Fig. 42.1 Illustration of main types of bariatric surgery currently being performed. By permission of Mayo Foundation for Medical Education and Research. All rights reserved Roux-En-Y gastric bypass (RYGB) is…
Fig. 7.1 Peptide structure of Somatostatin GH secretion is also regulated by ghrelin, a growth hormone secretagogue-receptor ligand [11] that is mainly synthesized in the gastrointestinal tract, particularly the stomach,…
Total cholesterol (mg/dL) < 200 Desirable 200-239 Boderline high ≥240 High HDL cholesterol (mg/dL) <40 Low >60 High LDL cholesterol (mg/dL) <100 Optimal 100–129 Near optimal 130–159 Boderline high 160–189…
Weight (kg) Units of insulin:g of CHO 25 1:30 45–49 1:16 49.5–58 1:15 58.5–62.5 1:14 63–67 1:13 67.5–76 1:12 76.5–80.5 1:11 81–85 1:10 85.5–89.5 1:9 90–98.5 1:8 99–107.5 1:7 ≥108…
Fig. 38.1 Female, Asian, 68 years old, type 2 diabetes for at least 15 years, visual acuity: 20/400 OD and 20/200 OS. The dilated eye exam revealed clinically significant diabetic…
Sensorimotor neuropathy Distal symmetric polyneuropathy Focal neuropathy Diabetic mononeuropathy (cranial, truncal, peripheral nerves) Mononeuropathy multiplex Diabetic amyotrophy Autonomic neuropathy Hypoglycemic unawareness Abnormal pupillary function Cardiovascular autonomic neuropathy Vasomotor neuropathy Sudomotor…
Fig. 9.1 Diagnostic workup in Cushing’s syndrome. ACTH adrenocorticotropin, BIPSS bilateral inferior petrosal sinus sampling, CRH corticotropin releasing hormone, CD cushing’s disease, CT computed tomography, ECS ectopic Cushing’s syndrome, LDDST…
Benign nodular goiter Thyroiditis Cysts Primary thyroid cancer Papillary carcinoma Follicular carcinoma Hurtle cell carcinoma C-cell derived carcinoma, Medullary carcinoma Anaplastic carcinoma Metastatic Cancer Lymphoma…
Dose (U/kg/day) Honey-moon period <0.5 At diagnosis or after Ketoacidosis 0.5–1.0 Prepubertal 0.7–1.0 Pubertal 1.0–2.0 Sick days 1.2–1.5 Basal insulin 40–60 % Usually, in the first 6 months of…
Drug Rationale Study design Follow-up Main Results Side effects Metformin [25] Metformin plus placebo × metformin plus exenatide Cohort. N = 150 82 weeks Lower Hba1c and weight reduction with exenatide More nausea and…
