Diabetes
Book Aims at Family Doctors
Excerpt
By Janice Billingsley, HealthScoutNews
(HealthScoutNews) -- The latest research in diabetes treatment
and prevention isn't much use if the people who see patients don't
know about it.
That's why a specialist with a Harvard-affiliated diabetes center
in Boston has written a book for primary care health practitioners
that provides the latest information on the care and treatment
of the disease -- information that until now was usually available
only at specialized diabetes treatment centers.
"This book is aimed at health-care professionals who are
in the front lines in taking care of patients -- not just doctors,
but nurses, health practitioners and even mental health professionals,"
says Dr. Richard S. Beaser of his book, Joslin's Diabetes Deskbook:
A Guide for Primary Care Providers.
"The field of diabetes treatment is changing rapidly --
we can intervene now to prevent problems down the road -- and
this book allows health professionals to be very effective early
on in the disease process."
Such help is not coming too soon, as the incidence of diabetes
has increased by more than 35 percent in the last decade, a result
of several factors, Beaser says. One, ironically, is that improved
care for diabetes patients has meant they have gone on to have
their own families, and passed along a predisposition for the
disease to their children.
However, less positive is the increase in overweight Americans
who don't exercise, both of which are linked to diabetes. This
has caused an increase in diabetes among the elderly and, particularly
worrisome, among children -- 85 percent of children who have diabetes
are also obese, according to the American Diabetes Association
(ADA).
"People who have a predisposition for diabetes get it sooner,"
he says.
The book outlines the latest information on diagnosing the disease,
particularly important in recognizing Type II diabetes in children.
Type I diabetes, which means that the body produces no insulin
at all, was formerly almost always the only type of diabetes that
afflicted children. The symptoms -- weight loss, frequent urination,
blurred vision -- were easy to recognize.
The other type of diabetes, Type II, when the body does produce
insulin but can't process it properly, was and is far more common
among adults. However, now the ADA reports the incidence of Type
II diabetes among children rose from 4 percent in 1990 to as high
as 45 percent of the cases by the end of the decade.
What makes this especially troublesome, Beaser says, is that
the symptoms for Type II diabetes are subtle and often are found
only after looking at other indicators like weight, family history
or high blood pressure.
"While people are more aware of the increase in Type II
diabetes -- there's been a lot of talk about the Type II epidemic
among kids -- doctors aren't used to treating it. They need to
learn the skills of dealing with it," Beaser says.
In addition to the diagnostic information, the book discusses
drug therapies, how to set up insulin treatment programs for patients,
and how to reduce risk for the disease. It also informs doctors
about how to help patients manage their illnesses with nutrition
information and exercise therapies based on the latest research.
"Primary care providers have a huge challenge with all the
information they have to keep up with in medicine," Beaser
says.
What To Do
You can find out if you are at risk for Type II diabetes at the
National Diabetes Information Clearinghouse. Another good
source of diabetes information is the
American Diabetes Association.
Reference
Source 101
For more information on how to prevent other diseases, use
PreventDisease.com's "Quick
Prevention Resources".
|