BOOK
Diabetes Mellitus: Associated Conditions, An Issue of Endocrinology and Metabolism Clinics of North America, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of the Endocrinology and Metabolism Clinics, guest edited by Drs. Leonid Poretsky and Emilia Pauline Liao, will focus on Diabetes Mellitus: Associated Conditions. Articles in this issue include Metabolic syndrome; The role of glucocorticoids and insulin resistance in adipose tissue function and lipid metabolism; Cardiovascular disease; The Relationships between Cardiovascular Disease and Diabetes: Focus on Pathogenesis; Interventions for coronary artery disease; Peripheral Arterial Disease; Hypertension; Sleep apnea; Osteoporosis; Vitamin D deficiency; Diabetes and cancer; Dementia; Depression; and Polycystic Ovary Syndrome.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Diabetes Mellitus:Associated Conditions | i | ||
copyright\r | ii | ||
Contributors | iii | ||
Consulting Editor | iii | ||
Editors | iii | ||
Authors | iii | ||
Contents | vii | ||
Endocrinology And\rMetabolism Clinics Of\rNorth America\r | xi | ||
Foreword | xiii | ||
Preface\r | xvii | ||
Metabolic Syndrome | 1 | ||
Key points | 1 | ||
Introduction | 1 | ||
Definitions | 2 | ||
Epidemiology | 3 | ||
Consequences of MetS | 8 | ||
Pathophysiology | 10 | ||
Treatment | 13 | ||
Controversies | 15 | ||
Summary and future considerations | 16 | ||
References | 16 | ||
Cardiovascular Disease in Diabetes Mellitus | 25 | ||
Key points | 25 | ||
Introduction | 25 | ||
Epidemiology | 26 | ||
Assessing the risk of cardiovascular events | 26 | ||
Pathophysiology | 27 | ||
Mitigating the risks | 28 | ||
Intensive Glycemic Control | 28 | ||
Choosing the right agents | 29 | ||
Lipids | 31 | ||
Hypertension | 32 | ||
Aspirin | 33 | ||
Diagnosis of CHD in asymptomatic patients | 33 | ||
Revascularization | 34 | ||
Summary | 34 | ||
Acknowledgments | 35 | ||
References | 35 | ||
The Relationships Between Cardiovascular Disease and Diabetes | 41 | ||
Key points | 41 | ||
Introduction | 41 | ||
Diabetes and the vasculature | 42 | ||
Oxidative Stress and the Vasculature | 42 | ||
Diabetic Microvascular Dysfunction | 44 | ||
Vascular Progenitor Cell Dysfunction and Diabetes | 44 | ||
Impaired Reverse Cholesterol Transport | 45 | ||
Summary of Relationships Between Diabetes and the Vasculature | 45 | ||
Diabetes and the heart: diabetic cardiomyopathy | 45 | ||
Mechanisms of Disease | 46 | ||
Altered Substrate Metabolism | 46 | ||
Activation of the Renin-angiotensin System | 47 | ||
Cardiac Autonomic Neuropathy | 47 | ||
Myocardial Fibrosis | 48 | ||
Cardiovascular Findings | 48 | ||
Diagnosing DCM | 48 | ||
Diabetes and the cardiovascular patient | 49 | ||
Coronary Artery Disease Risk Factors | 49 | ||
Dyslipidemia | 49 | ||
Hypertension | 50 | ||
Glycemic control | 50 | ||
Diabetes and Coronary Artery Disease | 50 | ||
Heart Failure | 52 | ||
Summary | 52 | ||
References | 53 | ||
Interventions for Coronary Artery Disease (Surgery vs Angioplasty) in Diabetic Patients | 59 | ||
Key points | 59 | ||
Introduction | 59 | ||
Revascularization treatment options | 60 | ||
Guidelines and other issues | 63 | ||
Choice of conduit | 63 | ||
Risk Scoring for CABG | 64 | ||
Why is CABG Better than PCI? | 65 | ||
Conclusions | 66 | ||
