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Clinical Gems

Our clinical gems come from the top selling medical books, and text books because knowledge is everything when it comes to diabetes.

Joslin’s Diabetes Deskbook, Updated 2nd Ed., Excerpt #36: Psychological Issues in the Treatment of Diabetes, Part 1 of 3

Joslin_Diabetes_Deskbook

Barbara J. Anderson, PhD, CDE and Abigail K. Mansfield Marcaccio, PhD This week’s excerpt answers the following questions:  How do you screen patients for psychological issues at diagnosis of diabetes? When can you use the terms "a touch of sugar" and "borderline diabetes"? How important is it to address misconceptions …

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Diabetic Emergencies: Diabetic Ketoacidosis in Childhood and Adolescence, Part 3 of 3

Diabetic_Emergencies

Christina Kanaka-Gantenbein, MD, PhD Acidosis management  Severe acidosis is reversible by fluid and insulin replacement. Insulin stops lipolysis and further ketone production and allows ketoacids to be metabolized, generating bicarbonate.4 Moreover, treatment of hypovolemia improves tissue perfusion and renal function, thereby increasing the excretion of organic acids. Controlled trials have …

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