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Importancia clínica de la proteinuria en diabetes mellitus
Figueroa,Valentín; Urroz-Cárcamo,Karla M; Arguedas-Chaverri,Carlos;
Acta Médica Costarricense , 2001,
Abstract: background: due to the growing incidence of diabetes mellitus in a younger population, and in view of the poor level of metabolic control reached worldwide for this illness, it is necessary to find simple and practical methods, within our reach, in order to detect the appearance of the chronic complications of diabetes in very early stages to avoid or at least slow down the natural evolution of them. aim: to review the most recent evidence of the utility and readiness of different methods to evaluate albuminuria, in order to improve the approach of the diabetic patient, with or without nephropathy. methodology: bibliographical review of publications of the last 10 years. conclusions: a) all patient with dm type 1, 5 years after their diagnosis and all diabetic patient type 2 at the moment of the diagnosis should have a measurement of their proteinuria. b) the reactivate strips to determine the micro and macro-albuminuria are reliable and correlate well with the meansurement of albuminuria in a 24 hours orine. c) the most important factors that inside in the evolution of the diabetic nephropathy and that demand an aggressive management are: a good metabolic control and the control of the blood presure.
Importancia clínica de la proteinuria en diabetes mellitus  [cached]
Valentín Figueroa,Karla M Urroz-Cárcamo,Carlos Arguedas-Chaverri
Acta Médica Costarricense , 2001,
Abstract: Justificación: Ante la creciente incidencia de Diabetes Mellitus en la población joven, y en vista del pobre nivel de control metabólico alcanzado mundialmente para dicha enfermedad, es necesario encontrar métodos sencillos, prácticos y a nuestro alcance, para detectar en forma muy temprana la aparición de las complicaciones crónicas propias de la Diabetes. Así se lograría evitar, ó al menos enlentecer, la evolución natural de una enfermedad muy limitante para quien no conoce lo suficiente de cómo vivir con ella, o una vez advertido y debidamente instruido en sus implicaciones, hace caso omiso de lo que se recomienda. Objetivo: Revisar la más reciente evidencia de utilidad y disponibilidad de los distintos métodos de evaluación de la albuminuria, para mejorar el abordaje del paciente diabético, con o sin nefropatía. Metodología: Revisión bibliográfica de publicaciones de los últimos 10 a os. Conclusiones: 1) A todo paciente DM Tipo 1 luego de 5 a os de ser diagnosticado y a todo paciente DM tipo 2 al momento del diagnóstico, debe realizársele medición de proteinuria. 2) Las tiras reactivas para determinar la micro y macroalbuminuria son confiables en relación con la medición de la orina de 24 horas. 3) Los factores más importantes dentro de la evolución de la nefropatía diabética y que exigen un agresivo manejo son: un buen control metabólico y el manejo antihipertensivo. 4) Los otros factores son importantes, pero su intervención es discutible. Background: Due to the growing incidence of Diabetes Mellitus in a younger population, and in view of the poor level of metabolic control reached worldwide for this illness, it is necessary to find simple and practical methods, within our reach, in order to detect the appearance of the chronic complications of Diabetes in very early stages to avoid or at least slow down the natural evolution of them. Aim: To review the most recent evidence of the utility and readiness of different methods to evaluate albuminuria, in order to improve the approach of the diabetic patient, with or without nephropathy. Methodology: Bibliographical review of publications of the last 10 years. Conclusions: a) All patient with DM type 1, 5 years after their diagnosis and all diabetic patient type 2 at the moment of the diagnosis should have a measurement of their proteinuria. b) The reactivate strips to determine the micro and macro-albuminuria are reliable and correlate well with the meansurement of albuminuria in a 24 hours orine. c) The most important factors that inside in the evolution of the diabetic nephropathy and that demand a
