By Michael T. McDermott MD

The completely up to date Endocrine Secrets, 6th Edition keeps the culture of the hugely renowned Secrets Series®, supplying fast solutions to the main crucial medical endocrinology questions. A ordinary Q&A format, replete with valuable pearls, tips, and reminiscence aids, allows you to study and examine successfully. all of it provides as much as an ideal concise board assessment or convenient medical endocrinology resource.

  • Expedite your reference and review
  • with a question-and-answer structure that is conversational and straightforward to read.

  • Zero in on key information with bulleted lists, mnemonics, useful information from favourite endocrinologists, and "Key issues" containers that offer a concise evaluation of vital board-relevant content.
  • Quickly assessment crucial fabric with a bankruptcy containing the "Top a hundred Secrets" in endocrinology.
  • Take your Secrets anywhere due to a handy, pocket-sized design!

  • Remain on the vanguard of clinical endocrinology
  • with updates on new innovations and applied sciences, in addition to altering treatment plans and drug information.

  • Equip your self for powerful perform with assurance of the most up-tp-date advancements in weight problems administration, weight reduction medicines, and bariatric surgical procedure; the latest instructions for the pharmacological remedy of sort 2 diabetes mellitus; and masses more.
  • Make use of sensible counsel on in depth insulin remedy, and apply evidence-based techniques to accomplish applicable glucose keep an eye on in hospitalized sufferers and successfully deal with thyroid cancer.
  • Access the newest research in regards to the merits and dangers of the big variety of osteoporosis therapies.

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Rapid-acting insulin is preferred because of the rapid onset and short duration of action. A patient can adjust each bolus dose to match the carbohydrate intake and to correct for high glucose levels before the meal, whereas the basal dose remains constant from day to day. Premixed “biphasic” insulin preparations combine either a rapid-acting insulin analog or regular human insulin with a crystalline protaminated form of the analog or NPH (neutral protamine Hagedorn) human insulin in an attempt to imitate basal and bolus therapies with fewer injections.

Instruction in the use of glucose gels and glucagon should be an essential part of training for all individuals living with insulin-treated diabetic patients. Patients and family members should be instructed not to overtreat hypoglycemia, particularly if it is mild. Overtreatment leads to subsequent hyperglycemia. Patients should also be instructed to test the blood glucose level when symptoms occur to confirm hypoglycemia whenever feasible. If testing is not possible, it is best to treat first.

The ADVANCE Collaborative Group: Intensive blood glucose control and vascular outcomes in type 2 diabetes, N Engl J Med 358:2560–2572, 2008. American Diabetes Association: Standards of medical care in diabetes—-2012, Diabetes Care 35 (Suppl 1):S11–S63, 2012. Antionetti DA, Klein R: Diabetic retinopathy, N Engl J Med 366:1227–1239, 2012. Chong MS, Hester J: Diabetic painful neuropathy: current and future treatment options, Drugs 67:569–585, 2007. Chrysant SG: The ALLHAT study: results and clinical implications, Q J Med 96:771–772, 2003.

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