Wednesday, January 7, 2009

The Joslin Guide to Diabetes or What Is Life

The Joslin Guide to Diabetes: A Program for Managing Your Treatment

Author: Richard S Beaser

An indispensable, up-to-date resource for managing your diabetes from the global leader in diabetes research, care, and education

Finding out that you have diabetes immediately raises questions about the condition, its treatment, and its impact on your future. Why did I get diabetes? What will I have to do to treat it? How will my future health be affected by having diabetes? What will my life be like? Getting accurate answers to these and many other questions will determine how well you are able to live with diabetes.

This completely updated edition of The Joslin Guide to Diabetes will help provide the answers you need. It's an easy-to-understand resource that explains not only the types of diabetes treatment but also every aspect of diabetes self-management, including:

• Meal planning and carbohydrate counting

• Monitoring blood glucose

• Administering insulin and taking oral medications

• Treating high and low blood glucose

• Using physical activity to help control diabetes, maintain good health, and reduce the chances of future problems

• Successfully fitting diabetes into your lifestyle

Based upon research and the clinical experience of the world-renowned Joslin Diabetes Center and written by physician and diabetes expert Richard S. Beaser, M.D., and nutritionist and diabetes educator Amy Campbell, R.D., M.S., C.D.E., this book will help those with diabetes integrate the medical treatments and lifestyle changes necessary to learn how to live healthfully with this condition.

Publishers Weekly

The nation's third leading fatal disease after heart disease and cancer, diabetes is the primary cause of blindness in working-age Americans and the cause for most cases of end-stage kidney failure and lower-extremity amputations. With judicious self-care and medical treatment, however, diabetics need not become part of these statistics, observes Beaser, chairman of Patient Education at the Joslin Diabetes Center in Boston and associate professor at the Harvard Medical School. In this excellent, no-nonsense introduction to self-care for both insulin-dependent and noninsulin-dependent diabetics, he emphasizes the need for proper diet, weight control and exercise, and for frequent monitoring of blood sugar and ongoing medical supervision. Suggesting guidelines for office visits, medical tests that should be done regularly and questions to ask one's healthcare team, Beaser discusses insulin pumps, diabetes pills and what lies on the horizon of current diabetes research. Most valuably, he offers diabetics procedures for controlling their disease and, thus, their lives. This book belongs in the hands of all diabetics and those who share in their care and well-being. (July)

Library Journal

Every year, an estimated one million Americans are diagnosed with diabetes; about 160,000 will die from the disease's complications. Although incurable, diabetes is highly treatable with a combination of drug therapy and careful attention to diet, exercise, and weight control. The Boston-based Joslin Diabetes Center, an affiliate of Harvard University, has published the Joslin manual since 1924. Beaser, the director of professional education at Joslin, and Campbell, a dietitian, have updated the 1995 edition with new information on insulin-pump therapy, revised meal plans, insulin charts and weight tables, low- and high-blood sugar treatments, and exercise recommendations. Clear, concise, jargon-free chapters explain diabetes types and causes, blood glucose monitoring, drug treatments, insulin therapy, short- and long-term complications, foot care, day-to-day management (e.g., coping with short-term illness, planning physical activity), sexuality and pregnancy, diabetic children and adolescents, and healthcare providers. In addition, there is coverage of step-by-step self-care techniques (e.g., administering injections, meal planning) and healthcare provider and lifestyle issues (e.g., travel, eating out, lifestyle changes). An excellent introduction for the newly diagnosed and a superb reference for experienced diabetics; essential for all health collections.-Karen McNally Bensing, Benjamin Rose Lib., Cleveland Copyright 2005 Reed Business Information.



Table of Contents:

contents

Preface

chapter 1 Join the Team!

Part One Understanding Diabetes

chapter 2 Deciphering Diabetes:

What Type of Diabetes Do You Have?

chapter 3 Goals and Tools for Treatment

Part Two Treating Diabetes with Nutrition Therapy and Physical Activity

chapter 4 Nutrition and Meal Planning Basics chapter 5 More About Carbohydrate chapter 6 Heart-Healthy Eating chapter 7 Dining Out chapter 8 Losing Weight -- Gaining Control chapter 9 Physical Activity and Fitness Basics chapter 10 Exercising Safely with Type 1 Diabetes chapter 11 Successfully Making Lifestyle Changes

Part Three Monitoring and Treating Diabetes with Medications

chapter 12 Glucose Monitoring chapter 13 Diabetes Pills chapter 14 Insulin Basics chapter 15 Physiologic Insulin Treatment chapter 16 Insulin Pumps

Part Four Adjusting Your Treatment Program

chapter 17 Adjusting for Low Blood Glucose

(Hypoglycemia)

chapter 18 Adjusting for High Blood Glucose

(Hyperglycemia)

chapter 19 Managing Diabetes When You Are Ill chapter 20 Long-Term Complications of Diabetes chapter 21 Foot Care

Part Five Special Challenges of Diabetes

chapter 22 Diabetes in Children and Adolescents chapter 23 Diabetes and Pregnancy chapter 24 Sexual Issues

Part Six Living Well with Diabetes

chapter 25 Living Well with Diabetes As an Older Adult chapter 26 Coping with Diabetes chapter 27Traveling with Diabetes chapter 28 Good Diabetes Care: What Is It?