Importancia de la microalbuminuria en la diabetes mellitus
Nelson Crespo Mojena,José de la C. Padilla González,Nelson Crespo Valdés
Revista Cubana de Medicina General Integral , 2002,
Abstract: Se estudiaron 60 pacientes diabéticos pertenecientes al área de salud del Policlínico Docente "Bernardo Posse" del municipio San Miguel del Padrón en el período comprendido entre octubre de 1999 y noviembre del 2000. Todos fueron estudiados en su área de salud donde se les realizó glicemia y creatinina, toma de tensión arterial y fondo de ojo. Igualmente se les realizó microalbuminuria (Micral Test II Boehringer), para la detección precoz y el control del curso de una nefropatía incipiente (determinación semicuantitativa inmunológica). De un total de 35 pacientes con diferentes grados de afectación renal detectados por excreción de albuminuria, el 51,4 % resultó positivo a la prueba de microalbuminuria, lo que habla a favor de su importancia para el diagnóstico y tratamiento de una fase incipiente y reversible de afectación renal. 60 diabetic patients from the health area of "Bernardo Posse" Teaching Polyclinic, in the municipality of San Miguel del Padrón, were studied from October, 1999, to November, 2000. All of them were studied in their health area, where glycemia and creatinine were determined and arterial tension and the fundus of the eye were checked. Finally, microalbuminuria (Micral Test II Boehringer) was performed for the early detection and control of the evolution of an incipient nephropathy (semiquantitative immunological determination). Of a total of 35 patients with different degrees of kidney affectation detected by albuminuria excretion, 51.4 % werte positive, which shows its importance for the diagnosis and treatment of an incipient and reversible stage of kidney affectation.
A importancia da associa o de dieta e de atividade física na preven o e controle do Diabetes mellitus tipo 2 = The importance of the association diet and physical activity on type 2 Diabetes mellitus prevention and control  [cached]
Carlos Alexandre Molena-Fernandes,Nelson Nardo Junior,Raquel Soares Tasca,Sandra Marisa Pelloso
Acta Scientiarum : Health Sciences , 2005,
Abstract: O Diabetes mellitus (DM) tipo 2 é uma doen a cr nica de prevalência crescente que promove grande aumento na morbimortalidade da popula o brasileira. Neste trabalho foi avaliada a importancia de uma dieta saudável e da prática regular de atividade física na preven o e controle desta enfermidade. Mudan as nos hábitos alimentares, como adiminui o do consumo de gorduras saturadas e a úcares e o aumento do consumo de fibras, s o fatores que influenciam diretamente na preven o e tratamento do DM tipo 2. A prática de exercícios resistidos associada ao exercício aeróbio regular tem demonstradoeficácia na preven o e principalmente, na melhoria da qualidade de vida do paciente diabético. Essas mudan as de estilo de vida devem ser prioridades na área da Saúde Pública, a fim de deter o avan o do DM tipo 2 e proporcionar melhores condi es de vida ao indivíduo já acometido pela doen a. Type 2 Diabetes mellitus is a chronic disease with a high prevalence and morbimortality in the Brazilian population. The aim of this work was evaluated non pharmacological aspects in order to prevent and control this disease. A change in the alimentary habits, a reduced consumption of saturated fats and sugars associated to an increased fibres consumption, are important factors that could directly influence in the prevention and treatment of the Diabetes of type 2. The resistance training associated to aerobics exercises have been useful in the prevention and in the improvement of the quality in life of diabetic patients. Lifestyle changes should be prioritized by Public Health authorities in order to control the type 2 diabetes, as well as providing better conditions of life to the individual with this illness already set.
