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A 59-year-old woman with a history of ovarian cancer and hypertension, with recurrent episodes of hypoglycemia and weight gain. Laboratory studies were compatible with hypoglycemia due to endogenous hyperinsulinism. Imaging showed a 19 mm hypervascularized nodule in the head of the pancreas, and echoendoscopy showed a 12 mm homogeneous lesion dependent on the neck and head of the pancreas. He received treatment with diazoxide and continuous glucose monitoring (CGM), presenting episodes of hypoglycemia in the controls. Whipple surgery was performed and the pathological report was insulinoma. She had a favorable evolution and post-surgery CGM with no evidence of hypoglycemia; on the contrary, she presented hyperglycemia in the follow-up.

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 ...

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 ...

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...

In our country, glycemic monitoring in diabetics is almost entirely limited to digital puncture. In developed countries, continuous glucose monitoring (CGM) devices have been used, which allow glucose fluctuations to be evaluated throughout the day. Objective: To describe the glucometric findings of patients receiving CGM, as well as the changes it induced in the management of diabetes. Material and Methods:A retrospective study was conducted of 28 patients (9 pediatric and 19 adult) treated in three endocrinology clinics, diagnosed with type 1 or 2 diabetes mellitus (DM), who used real-time or retrospective CGM devices.The variables studied were those reported by the sensors, such as average glucose, times in ranges, daily readings recorded. Results: A correlation was found between the number of daily readings on the sensor and the percentage of time in glucose range (adjusted R=0.51; p...

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.

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.