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Basic and Clinical Endocrinology by Francis S. Greenspan, David G. Gardner

By Francis S. Greenspan, David G. Gardner

The best-selling reference in endocrinology! Authoritative, concise, and present, this "all-in-one" textual content makes a speciality of the pathophysiology, prognosis, and therapy of endocrine problems. Written by means of well-known experts and that includes greater than 350 two-color illustrations, the 7th version has been up-to-date to mirror the most recent in diagnostic checking out and molecular biology in addition to new techniques to scientific administration.

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This flexible regimen ultimately implies the use of basal insulin (always) and mealtime insulin (once-, twice- or thrice-daily) depending on the individual meal habits of the type 2 diabetic patient. 7) successfully reach the glycaemic targets of the DCCT if the insulin dose is titrated to target, thus protecting against the risk of onset of long-term complications. At the same time, these regimens minimise the frequency of hypoglycaemia, prevent hypoglycaemia unawareness and improve quality of life.

Rajagopolan S, Alemao E, Finch L, Yin D. Impact of new Joint British Societies’ (JBS 2) guidelines on prevention of cardiovascular disease: evaluation of serum total cholesterol goal achievement in UK clinical practice. Curr Med Res Opin 2007; 23:2027–2034. Turner RC, Cull CA, Frighi V et al. Glycaemic control with diet, sulphonylureas, metformin or insulin in patients with type 2 diabetes: progressive requirements for multiple therapies. JAMA 1999; 281:2005–2012. Khan SE, Haffner SM, Heise MA et al, ADOPT Study Group.

Combining the above observations, it is no surprise that the current state of insulin replacement in people with diabetes is far from perfect. 0%, the level at which it protects from onset and/or progression of long-term complications [4]. At present, insulin analogues contribute to improving the outcome of the still imperfect method of subcutaneous insulin substitution by lowering the 1- and 2-hour postprandial blood glucose while minimising hypoglycaemia. 0%). This is in contrast to the early finding by the Diabetes Control and Complications Trial (DCCT) in 1993, where the lowering of HbA1c was associated with an approximately three-fold increase in risk for severe hypoglycaemia [4].

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