The prevalence of type 2 diabetes has doubled since 1980, a trajectory that places it alongside the plague, typhoid, and influenza in the alarming category of epidemics. Yet, unlike these infectious disease epidemics, diabetes is a chronic condition that requires long-term management and the associated and persistent demands of time, money, and energy. As a result, healthcare providers and a growing number of their patients are facing-together-a long-term relationship with each other and with diabetes. This relationship requires stamina, innovation, and trust. This monograph is meant to assist with the challenges of caring for patients with diabetes by providing information about prevention, early detection, and multifaceted therapy for diabetes. It is appropriate for all providers but is written for those who provide primary diabetes care, and in this capacity, coordinate care over time.
Over the past several years, exciting changes have occurred in the medical options for treating patients with diabetes. Incorporating all of these changes into the already complex care of individuals with diabetes can be challenging. This monograph is intended to provide a practical approach to managing patients with type 2 diabetes, based on existing evidence in the medical literature. It includes information about the pathogenesis of and risk factors for diabetes, as well as screening and preventive strategies. It also addresses several classes of complications common in patients with diabetes, including mental health issues. The sections on diabetes management include discussions of lifestyle therapy and provide an extensive review of pharmacologic treatment options.
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