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Volume 20, Number 1 (March)

Diabetic Autonomic Neuropathy (Part 1) (pages 7-14)

J. Joseph Prendergast, M.D.

Autonomic neuropathy affects over 25% of people with diabetes and can have devastating results. In the first part of this article, Dr. Prendergast describes state-of-the-art testing to obtain an early diagnosis. Part 2 of this article, which will be published in our June issue, will cover innovative treatments that will allow you to give your patients longer and healthier lives.
Complications and comorbiditiesCardiovascular disease
Complications and comorbiditiesNeuropathy

Smoking and Diabetes (pages 16-20)

Debra Haire-Joshu, Ph.D., Tiffany Tibbs, M.A., and Russell Glasgow, Ph.D.

Smoking is the leading preventable cause of death in the United States—and particularly disastrous in people with diabetes. The authors outline the American Diabetes Association’s recommendations on smoking and detail a highly effective five-step process for helping your patients who smoke to quit smoking for good.
Management strategies and tools

Diabetes Underwater (pages 29-33)

Daniel L. Lorber, M.D.

For years, people with diabetes were advised not to scuba dive by both physicians and diving organizations, but new studies and recommendations change that mode of thinking. In this article, Dr. Lorber discusses physiological issues for those with diabetes and tells how scuba diving may, in fact, be a possibility for your patients with well-managed diabetes.
Special activities with diabetesScuba diving

Revised Clinical Practice Recommendations (pages 36-37)

Daniel L. Lorber, M.D.

The 2001 American Diabetes Association Clinical Practice Recommendations have been released, and they contain some important new ideas. The Editor examines these revised guidelines and shows how they can enhance the treatment of your patients with diabetes.
Professional guidelines

Exercise Therapy in the Management of Diabetes (pages 38-44)

John T. Devlin, M.D.

Regular physical activity and a proper diet can dramatically reduce and prevent the harmful effects of diabetes. While exercise can entail some danger for patients with advanced diabetic complications, Dr. Devlin discusses how even moderate exercise will benefit all your patients, how to assess the risks for each patient, and how to prescribe an appropriate exercise regimen.
Management strategies and toolsPhysical activity