You may as well get used to it, sweetie.)
What You Don’t Have to Read
Throughout the book, you find shaded areas, which we call sidebars. These sidebars contain material that’s interesting but not essential. We hereby give you permission to skip sidebars if the material inside them is of no particular interest to you. You can still understand everything else.
Foolish Assumptions
This book assumes that you don’t know anything about diabetes. You don’t suddenly have to face a term that’s not explained and that you’ve never heard of before. Those who already know a lot can find more in-depth explanations. And although you can pick and choose how much you want to know about a subject, we mark the key points clearly.
How This Book Is Organised
This book divides into six parts to help you find out all you can about the topic of diabetes.
Part I: Dealing with the Onset of Diabetes
To slay the dragon, you have to be able to identify it. This part clears up the different types of diabetes, how you get them and whether you can give them to others.
In this part, you find out about how diabetes develops and what you can do to slow or prevent the move from ‘pre-diabetes’ to diabetes. You find out how to deal with the emotional and psychological consequences of the diagnosis of diabetes and get an explanation of what all those big words mean. You also discover how to prevent the complications of diabetes.
Part II: How Diabetes Affects Your Body
In this part, you find out what you need to know about both the short- and long-term complications of diabetes. You also find out about some sexual issues related to diabetes and the problems of a diabetic pregnancy.
Part III: Managing Diabetes: The ‘Thriving with Diabetes’ Lifestyle Plan
In this part, you discover all the tools available to treat diabetes. You find out about the kinds of tests that you should be doing, as well as what tests your doctor should be ordering to determine how severe your diabetes is, what to do about improving control of your condition and how to follow the success of your therapy.
You also discover the dietary changes that you need to make to control your blood glucose and how to get the most out of your exercise routine and medications. Finally, you find out about the huge amount of help that’s available for you and your family.
Part IV: Special Considerations for Living with Diabetes
The way that diabetes develops is different for each age group. In this part, you discover those differences and how to manage them. You also find out about some of the special problems of people with diabetes that relate to discrimination, driving and jobs.
Lastly, this part covers all the new developments in diagnosing, monitoring and treating diabetes and helps correct a lot of misinformation about diabetes treatment.
Part V: The Part of Tens
This part presents some key suggestions, the stuff you most need to know as well as the stuff you least want to know.
You discover the ten commandments of diabetes care and the myths that confuse many diabetic patients. You also find out how to get others to help you in your efforts to control your diabetes.
Part VI: Appendixes
This part of the book contains even more information about diabetes. Two special appendixes help you improve your diet by giving you recipes and diabetic exchanges. The other appendix points out up-to-the-minute hot spots to visit on the Internet, in case you want to continue finding out about diabetes when you’ve finished this book.
Icons Used in This Book
The icons tell you what you must know, what you should know and what you may find interesting but can live without:
This icon marks a story about a diabetes patient.
This icon marks paragraphs where we define terms.
When you see this icon, it means that the information is essential and you should be aware of it.
This icon points out when you should see your doctor (for example, if your blood glucose level is too high or you need a particular test done).
This icon marks important information that can save you time and energy.
This icon warns against potential problems (for example, if you don’t treat something).
Part I
Dealing with the Onset of Diabetes
In this part . . .
You have found out that you or a loved one has diabetes. Or perhaps you or they have been told they have ‘pre-diabetes’ or ‘impaired glucose tolerance’. What do you do now? This part helps you deal with all the emotions that arise when you discover that you will not live forever – from wondering whether the diagnosis is correct to avoiding the complications associated with diabetes.
Chapter 1
Dealing with Diabetes
In This Chapter
Meeting others with diabetes
Coping with diabetes
Upholding your quality of life
Finding help
One of our patients told us that, when she was working at her first job out of university, the employees’ tradition was to have a birthday cake and celebration for every birthday. She came to the first celebration and a colleague urged her to eat the cake. She refused and refused, until finally she had to say, ‘I can’t eat the cake because I have diabetes.’ The woman trying to persuade her said, ‘Thank God. I thought you just had incredible willpower.’ Twenty years later, our patient clearly remembers being told that having diabetes is better than having willpower. Another patient told us, ‘The hardest thing about having diabetes is having to deal with doctors who don’t respect me.’ Several times over the years she’d followed her doctor’s recommendations exactly, but her glucose control still hadn’t been ideal. The doctor blamed her for this ‘failure’.
Although some people may try to define you by your diabetes, you know that you’re more than the sum of your blood glucose levels. You have feelings, and you have a history. The way you respond to the challenges of diabetes determines whether the disease is a moderate annoyance or the source of major sickness for you.
Unless you live alone on a desert island, your diabetes doesn’t affect only you. How you deal with your diabetes affects your family, friends and colleagues, as does their desire to help you. This chapter shows you some coping skills to help you handle diabetes and your important relationships.
Diabetes in a Nutshell
What is diabetes? It’s a disease in which the body doesn’t produce or respond properly to insulin. And what is insulin? It’s a hormone that you need in your body to convert sugar and other food into the energy you need for daily life. You can read more about how doctors define diabetes in Chapter 2, and about what type of diabetes you have in Chapter 4 (yes, more than one type of diabetes exists).
Because getting a diagnosis of diabetes depends on your having raised blood sugar, and because having very high blood sugar is so dangerous, doctors used to concentrate on the sugar side of diabetes. In recent years the fact that diabetes doesn’t just affect your blood sugar has become increasingly clear. If you have diabetes (and especially if you have type 2 diabetes), looking after your heart (by keeping your blood pressure and cholesterol under control) is every bit as important as looking after your blood sugar. But don’t worry – this book gives you all the help you need to look after every bit of you.
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
