ABSTRACT
We emphasize the incidence of diabetes and the metabolic syndrome, because the prevalence rates of diabetes have increased, which results in a great number of complications such as microvascular complaints, neuropathies and a higher cardiovascular risk. The chronic complications of diabetes results in a great economic-social cost, and constitues a major publich health problem. Almost all the undiagnosed cases of diabetes are type II, since type I is generally associated with more dramatic symptoms requiring definitive treatment... This therapeutic management of the disease is describe in the article.
Subject(s)
Humans , Medication Therapy Management , Cholesterol , /complications , Glycated Hemoglobin , Hypertension/therapy , Insulin/therapeutic use , Life Style , Metformin/therapeutic use , Metabolic Syndrome/pathology , Metabolic Syndrome/therapyABSTRACT
Chronic complications of diabetes are the most important cause of morbidity of the disease, which constitutes a major public health problem. Patientes with diabetes are more prone to develop premature atherosclerotic disease in the lower extremities, which leads to frequent hospitalizations for common lower extremity amputations... This report offers guidelines for the management of a foot, which is threatened, with loss of the blood supply due to impairment of the circulation of the lower limbs, in diabetic patients.
Subject(s)
Humans , Diabetic Neuropathies/pathology , Primary Prevention , Diabetic Foot/diagnosis , Diabetic Foot/prevention & control , Diabetic Foot/therapy , Secondary Prevention , Foot Ulcer/prevention & control , Foot Ulcer/therapyABSTRACT
Emergencies that involve the foot in diabetic patients are a very common cause of morbidity. Ischemia is of prime importance but, in addition, neuropathy (with hypoesthesia) and sepsis are factors. Infections may follow minor trauma, or may be secondary, either to a long-standing ulcer or to an area of gangrene. The major importance of chronic ulcers of the feet, is that they are a portal of entry for infection. All these considerations are described in the article, with special considerations to the shoes employed and the stay.
Subject(s)
Humans , Peripheral Vascular Diseases/pathology , Foot Diseases/pathology , Diabetic Neuropathies/mortality , Diabetic Neuropathies/pathology , Perfusion , Diabetic Foot/physiopathology , Diabetic Foot/mortalitySubject(s)
Humans , Male , Amputation, Surgical/mortality , Amputation, Surgical/psychology , Diabetes Mellitus/prevention & control , Diabetic Foot/prevention & control , Diabetic Foot/therapy , Foot Ulcer/prevention & control , Foot Ulcer/therapy , Anti-Bacterial Agents/therapeutic use , Nutritional Sciences , Diabetic Foot/economics , Diabetic Foot/psychology , Risk Factors , Foot Ulcer/complicationsSubject(s)
Humans , Male , Female , Amputation, Surgical , Diabetic Foot/complications , Risk Factors , Foot Ulcer/prevention & control , Weight-Bearing , Anti-Bacterial Agents/therapeutic use , Diabetes Mellitus/complications , Foot/pathology , Gangrene/complications , Hygiene , Diabetic Neuropathies/diagnosis , Physical Examination , ShoesABSTRACT
Se han descripto algunos de los mecanismos que regulan el ingreso de alimentos y el gasto calórico. Se han encontrado alteraciones de ciertos pasos en animales obesos y en sujetos obesos humanos. Planteándose de todo ello, que la obesidad es un síndrome, expresión de múltiples causas. No puede mantenerse la premisa de que todo es debido a un balance positivo, en el sentido clásico del término, y en muchos obesos con dificultades para descenso de peso, debe encararse un estudio más amplio de los factores etiológicos. Gracias a estos y otros conocimientos, estamos saliendo de la edad de piedra en la obesidad, esperando que pronto existan mayores avances, con nuevas posibilidades terapéuticas.