The 8thEdition of “A Practical Guide to Diabetes Mellitus” offers a unique combination of rigorous pathophysiology with very practical approaches to diabetes prevention and control. This outstanding textbook will equip a cadre of doctors and other health care professionals to deliver high quality care to vulnerable populations around India and far beyond. Based on research as well as clinical practice, the text describes diabetes in relation to physiology, ocular, cardiovascular, neuropathy, pregnancy, emergencies, childhood diabetes, etc. Each chapter beings with a brief outline of the disease concerned followed by introduction, definition/terminology, classification, treatment, conclusion and ending with set of question for self-assessment. Covers step wise images describes insulin administration in subcutaneous and using pen devices in the chapter: Insulin therapy: practical aspects. Feet, Footcare and Neuroarthropathy chapter deals with etiology and pathophysiology and is divided into three parts: Ulceration, Neuroarthropathy and Peripheral Artery Occlusive(PAD) diseases. Infection in diabetes chapter focuses on infection related to head and neck, genitourinary, skin and soft tissue, pulmonology and abdominal. Recent advances includes application of new drugs like Taspoglutide, Albiglutide, Lixisenatide, Newer DPP-IV inhibitors, along with new insulin receptor activators, PPAR agonists, new hepatic targets for glycemic control in diabetes. This book contains more than 300+ coloured images and illustrations, 40+ clinical cases, 50 questions for quick revision along with answers to the self- assessment question given at the end of book.
This eighth edition has several new facets apart from the revised chapters abreast with the latest evidence about newer anti-diabetic drugs, recently available gadgets and information about the latest clinical trials on the subject, author have also included a few new chapters including Non- Alcoholic Fatty Liver Disease in Diabetes. In this edition author have incorporated more Practical examples, clinical pictures and diagrammatic illustrations for better grasp and understanding of the reader. This new edition provides clinicians and trainees with the latest advances in the diagnosis and management of diabetes mellitus.
Beginning with an overview of physiology, epidemiology, pathogenesis and classification, the next chapters discuss related issues such as nutrition, exercise and counselling.
The following sections cover different aspects of the disease including emergency situations, therapeutic agents, and associated disorders including retinopathy, stroke, liver disease, and Neuropathy.
The final chapters examine diabetes in specific demographic groups such as in pregnancy, obesity, in the elderly and in childhood and adolescence.
The eighth edition has been fully revised and includes new topics including new anti-diabetic drugs, recent clinical trials, and non-alcoholic fatty liver disease.
The book is highly illustrated with clinical photographs, tables and boxes, and each chapter concludes with MCQs (Multiple Choice Questions) with answers, for self-assessment.
Diabetes mellitus is an emerging global health problem, so is in India. Fortunately, Indian physicians and researchers are also increasingly taking the lead, when it comes to doing something practical to stem the epidemic and to manage diabetes. Millions are affected by this chronic and potentially life-threatening disease. More than 3 million patients die from the disease on an annual basis. In some urban Indian societies, one out of five adults has diabetes. The devoted team, editing the present as well as the previous editions of this important book, is headed by Professor Nihal Thomas. He and former Professor Abraham Joseph were partners in the renowned World Diabetes Foundation, and supported the project entitled ‘Prevention and Control of Diabetes Mellitus in Rural and Semi-urban India through an Established Network of Hospitals,’ which has successfully trained key staff from more than 100 hospitals, many of these are situated in areas which are not easily accessible. The course material from this project makes up this book. In line with the aims of the World Diabetes Foundation, to serve as a catalyst of new ways towards diabetes control, admirably, new versions are constantly evolving, also after our initial support, including most recent knowledge on how to prevent, diagnose, care for and rehabilitate patients with diabetes. This book is soundly based on research as well as clinical practice, and it is a privilege and honor to write a Foreword, while looking much forward to future editions from the collaboration of Professor Nihal Thomas and his team.
Ib Christian Bygbjerg, MD PhD MD MS FRCP (C)
Professor of International Health
University of Copenhagen
Former Senior Consultant
National University Hospital
Copenhagen, Denmark
Former Board Member of the World Diabetes Foundation
Life is like riding a bicycle. To keep your balance you must keep moving. - Albert Einstein Diabetes mellitus has reached an astounding global prevalence of 415 million, according to 2015 estimates from the International Diabetes Federation, with a projected increase to 642 million by 2040, if current trends continue. More staggering, the numbers fall short of conveying the full magnitude of the problem. The human impact of diabetes includes devastating complications, economic hardships and reduction in the most creative and productive years of like. The unprecedented burden of diabetes globally calls for energetic and agile responses in terms of medical care, health education, and public policy.
Though challenging to implement, optimal diabetes management has been proven to reduce the complications of diabetes. This underscores the vital need for training healthcare professionals in comprehensive diabetes management, particularly in low-resource settings. Under the visionary leadership of Professor Nihal Thomas, Christian Medical College, Vellore, Tamil Nadu, India has developed a large-scale comprehensive diabetes education program. More than hundred hospitals in rural and semi-urban parts India has been instructed in the medical management of diabetes. This program has promoted the creation of integrated diabetes clinics with an emphasis on close cooperation among healthcare professionals, thus favoring a very effective multidisciplinary approach to diabetes management.
In collaboration with the Global Diabetes Institute, this program has expanded its reach to over thirty countries, including many parts of Asia and Sub-Saharan Africa. This eighth edition of A Practical Guide to Diabetes Mellitus offers a unique combination of rigorous pathophysiology with very practical approaches to diabetes prevention and control. This outstanding textbook with equip a cadre of doctors and other healthcare professionals to deliver high quality care to vulnerable populations in India and far beyond.
Meredith Hawkins MD MS FRCP (C)
Professor of Medicine
Director, Global Diabetes Institute
Co-Director, Diabetes Research Centre
Albert Einstein College of Medicine
New York, USA
