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glicemic control

Carlos Jiménez-Romero, Alberto Marcacuzco Quinto, Alejandro Manrique Municio, Iago Justo Alonso, Jorge Calvo Pulido, Félix Cambra Molero, Óscar Caso Maestro, Álvaro García-Sesma, Enrique Moreno González
INTRODUCTION: Simultaneous pancreas-kidney transplantation (SPKT) constitutes the therapy of choice for diabetes type1 or type2 associated with end-stage renal disease, because is the only proven method to restore normo-glicemic control in the diabetic patient. METHODS: Retrospective and descriptive study of a series of 175 patients who underwent SPKT from March 1995 to April 2016. We analyze donor and recipient characteristics, perioperative variables and immunosuppression, post-transplant morbi-mortality, patient and graft survival, and risk factors related with patient and graft survival...
January 2018: Cirugía Española
Marcello Casaccia Bertoluci, Augusto Pimazoni-Netto, Antonio Carlos Pires, Antonio Eduardo Pesaro, Beatriz D Schaan, Bruno Caramelli, Carisi Anne Polanczyk, Carlos Vicente Serrano Júnior, Danielle M Gualandro, Domingos Augusto Malerbi, Emilio Moriguchi, Flavio Antonio de Oliveira Borelli, João Eduardo Nunes Salles, José Mariani Júnior, Luis Eduardo Rohde, Luis H Canani, Luiz Antonio Machado Cesar, Marcos Tambascia, Maria Tereza Zanella, Miguel Gus, Rafael Selbach Scheffel, Raul Dias Dos Santos
There is a very well known correlation between diabetes and cardiovascular disease but many health care professionals are just concerned with glycemic control, ignoring the paramount importance of controlling other risk factors involved in the pathogenesis of serious cardiovascular diseases. This Position Statement from the Brazilian Diabetes Society was developed to promote increased awareness in relation to six crucial topics dealing with diabetes and cardiovascular disease: Glicemic Control, Cardiovascular Risk Stratification and Screening Coronary Artery Disease, Treatment of Dyslipidemia, Hypertension, Antiplatelet Therapy and Myocardial Revascularization...
2014: Diabetology & Metabolic Syndrome
Sandro La Vignera, Francesco Lanzafame, Maurizio Di Mauro, Rosita Condorelli, Enzo Vicari
AIM: Different authors showed clear correlations between diabetic disease and male reproductive damage (es. rate of nuclear DNA fragmentation, mithocondrial DNA mutations, increased of enzymatic glication products, etc...). The aim of this observational study carried out on a selected group of diabetic patients (average age 36) with primary infertility was to determine reactive oxygen species (ROS) production in sperm in connection with duration of disease, glicemic control and seminal vescicular emptying in the post ejaculatory...
December 2009: Archivio Italiano di Urologia, Andrologia
Flavia Melo Pontieri, Maria Márcia Bachion
The system of health beliefs influences the process of compliance with diabetes treatment. Compliance with nutritional therapy is one of the greatest challenges found. The purpose of this qualitative approach study was to analyze the beliefs of type 2 diabetic patients regarding nutritional therapy and its influence on the compliance with it. The participants of the study were nine patients being treated in a reference unit for diabetic patients' treatment. The procedures involved were blood exam to check the glycated hemoglobin, a questionnaire, semi-structured recorded interview and patient report checking...
January 2010: Ciência & Saúde Coletiva
Krystyna Zdrojowy, Maria Knapik-Kordecka, Urszula Jakobsche-Policht, Rajmund Adamiec
UNLABELLED: Proinflammatory cytokines play the crucial role in the arising and progression of atherosclerotic changes. Between them are: tumor necrosis factor alpha (TNF-alpha) and interleukin 6 (IL-6). The significant role in the atherosclerotic changes play adhesive molecules produced by endothelium as the answer to the cytokines stimulation. THE AIM OF THE STUDY was the evaluation of the serum concentration of TNF-alpha, IL-6 and selectin E in the patients with chronic lower limb ischaemia with and without diabetes type 2...
December 2009: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Giuseppe Derosa, Pamela Maffioli, Angela D'Angelo, Sibilla A T Salvadeo, Ilaria Ferrari, Elena Fogari, Roberto Mereu, Alessia Gravina, Ilaria Palumbo, Sabrina Randazzo, Arrigo F G Cicero
We compared the effects of continuous subcutaneous insulin infusion (CSII) and multi-daily insulin injections therapy (MDI) on glicemic control and on lipid profile in type 1 and type 2 diabetic patients. We divided the patients in two groups: in the first one (n=32) CSII was administered, in the second one (n=32) MDI was administered. HbA(1C) value was lower after 3, 6, 9, and 12 months with CSII compared to MDI. Fasting plasma glucose (FPG) value was lower with CSII after 3, 6, and 12 months compared to MDI...
2009: Endocrine Journal
Agnieszka Piwowar, Maria Knapik-Kordecka, Maria Warwas
UNLABELLED: The aim of our study was to estimate the influence of oxidative stress on the function of vascular endothelium in diabetes mellitus type 2, through the measurement plasma levels of chosen parameters reflecting these disturbances--concentration of advanced oxidation protein products (AOPP) and activity of gamma glutamyltransferase (GGT) and N-acetyl-beta-glucosaminidase (NAG). MATERIALS AND METHODS: 73 patients with type 2 diabetes mellitus and 23 healthy people, which made up the control group were examined...