Important Aspects of Perioperative Care: Glucose Control | 66 | ||
What is the current role for PCI? | 67 | ||
Summary | 68 | ||
References | 68 | ||
Mechanisms of Glucocorticoid-Induced Insulin Resistance | 75 | ||
Key points | 75 | ||
Introduction | 75 | ||
Mechanisms of GC-induced insulin resistance | 76 | ||
Tissue-specific regulation of insulin resistance | 76 | ||
GC Regulation of Adipose Tissue Functionality, Mass, and Distribution | 76 | ||
GC regulation of white adipose tissue lipolysis | 76 | ||
GC regulation of de novo lipogenesis in white adipose tissue | 78 | ||
GC regulation of insulin sensitivity in white adipose tissue | 78 | ||
Chronic in vivo GC effects on adipogenesis and white adipose tissue mass and distribution in humans: studies on Cushing syn ... | 79 | ||
GC regulation of the secretory profile of white adipose tissue | 80 | ||
GC regulation of brown adipose tissue | 81 | ||
Mechanisms of GC-Induced Insulin Resistance in Muscle | 82 | ||
Mechanisms of GC-Induced Hepatic Insulin Resistance: Lipogenesis, Steatosis, and Circulating Lipids | 82 | ||
GC Regulation of Circulating Lipids | 83 | ||
Potential Effects of Brain GCs on Metabolic Homeostasis | 84 | ||
11β-HSD1 as a gatekeeper for intracellular GC availability | 85 | ||
The Potential Role of 11β-HSD1 Inhibition in Humans | 86 | ||
The role of GCs in the development of common obesity | 87 | ||
The paradox of GC anti-inflammatory yet diabetogenic actions: duration, location, or context? | 87 | ||
Summary and future directions | 88 | ||
References | 89 | ||
Type 2 Diabetes Mellitus and Hypertension | 103 | ||
Key points | 103 | ||
Introduction | 103 | ||
The burden | 105 | ||
Epidemiology | 105 | ||
Pathophysiology: converging pathways in coexisting DM and HTN | 105 | ||
Role of oxidative stress | 106 | ||
Insulin resistance and hyperinsulinemia | 107 | ||
Treatment of HTN: rationale, strategies, and challenges in HTN | 108 | ||
Impact of BP Control | 108 | ||
BP Targets | 108 | ||
Nonpharmacologic treatment: the role of therapeutic lifestyle intervention | 109 | ||
Pharmacologic therapy | 111 | ||
RAAS Blockade | 111 | ||
CCBs | 112 | ||
Diuretics | 112 | ||
Incretin-based therapy and HTN: beyond glycemic control | 113 | ||
Combined pharmacologic therapy | 114 | ||
Perspectives | 114 | ||
Telehealth | 114 | ||
Renal Denervation | 115 | ||
Acknowledgments | 115 | ||
References | 115 | ||
Polycystic Ovary Syndrome | 123 | ||
Key points | 123 | ||
History of polycystic ovary syndrome | 123 | ||
Definition of PCOS | 124 | ||
Clinical features of PCOS | 125 | ||
Reproductive features of PCOS | 125 | ||
Metabolic features of PCOS | 126 | ||
Psychological features of PCOS | 128 | ||
Risk factors for PCOS | 128 | ||
Long-term consequences of PCOS | 129 | ||
Insulin Resistance and Risk of Diabetes | 129 | ||
Obesity | 130 | ||
Hyperlipidemia | 130 | ||
Cardiovascular Disease | 130 | ||
Endometrial Cancer | 131 | ||
Pregnancy Complications | 131 | ||
PCOS in adolescence | 131 | ||
Insulin resistance and PCOS | 132 | ||
In Vitro Models | 132 | ||
In Vivo Models | 134 | ||
Genetics | 134 | ||
Syndromes of Severe Insulin Resistance | 135 | ||
Treatment of PCOS | 136 | ||
Summary | 138 | ||
References | 138 | ||
Peripheral Arterial Disease | 149 | ||
