By Dr. Roger S. Mazze, Ellie S. Strock, Dr. Richard M. Bergenstal, Dr. Amy Criego, Dr. Robert Cuddihy, Dr. Oded Langer, Dr. Gregg D. Simonson, Dr. Margaret A. Powers(auth.)
Chapter 1 advent to Staged Diabetes administration (pages 5–16):
Chapter 2 Implementation of Staged Diabetes administration (pages 17–28):
Chapter three Characterization of Glucose Metabolism (pages 29–39):
Chapter four Detection and therapy of style 1 Diabetes (pages 41–75):
Chapter five variety 2 Diabetes in Adults (pages 77–137):
Chapter 6 Diabetes in being pregnant (pages 139–164):
Chapter 7 style 2 Diabetes and Metabolic Syndrome in little ones and teenagers (pages 165–200):
Chapter eight problems linked to Diabetes (pages 201–249):
Chapter nine Diabetes?Associated Comorbidities (pages 251–260):
Chapter 10 Glucose administration within the clinic surroundings (pages 261–271):
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Extra info for Staged Diabetes Management, 3rd Edition
In contrast, only prolonged periods of hypoglycemia interrupted by short episodes of hyperglycemia tended to mask the high blood glucose levels. The clinical limitations of the association between HbA1c and daily blood glucose were obvious during its formative years, leading to a general consensus that clinical decisions could not rely solely on HbA1c. Several subsequent studies reiterated this position. In 1984, Peacock,12 having reviewed numerous studies, concluded that glycosylated hemoglobin was a relative measure, differentiating between “good” and “bad” control but unable to differentiate between hypoglycemia and hyperglycemia.
Self-monitored blood glucose timing Patients, although encouraged to test frequently, may not. The testing times may be inconsistent with the action curves of their medications or the amount and type of food eaten. The tendency to test when there is suspicion of hypoglycemia often skews the SMBG results. However, the problematic issue in timing is that overnight glucose values are generally absent. Essentially, onethird of the diurnal glucose profile is missing. Self-monitored blood glucose representation SMBG is meant to represent the numerous perturbations in glycemic control that characterize diabetes.
Patients will soon abandon glucose monitoring if their healthcare professional ignores the results. Whether by CGM or SMBG, all glucose data must be verified. The data should be uploaded from the meter into a software program designed to display the data in such a manner as to foster clinical decision-making. SMBG data should be obtained from a memory-based meter. Such a meter has an onboard memory that records the blood glucose value with the corresponding time and date. The patient or healthcare professional can scroll through the values to determine the past several weeks’ pattern; however, for accuracy and record keeping, it should be connected to a computer and the glucose data reported in graphic formats (which can be inserted in the chart).