August 2008: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Ernesto Di Betta, Francesco Mittempergher, Carmen Terraroli, Eleonora Valloncini, Bruno Salerni
INTRODUCTION: Type 2 diabetes is the paradigm of an obesity-related disease. In most cases it exists because of the obesity and will disappear with weight loss. AIM OF THIS STUDY: To evaluate the glicemic control in obese patients after two malabsorbitive procedure, the bilio-pancreatic diversion with ad hoc stomach resection (BPD-AHS) and the bilio-pancreatic diversion with transitory gastric restriction (BPD-TGR). MATERIAL AND METHODS: The effect of weight loss following malabsorbitive procedures was studied on 38 patients operated on between the May 1999 and July 2002...
May 2007: Annali Italiani di Chirurgia
Vladimir Schraibman, Alberto Goldenberg, Jose Francisco de Matos Farah, Franz Robert Apodaca, Suzan Goldman, Edson Jose Lobo
Insulinomas are rare endocrine pancreatic tumors whose incidence has been increasing in recent years owing to early detection by clinical and radiologic, such as remote neural monitoring, computed tomography (CT), and ultrasound (US) findings. The classical treatment consists of open surgical resection, which is associated with relative morbidity and mortality rates. The aim of this paper was to present 5 patients who were diagnosed with pancreatic insulinomas that were treated by laparoscopic resection. Five (5) patients, ranging from 14 to 45 years and presenting with classical Whipple Triad, had lesions ranging from 1...
August 2007: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Nicolás Roberto Robles, Joaquín Velasco, Cándido Mena, Enrique Angulo, Timotea Garrote et al.
BACKGROUND AND OBJECTIVE: Microalbuminuria is a known complication of diabetes mellitus but it is also a cardiovascular risk factor commonly present among hypertensive (non diabetic) population. The prevalence of microalbuminuria is variable and it has been never estimated in our region. The aim of this study has been to determine the prevalence of microalbuminuria in hypertensive (non diabetic) and diabetic population in Extremadura (Spain). PATIENTS AND METHOD: The study included diabetic patients and non-diabetic hypertensive ones randomly selected...
November 25, 2006: Medicina Clínica
Adriana Bosco, Antonio Carlos Lerário, Danilo Soriano, Rosa Ferreira Dos Santos, Píndaro Massote, Daniela Galvão, Ana Cristina H M Franco, Saulo Purisch, Antônio Rodrigues Ferreira
Diabetic retinopathy is a frequently observed complication in both type 1 and type 2 diabetes, specially in patients with long term disease and poor glicemic control. Irreversible visual loss appears at the final stages of diabetic retinopathy and it is considered one of the most tragic of diabetic complications. It is also considered an important factor of morbidity and has a high economical impact once it is the leading cause of blindness. The pathophysiology of the retinal microvascular alterations is related to the chronic hyperglycemia that leads to the following circulatory disturbances: loss of vascular tonus, increase in vascular permeability, edema and exudation, with vascular obstruction and ischemia that stimulates neovascularization, which may lead to fibrous retraction and vitreous hemorrhages with retinal detachment...
April 2005: Arquivos Brasileiros de Endocrinologia e Metabologia
Isabel Paiva
The perioperative management of diabetic patients implies glicemic normalization before, during and after the procedure. Insulin therapy is always necessary when general anesthesia is considered, and in most cases of epidural analgesia. When ambulatory surgery is envisaged, the usual hypoglycemic treatment can be maintained, provided that a sufficiently good metabolic control is documented. The pathophysiological mechanisms for insulin-resistance in these situations are reviewed, as are the procedures for general clinical evaluation of the patient...
January 2004: Acta Médica Portuguesa
M B Gomes, S H Castro, T Garfinkel, L M Fernandes, E F Cunha, V I Lobão
OBJECTIVE: To evaluate glycemic control in type 1 diabetes mellitus patients followed in 1998. PATIENTS AND METHODS: We studied 38 patients [22 males; age = 10.4 -/+ 4.1 years; 12 (31.6%) prepubertal, 26 (68.4%) pubertal], with diabetes duration of 3.7-/+3.4 years and age of diagnosis of 7.2 -/+ 4.7 years. HbA1c was determined using high-performance liquid chromatography (L-9100 Merck Hitachi, reference value =2.6 to 6.2%). RESULTS: HbA1c was 8.04 -/+ 2.4%, without association with gender and puberty. In the 27 patients with at least two HbA1c determinations, the level of glycemic control changed in 8 (29...
January 2001: Jornal de Pediatria
G Brizzi, S Acunzo, M Velotti, M Foglia
Previous experiments have put in evidence that the 5-HT injected intraperitoneally in rats elicits remarkable variations of some enzymatic activities of glycolytic pathways and it is an iperglicemic factor as in function of dose that of time. For that the AA. have measured the glycemia in different starting glicemic conditions, to control if the 5-HT effect persists. The results have evidenced the 5-HT effect (20 mg/kg i.p.) there is also in fasting rats as drinking water as a water solution of glucose (20%)...
February 28, 1984: Bollettino Della Società Italiana di Biologia Sperimentale
G P Segoloni, A Pacitti, G Squiccimarro, G Triolo, R Ragni, A Vercellone, G Civati, C Guastoni, A Perego, U Teatini, L Minetti, Q Carta
The increasing number of Diabetic Uremic Patients (DUP) starting the substitutive treatment (ST) constitutes a difficult and often disappointing problem in terms of efforts, clinical results and side-effects. While treatment of these patients by C.A.P.D. is well documented, the adoption of Hemofiltration (HF), has been, up to now scarcely considered. In order to define the potentialities of a HF policy in the treatment of these patients, data from 6 DUP treated with postdilutional HF for a 10.6 months/patient period were collected on a multi-center basis and retrospectively examined...
January 1983: International Journal of Artificial Organs
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