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Objective: To define the stereotype conditions (perceptions, knowledge and attitudes) of menopause among women between 40 and 55 years old, pertaining to the urban outskirts side of Lima. Material and methods: A qualitative and quantitative study was carried out, with 38 women of 40-55 years old from San Juan de Lurigancho. We used surveys and focus groups to establish their feelings related to menopause such us, attitude, expectations and symptomatology. Results: Menopause was considered a natural, biological and psychological change, it which preceded old age and initiated infertility. It was considered a relief to some and a frustation to others. Others meanings were illnesses with possible solutions as self-control, psychological support and/or medical assistance, release of home responsibilities and major social acceptance. The attitude towards the menopause reflected a strong ...
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La cardiopatía coronaria y el accidente cerebrovascular han sido señalados como causa principal de muerte en la población adulta de Perú, en relación directa con factores de riesgo como obesidad, diabetes (DM), hipertensión arterial (HTA), hipercolesterolemia y tabaquismo. El presente estudio reporta la prevalencia de estos factores en sujetos mayores de 18 años en 4 poblaciones urbanas; 2 de la costa, Castilla (Piura) y Urb. Ingeniería (Lima), de la selva, Tarapoto (San Martín) y 1 de la Sierra, Huaraz (Ancash) y 2 comunidades rurales de la selva, Wayku y Cuñumbuque (Lamas-San Martín). Las prevalencias más altas fueron observadas en Castilla y en segundo lugar en Urb. Ingeniería, y las más bajas en Wayku y Cuñumbuque. Las prevalencias de obesidad fueron 36.7% en Castilla, 22.8% en Urb. Ingeniería, 18.3% en Huaraz, 17% en Tarapoto, O% en Wayku y 11 % en Cuñumbuque; las d...
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Pregestational diabetes requires strict glycemic control during pregnancy.Continuous glucose monitoring (CGM) devices measure interstitial glucose levelswithout the need for capillary puncture. Four pregnant women with pregestationaltype 2 diabetes mellitus were studied with the aid of CGM during 2 weeks of theirgestation. They had weekly nutritional sessions and medical controls with anendocrinologist. The average glucose level ranged from 82 to 171 mg/dL. The CGMallowed early changes in the treatment of one patient with hypoglycemia. All patientsstated that the GCM helped them in their food selection. In conclusion, the GCMhelped in carbohydrate recognition and treatment readjustment. The CGM was wellaccepted for use.
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Appropriate glycemic control during pregnancy prevents maternal-fetal complications. Continuous Glucose Monitoring (CGM) devices measure interstitial glucose levels, allowing patients and providers observe glucose values in real time. There are clear benefits of this tool, but lack of clinical experience in Peru. Three pregnant women with gestational diabetes were managed with the help of the CGM, along with nutritional education sessions and medical check-ups with an endocrinologist. All pregnant women had adequate glycemic control with the use of CGM. Two of them required insulin treatment and nutritional counseling, while the other only required nutritional management. The CGM was well received by the patients because it helped in the recognition and counting of carbohydrates, as well as in the adjustment of the treatment.