Key points | 149 | ||
Introduction | 149 | ||
Risk factors and pathogenesis | 150 | ||
Risk Factors for PAD | 150 | ||
Age, sex, and ethnicity | 150 | ||
Cigarette smoking | 150 | ||
Diabetes | 150 | ||
Hypertension | 151 | ||
Hyperlipidemia | 151 | ||
Other factors | 151 | ||
Atherosclerosis in PAD | 151 | ||
Pathogenesis of the Complications of Diabetes in PAD | 153 | ||
Hyperglycemia | 153 | ||
Impaired lipid metabolism | 154 | ||
Hypercoagulability and platelet dysfunction | 154 | ||
Predictors of disease progression | 154 | ||
C-reactive Protein | 155 | ||
Fibrinogen | 155 | ||
D-dimer | 155 | ||
Hyperhomocysteinemia | 155 | ||
Lipoprotein (a) | 155 | ||
Clinical presentation | 155 | ||
Intermittent Claudication | 156 | ||
Critical Limb Ischemia | 156 | ||
Diagnosis of PAD | 157 | ||
Clinical Examination | 157 | ||
ABPI Measurement | 157 | ||
Treadmill Exercise Testing | 158 | ||
Transcutaneous Oxygen Pressure Measurement | 158 | ||
Duplex Ultrasound Scanning | 159 | ||
Angiography | 159 | ||
Management | 159 | ||
Lifestyle and Risk Modifications | 159 | ||
Cigarette smoking | 159 | ||
Hyperglycemia | 160 | ||
Hypercholesterolemia | 160 | ||
Hypertension | 161 | ||
Exercise | 161 | ||
Drug Therapy | 161 | ||
Antiplatelet agents | 161 | ||
Vasoactive agents | 161 | ||
Surgical Intervention | 162 | ||
New therapies and future opportunities | 162 | ||
Spinal Cord Stimulation | 162 | ||
Intermittent Pneumatic Compression | 163 | ||
Angiogenesis | 163 | ||
Summary | 163 | ||
References | 163 | ||
Diabetes and Cancer | 167 | ||
Key points | 167 | ||
Introduction | 167 | ||
Epidemiology of diabetes and cancer | 168 | ||
Diabetes, Obesity, and the Metabolic Syndrome | 168 | ||
Diabetes and Cancer Incidence | 169 | ||
Diabetes and Cancer Mortality | 170 | ||
Biologic mechanisms linking diabetes and cancer | 171 | ||
IGF-1, insulin, and glucose | 172 | ||
IGF-1 | 172 | ||
Insulin Resistance and Hyperinsulinemia | 175 | ||
Hyperglycemia | 176 | ||
Cytokines and adipokines | 177 | ||
Inflammation | 177 | ||
Adipokines | 178 | ||
Summary | 179 | ||
References | 180 | ||
Obstructive Sleep Apnea | 187 | ||
Key points | 187 | ||
Introduction | 187 | ||
Observational studies linking OSA with abnormalities of insulin and glucose metabolism and type 2 diabetes | 188 | ||
Prevalence of OSA in subjects with type 2 diabetes | 190 | ||
Insulin and glucose homeostasis assessment in patients with OSA | 190 | ||
Impact of OSA on glycemic control in type 2 diabetes | 191 | ||
Independent association of OSA with the metabolic syndrome | 191 | ||
Pathophysiology of OSA and potential links to insulin resistance and type 2 diabetes | 191 | ||
Chronic IH and insulin resistance | 192 | ||
Chronic intermittent hypoxia, oxidative stress, and systemic inflammation | 193 | ||
Impact of IH on pancreatic β-cell function | 194 | ||
Sympathetic neural activation | 194 | ||
Adipose tissue hypoxia and systemic inflammation | 194 | ||
Human studies linking IH and sleep fragmentation with insulin resistance and pancreatic β-cell dysfunction | 195 | ||
CPAP therapy in OSA and changes in insulin sensitivity | 196 | ||
CPAP therapy in OSA and changes in glycosylated hemoglobin | 197 | ||
Impact of CPAP therapy for OSA on the metabolic syndrome | 197 | ||
