By Ian N. Scobie
Diabetes mellitus is a very universal disorder that's attaining epidemic proportions due to significant raises within the prevalence of weight problems and the propensity for a sedentary existence. the necessity for physicians to familiarize themselves with all varieties of diabetes is vital and the Atlas of Diabetes Mellitus is going some distance towards making the duty more straightforward for either certified physicians and people in education.
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Additional resources for Atlas of Diabetes Mellitus, Third Edition (Encyclopedia of Visual Medicine)
More detailed advice is then required to formulate a long-term strategy. The main goal is to correct obesity as weight loss will improve blood glucose control, lower blood pressure and lower blood lipid concentrations, all of which may be expected to improve the prognosis for patients with type 2 DM. A diet similar to that advised for patients with type 1 DM is recommended with special emphasis on lowered fat intake and reduced energy intake. Dietary failure is common in the treatment of overweight associated with type 2 DM.
Sucrose, is acceptable in moderate amounts, as they do not cause acute hyperglycemia (unlike glucose which does) as long as they are consumed within a healthy diet. Dietary fiber should be increased, ideally to > 30 g/day, and it is preferable that this be taken in the form of natural soluble fiber as found in legumes, grain cereals or fruit. Protein should comprise approximately 10–15% of total energy intake. Moderate sodium restriction and the national general recommendations for alcohol ingestion should be followed, and ‘diabetic foods’ and ‘diabetic beers’ are best avoided.
Islet cell and pancreatic transplantation has the potential to achieve this aim. Islet cell transplantation The concept of transplanting pieces or extracts of pancreas in patients with diabetes is over a century old. By the 1980s, reports of successful allogeneic islet transplantation with the use of conventional immunosuppression and purified human islets from cadaveric donors began to appear. However, the overall rates of success internationally were reported to be less than 10%. In 2000, Shapiro and co-workers in Edmonton reported a 100% success rate in seven patients.