Overview

Diabetic nephropathy is a tragic illness. Its often insidious onset in the insulin­ dependent (type I) diabetic, typically a young adult, heralds the last act in the course of a disease that will increasingly become the dominant preoccupation in the patient's shortened life. For most type II diabetics, the beginning of clinical renal insufficiency is but a phase in a continuous deterioration that affects the integrity ofjob, marriage, and family. The nephropathic diabetic is hypertensive, has worsening retinopathy, and more often than not, is also plagued by peripheral vascular insufficiency, heart disease, gastrointestinal malfunction, and deepening depression. Until the 1980's, few type I diabetics who became uremic (because ofdiabetic nephropathy) lived for more than two years. Hardly any attained true rehabilitation. This dismal prognosis is changing substantially for the better. Research in diabetes has resulted in striking advances at both ends of the type I diabetic's natural history. In one exciting clinical trial now underway in London, Ontario, halfofchildhood diabetics treated with cyclosporine within six weeks of onset evince""permanent"" disappearanceofhyperglycemia and the need for insulin. At the otherendofthe natural historyofdiabetes for the nephropathic patientwith worsening eye disease (renal-retinal syndrome), who receives a kidney transplant, patient and graft survival, two years after cadaveric kidney transplantation in type I diabetics is now equal to that of the nondiabetic.

Full Product Details

Author:   E.A. Friedman ,  Charles M. Peterson
Publisher:   Springer-Verlag New York Inc.
Imprint:   Springer-Verlag New York Inc.
Edition:   Softcover reprint of the original 1st ed. 1986
Volume:   9
Dimensions:   Width: 15.50cm , Height: 1.50cm , Length: 23.50cm
Weight:   0.427kg
ISBN:  

9781461294108

ISBN 10:   146129410
Pages:   254
Publication Date:   24 May 2013
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

1. What is diabetes? Types, definitions, epidemiology, diagnosis.- 2. Insulin, oral agents, and monitoring techniques.- 3. Insulin pumps: for whom, when, why?.- 4. Clinical evaluation and management of diabetic retinopathy.- 5. Natural history of diabetic nephropathy.- 6. Hemodialysis for the uremic diabetic.- 7. Continuous ambulatory peritoneal dialysis in end-stage diabetic nephropathy.- 8. Options in uremia therapy: kidney transplantation.- 9. Pancreas transplants in diabetic nephropathy.- 10. Preservation of the compromised foot in diabetic nephropathy.- 11. Managing the diabetic renal-retinal syndrome during pregnancy.- 12. Nurse to nurse: nursing role in diabetic nephropathy management.- 13. Patient to patient.- 14. Is diabetic nephropathy preventable?.- Epilogue by Eli A. Friedman.- Appendix A: Your diabetic renal diet by Mildred Friedman.- Appendix B: Ideal weight tables.- Appendix C: Patient resources for addtional help.

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