Diabetes Mellitus II: la importancia de las redes de apoyo como soporte al padecimiento (Diabetes Mellitus II: the importance of support networks to support the suffering)
Guadalupe Cartas-Fuentevilla,Rodolfo Mondragón-Ríos,Guadalupe del Carmen álvarez-Gordillo
Población y Salud en Mesoamérica , 2011,
Abstract: Objetivo. Comprender el papel de la formación de redes de apoyo familiares, institucionales y de amigos en las mujeres diabéticas que acuden al Centro de Salud y al Club de Diabéticos de San Cristóbal de Las Casas, Chiapas, en el proceso de salud-enfermedad-atención de la diabetes mellitus II. Metodología. Estudio cualitativo de corte etnográfico; los datos se obtuvieron a través de grupos focales y entrevistas a profundidad a partir del análisis de casos en cuatro mujeres diabéticas. Resultados. Las redes institucionales constituyen la principal estrategia de atención, control y búsqueda de alivio por parte de nuestras informantes. Las mujeres se autoperciben más valoradas en el Club que dentro de su grupo familiar debido a que se sienten identificadas y comprendidas por los demás enfermos generando un proceso identitario en torno a su condición de diabéticas. En los casos en que no se tiene el apoyo familiar requerido, ese vacío de solidaridad es cubierto por las amistades. Conclusiones. La red más fuerte y con mayor soporte es la institucional ya que a través de esta han aprendido a re-conocer su padecimiento, a resignificarlo mediante un proceso de transacción entre el discurso de la biomedicina y lo saberes de sentido común compartidos por otras y otros enfermos. La medicina institucional, a través del Centro de Salud y el Club de Diabéticos de San Cristóbal, ha logrado generar confianza y calidez en la relación médico-paciente favoreciendo la recuperación, control y alivio de su padecimiento.
Importancia da hemoglobina glicada no controle do diabetes mellitus e na avalia??o de risco das complica??es cr?nicas
Sumita, Nairo Massakazu;Andriolo, Adagmar;
Jornal Brasileiro de Patologia e Medicina Laboratorial , 2008, DOI: 10.1590/S1676-24442008000300003
Abstract: diabetes mellitus remains a subject of study due to the fact that clinical trials and new laboratory resources have increasingly added updated information to medical practice. high glycemic levels are harmful and their persistence results in complications such as tissue damage, loss of normal function and failure of several organs. glycated hemoglobin control has been a useful tool to monitor diabetic patients, and this analyte was validated by two major clinical studies about the impact assessment of rigid glycemic control on the incidence and progression of diabetes complications: diabetes control and complications trial (dcct, 1993) and united kingdom prospective diabetes study (ukpds, 1998). these studies showed that glycated hemoglobin level below 7% reduces the risk of complications in diabetes. in 2004, the interdisciplinary group of standardization of glycated haemoglobin-a1c, a group of specialists from scientific societies and pharmaceutical companies in brazil, published an official statement about the importance of glycated hemoglobin for the assessment of glycemic control. it discusses the clinical and laboratory aspects, which includes pre-analytical and analytical variations. the recommendations for the use of the test and the ideal control levels for adults, children and elderly people were established. according to this document, a1c tests should be performed at least twice a year by all patients with diabetes mellitus. however, when the results are not appropriate and/or changes are made in the therapeutic scheme, the test should be performed after three months. it is recommended for individuals with diabetes types 1 and 2 and the goal to be achieved is below 7% for effective control in both adults and youngsters. for children during the prepubertal stage the acceptable level of a1c is up to 8% and in pubertal stage, up to 8.5%. in elderly patients, a1c up to 8% is considered appropriate insofar as the attempt to a rigid glycemic level in this age
A importancia dos controles domiciliares na redu??o de interna??es em portadores de diabetes mellitus do tipo 1
Lemos-Marini, Sofia Helena V.;Lima, Maria Cristina de;Guerra Jr., Gil;Paulino, Maria Fernanda V.M.;Minicucci, Walter J.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2000, DOI: 10.1590/S0004-27302000000300005
Abstract: several therapeutic strategies have been used to improve control of patients with type 1 diabetes mellitus 1 (dm1), most of them based on capillary glycemia determinations. considering the difficulty to have frequent capillary blood letting due to stress and the high cost of reagent strips for home glycemia determinations, we have often used glycosuria as a parameter of glycemia. in 1990 a group was established in our service to treat dm1 patients. since 1992 all patients have been asked for home monitoring glycemia and glycosuria/ ketonuria. free reagent strips were given to destitute patients. the aim of this work was to evaluate the benefits of home monitoring. we have correlated the outpatient number (p); the number of hospital admittances (i); the number of blood (s) and urine (u) reagent strips granted yearly; and the ratio for hospital admittances/followed up patients (i/p). we observed that, besides the increase in the number of patients in regular attendance, there was a decrease of 6 to 8-fold in hospital admittances compared to the same parameters obtained during 1989. these results are accompanied by an increase on the number of reagent strips distributed. an inverse correlation (r= -0.83; p< 0.05) between the number of urinary reagent strips distributed and the percentage of hospital admittances was found. our results indicate that despite the low importance the literature gives to the urine test it can be considered as an important tool for controlling dm1 pediatric patients.
