Diabetes: Clinical Science in Practice

Front Cover
R. D. G. Leslie, David C. Robbins
Cambridge University Press, Mar 9, 1995 - Medical - 492 pages
This significant new publication provides a summary and overview of the most recent scientific advances in diabetes research, and highlights the role of these developments in advancing clinical practice. Diabetes is one of the major causes of morbidity and mortality in the developed world, and its prevalence elsewhere is on the increase. It affects in excess of 100 million people worldwide. Recent scientific advances have clarified our understanding of the causes and consequences of this devastating disease. These scientific developments are playing an increasingly important role in clinical practice and could well lead the way to the prevention of complications and even a cure for the disease. An international and authoritative team of authors draws together this knowledge and the most recent developments to provide an up to date account which will benefit researchers and clinicians.

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Contents

The regulation of insulin gene transcription
15
Molecular structure of insulin
32
Insulin receptors
48
The role of protein phosphorylation in insulin action
61
Glucose transport mechanisms
77
Glucose homeostasis
96
Genetics of insulindependent diabetes
117
Aetiology of insulindependent diabetes
134
The personal social and economic burden of diabetic
272
Mortality among persons with diabetes
279
Glycation and diabetic complications
288
The sorbitol pathway and diabetic complications
313
Proteinuria and diabetic complications
331
Pharmacological approaches to noninsulindependent
353
Insulin and insulin analogues
360
Hypoglycaemia
375

Epidemiology of noninsulindependent diabetes
157
Islet amyloid polypeptide and amyloid in the islets
189
a risk syndrome
200
Epidemiology of the complications of diabetes
221
Diabetic neuropathy
237
Diabetic foot infections
250
Ocular complications of diabetes
256
Diabetic nephropathy
264
Strategies for prevention of insulindependent diabetes
392
Treatment of early diabetic renal disease with special
405
Pancreatic transplantation in humans with diabetes mellitus
425
Rational insulin management of insulindependent diabetes
434
Rationale in the management of noninsulindependent
450
Psychosocial aspects of diabetes care
465
Index
478
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