...How to Get It Appendix: Food Choice Lists Diabetes Words and Phrases Index


Interesting textbook: Clinical Aromatherapy or Massage in Minutes

What Is Life?: Investigating the Nature of Life in the Age of Synthetic Biology

Author: Ed Regis

In 1944, the Nobel Prize–winning physicist Erwin Schrödinger published a groundbreaking little book called What Is Life? In fewer than one hundred pages, he argued that life was not a mysterious or inexplicable phenomenon, as many people believed, but a scientific process like any other, ultimately explainable by the laws of physics and chemistry.

Today, more than sixty years later, members of a new generation of scientists are attempting to create life from the ground up. Science has moved forward in leaps and bounds since Schrödinger’s time, but our understanding of what does and does not constitute life has only grown more complex. An era that has already seen computer chip–implanted human brains, genetically engineered organisms, genetically modified foods, cloned mammals, and brain-dead humans kept “alive” by machines is one that demands fresh thinking about the concept of life.

While a segment of our national debate remains stubbornly mired in moral quandaries over abortion, euthanasia, and other “right to life” issues, the science writer Ed Regis demonstrates how science can and does provide us with a detailed understanding of the nature of life. Written in a lively and accessible style, and synthesizing a wide range of contemporary research, What Is Life? is a brief and illuminating contribution to an age-old debate.

Publishers Weekly

As scientists come closer to creating artificial life, the very definition of life is ever more elusive. Science writer Regis (The Biology of Doom) tackles this large issue and more in a book that never quite finds its focus. By selecting the same title as Nobel laureate Erwin Schrodinger's 1945 classic and Lynn Margulis and Dorian Sagan's 2000 offering, Regis self-consciously situates his book as a response to theirs. He is, however, no more successful than they were in answering the central question, though he proposes cell metabolism as the best definition we currently have. Regis discusses current attempts to use new techniques to create entities that could be considered living, but he fails to tell a compelling story about either the progress being made or the medical implications of these efforts. Instead, he heads off on several well-traveled tangents presenting relatively simple explanations of how we've come to our understanding of DNA, basic metabolic pathways and evolutionary biology. Although he touches on the fact that being able to distinguish animate from inanimate entities is of critical philosophical importance for debates over such issues as abortion, stem cell research and euthanasia, he never does more than scratch the surface of any of these topics. (Apr.)

Copyright 2007 Reed Business Information

Library Journal

This slim volume by agile science writer Regis (The Biology of Doom ) reminds you how exciting and provocative science can be, as the author pares down the answer to the title's question to the ability to metabolize, reproduce, and evolve. Regis introduces scientists who are synthesizing artificial protocells, which are the building blocks for creating life. Framing this view of synthetic biology are spirited chapters on the discovery of the Krebs cycle, nucleic acids, the idea of hereditary coding, its structure in DNA's double helix, and the role of RNA. Pointedly, What Is Life? echoes the title of Erwin Schrödinger's seminal 1945 book that challenged thinking of the time and, as Regis writes, "launched a thousand geneticists on to their careers, including Maurice Wilkins, James Watson, and Francis Crick." Occasionally, Regis's language strikes a wrong note, such as an awkward "As if!"comment on a questionable experimental supposition, but he stays on point and presents big concepts clearly and concisely. A book that could spark young minds toward a career in science. Recommended for public and undergraduate libraries.-Michal Strutin, Santa Clara Univ. Lib., CA

Copyright 2006 Reed Business Information.

Kirkus Reviews

Veteran science writer Regis (The Info Mesa: Science, Business, and New Age Alchemy on the Santa Fe Plateau, 2003, etc.) explores the mechanisms of life and the latest attempts to reproduce them in the lab. This slim book shares the title of an even slimmer 1944 classic by Nobel laureate Erwin Schrodinger. The Austrian physicist predicted that life, often viewed as an inexplicable phenomenon, obeyed scientific laws no different from those in chemistry and physics. Researchers proved him right almost immediately, and Regis delivers clear descriptions of the avalanche of breakthroughs that launched the modern field of biology. He begins at the beginning with the cheerful news that life may not be the wildly improbable chance combination of elements in the primordial soup that traditional texts depict, but rather an inevitable, natural self-organizing principle that applies as soon as a planet cools. Once alive, every species must evolve, reproduce and metabolize, and even educated readers will learn from Regis's account of the icons who opened up these fields-Darwin for evolution, Mendel in genetics, 1953 Nobel laureate Hans Adolf Krebs, "the first hero of metabolism"-and their followers. Having provided the groundwork, Regis describes cutting-edge scientists working to produce purely synthetic life. This is not science fiction, he assures us, but research performed by mainstream academics, as well as a few scientists financed by private investors who intend to reap financial rewards from their creations. All life takes place in cells surrounded by a complex wall made of fatty acids. Simple fatty acid walls are not hard to make, and scientists are making them. The innumerable metabolicreactions of life occur within cells, but these reactions are now happening inside laboratory "protocells," although they require external life-support to provide nutrients. As for reproduction, researchers are working with artificial versions of DNA that can duplicate themselves. Lucid and exciting.

What People Are Saying


Ed Regis is always a careful researcher, always an independent thinker. In this subversive little book, he shows that the biggest of big questions is still worth asking-more urgently now than ever. --David Quammen

Elegant, simple, clear, beautifully written. Regis takes up where Erwin Schrцdinger left off and tackles the ultimate mystery of biology. This book is a scrumptious gem. --Richard Preston, author of The Hot Zone

A comprehensive and elegant analysis of the physical basis of life: an up-to-date successor to Schrцdinger's 1944 book. --Marvin Minsky, Toshiba Professor of Media Arts and Sciences, M.I.T., and author of The Emotion Machine




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