A importancia da determina??o da hemoglobina glicada no monitoramento das complica??es cr?nicas do diabetes mellitus
Bem, Andreza Fabro de;Kunde, Juliana;
Jornal Brasileiro de Patologia e Medicina Laboratorial , 2006, DOI: 10.1590/S1676-24442006000300007
Abstract: diabetes is a widespread disease, involving about 7% of the entire world population. for this reason, many efforts have been devoted to the wide application of valid monitoring procedures and to the development of effective therapeutic approaches. glycated hemoglobin (hba1c) is the pre-eminent factor for quantifying the risk of chronic complications in patients with diabetes. the diabetes control and complications trial (dcct) and united kingdom prospective diabetes study (ukpds), demonstrated conclusively that risks for complications in patients with diabetes are directly related to glycemic control, as measured by glycated hemoglobin (hba1c). accurate determination of hba1c is an important issue for clinical laboratories and several factors may affect and lead to erroneous results. the main objective of this study is to show the different methods for glycated hemoglobin quantification and to discuss the most frequent problems of standardization glycated hemoglobin measurements.
DIABETES MELLITUS
HAFIZ MUHAMMAD YAR
The Professional Medical Journal , 2008,
Abstract: Objective: To determine the frequency of diabetes mellitus and to assess the level of awarenessabout diabetes amongst persons attending a free health camp in cultural festival of Rahim Yar Khan. Study Design:Cross sectional observational study. Place and duration of study: Three days free health camp arranged in a culturalfestival in Rahim Yar Khan. Results: Over all frequency of type II diabetes was 19.38% and the frequency of diabetesincreased both in men and women with increasing age (p<0.001). Newly diagnosed subjects were 6.77% and thesedo not know that they were suffering from diabetes. 18.92% subjects were having glucose intolerance and 61.70%subjects were having random blood glucose level within normal limits. Diabetes was correctly defined by 57% subjectsand this was significantly associated with educational level, suffering from the disease and presence of diseaseamongst family members. 14.62% gave history of presence of disease in their families. As compared to females, maleswere more suffering from disease and these were consuming more foods and snacks than females (p<.0.01).Conclusion: High frequency of diabetes mellitus was observed amongst the study population. This may be due tohealth consciousness and higher level of educational status in the subjects who participated. Emphasis on healtheducation and preventive strategies are needed to increase public awareness and early detection of high risk groupsand risk factors of this common disease in our country. The lifestyle behaviors and environmental factors are strongmodifiers of diabetes The life style changes and interventions in early age may prove to be more effective thaninterventions done at a later stage.
DIABETES MELLITUS
NOREEN RAHAT HASHMI
The Professional Medical Journal , 2008,
Abstract: Objective: To assess the awareness of diabetes in individuals attending Out Patient Department ofGhurki Trust Teaching Hospital. Design: Descriptive study design. Place of Study: Out Patients Department, GhurkiTeaching Hospital, Lahore. Methodology: The study was conducted among a sample of 50 individuals, recruited byconvenience sampling technique. Data was collected, by administering a structured questionnaire, during a two weekperiod in December 2006. Data was presented in the form of tables and graphs. Results: General Awareness ofDiabetes Mellitus in the participants of our study was poor. Only 16% recognized it as a disease of the pancreas while50% considered it to be a disease of other systems. Majority of the respondents (78%) had no idea about the types ofthe disease. When asked about the communicability of diabetes, 76% considered it to be non-communicable, 10%thought it to be communicable. Among the respondents, 78% thought diabetes is inheritable. When asked about itsprevention, 54% considered avoiding sugar as the best way to prevent diabetes, while only 9% believed weightreduction to be important. Regarding the management of diabetes, 40% of respondents considered medication, 27%thought of diet modification as a better way, 18% considered exercise, while only 6% named weight reduction.Conclusion: The participants of the present study lacked awareness of types of diabetes, its mode of inheritance, itsprevention and management.
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