Screening for OSA in patients with type 2 diabetes | 198 | ||
Diagnosis and treatment of OSA | 199 | ||
Summary | 200 | ||
References | 200 | ||
Vitamin D and Diabetes | 205 | ||
Key points | 205 | ||
Introduction | 205 | ||
Review of vitamin D physiology | 206 | ||
Classification of vitamin D status | 206 | ||
Vitamin D intake requirements | 207 | ||
Biologic plausibility of an association between vitamin D and type 2 diabetes | 208 | ||
Vitamin D and Insulin Secretion | 208 | ||
Vitamin D and Insulin Sensitivity | 208 | ||
Vitamin D and Systemic Inflammation | 209 | ||
Association between vitamin D status and type 2 diabetes | 210 | ||
Cross-Sectional Studies | 210 | ||
Longitudinal Studies | 211 | ||
The influence of vitamin D supplementation on type 2 diabetes | 217 | ||
Vitamin D and type 1 diabetes | 225 | ||
Summary | 226 | ||
References | 227 | ||
Osteoporosis-associated Fracture and Diabetes | 233 | ||
Key points | 233 | ||
Introduction | 233 | ||
T1D versus T2D and bone: similarities | 234 | ||
T1D versus T2D and bone: differences | 236 | ||
Quantifying risk of fracture associated with diabetes and osteoporosis | 237 | ||
Management | 238 | ||
Treatment | 239 | ||
References | 240 | ||
Relationships Between Diabetes and Cognitive Impairment | 245 | ||
Key points | 245 | ||
Introduction | 245 | ||
Insulin signaling | 246 | ||
The Master Hormone | 246 | ||
Insulin-Stimulated Effects | 246 | ||
IGFs | 247 | ||
Insulin and IGF Signaling in the Brain | 248 | ||
Insulin and IGF Signal Transduction | 248 | ||
Insulin resistance and neurodegeneration | 248 | ||
Insulin Resistance and its Consequences | 248 | ||
AD Occurrence and Clinical Diagnosis | 248 | ||
AD Neuropathology | 249 | ||
AD is a Metabolic Disease with Brain Insulin/IGF Resistance | 249 | ||
Brain Insulin and IGF Resistance and Deficiency in AD-Human Studies | 252 | ||
Does AD = Type 3 Diabetes? | 252 | ||
Experimental Evidence that Type 3 Diabetes = Sporadic AD | 253 | ||
Metabolic Deficits in AD: the Starving Brain | 253 | ||
Chronic Ischemic Cerebral Microvascular Disease | 254 | ||
Brain metabolic derangements in other neurodegenerative diseases | 256 | ||
Underlying causes of brain insulin resistance in AD | 257 | ||
Aging | 257 | ||
Lifestyle Choices and Aging | 258 | ||
Obesity and Cognitive Impairment | 258 | ||
T2DM | 259 | ||
NAFLD/NASH | 259 | ||
Metabolic Syndrome | 259 | ||
Summary | 260 | ||
References | 260 | ||
Interactions Between Diabetes and Anxiety and Depression | 269 | ||
Key points | 269 | ||
Subtypes of diabetes and their relationship to anxiety and depression | 270 | ||
Complex relationships between anxiety and depression and diabetes | 270 | ||
Diabetes association with depression and anxiety | 270 | ||
Depression and anxiety association with diabetes | 271 | ||
Metabolic syndrome | 272 | ||
Epigenetic risk | 273 | ||
Treatment of depression: effect of medication | 273 | ||
Antidepressants and antipsychotics: further analysis of risk/benefit | 273 | ||
Treatment of diabetes as risk factor of depression and anxiety | 275 | ||
Other biologic treatment modalities for depression | 275 | ||
Cognitive behavioral therapy interventions | 275 | ||
How to improve care for diabetes and anxiety and depression | 276 | ||
Summary | 277 | ||
References | 278 | ||
Index | 285 |