Diabetes mellitus is a public health problem that causes early and late complications. Continuous glucose monitoring (CGM) has become the main technological tool for real-time glycemic control and has the potential to prevent complications. However, its use has not spread in low- and middle-income countries. We present the experience in the management of a patient with type 1 diabetes with hypoglycemia unawareness in whom the use of real-time CGM achieved both: less hypoglycemic episodes and optimization of insulin regimen. The benefit of real-time CGM in addition to the use of analog insulins and diabetes education resulted in better metabolic control. CGM is a useful tool to consider in patients with hypoglycemia unawareness and to minimize the risk of complications in the future.

Introduction. The glycemic impact of moderately high or low carbohydrate intake in an isocaloric diet remains undetermined. Report. An intervention was carried out with pregnant women with type 2 diabetes, who were fitted with a continuous glucose monitor for two weeks. They followed two 7-day nutritional plans, the first with 60% of the total caloric valuecoming from carbohydrates (VCT60), and the second with 40% of the total caloric value from carbohydrates (VCT40).On the first day of each week, a supervised breakfast corresponding to the intervention was provided. During the VCT60week, there was a tendency for: lower average glucose, higher number of hypoglycemia events, and higher frequency ofsensor scans compared to the VCT40 week. Conclusion. The continuous glucose monitor was well-received and assisted in making decisions regarding their diet and medical treatment.

Introduction. The glycemic impact of moderately high or low carbohydrate intake in an isocaloric diet remains undetermined. Report. An intervention was carried out with pregnant women with type 2 diabetes, who were fitted with a continuous glucose monitor for two weeks. They followed two 7-day nutritional plans, the first with 60% of the total caloric value coming from carbohydrates (VCT60), and the second with 40% of the total caloric value from carbohydrates (VCT40). On the first day of each week, a supervised breakfast corresponding to the intervention was provided. During the VCT60 week, there was a tendency for: lower average glucose, higher number of hypoglycemia events, and higher frequency of sensor scans compared to the VCT40 week. Conclusion. The continuous glucose monitor was well-received and assisted in making decisions regarding their diet and medical treatment

Introducción: En los países desarrollados la prevalencia de la infección por el H. pylori en pacientes con gastritis crónica activa (GCA) y úlcera péptica está disminuyendo. En los países en vías de desarrollo, hasta nuestro conocimiento, aún no se ha reportado la variación en el tiempo de esta infección ni los fenómenos epidemiológicos asociados. Objetivo: Determinar la variación de la prevalencia del H. pylori en pacientes procedentes de niveles socioeconómicos medio y alto con GCA y úlcera péptica desde 1985 hasta el 2002 en Lima, Perú. Material y Métodos: En una clínica privada se evaluó mediante esofagogastroduodenoscopía a 1815 pacientescon síntomas del tracto gastrointestinal superior procedentes de nivelsocioeconómico medio y alto, residentes en Lima, Perú. Se utilizó la coloración con hematoxilina eosina. Resultados: Se identificó a 1260 paci...

Introduction. The glycemic impact of moderately high or low carbohydrate intake in an isocaloric diet remains undetermined. Report. An intervention was carried out with pregnant women with type 2 diabetes, who were fitted with a continuous glucose monitor for two weeks. They followed two 7-day nutritional plans, the first with 60% of the total caloric valuecoming from carbohydrates (VCT60), and the second with 40% of the total caloric value from carbohydrates (VCT40).On the first day of each week, a supervised breakfast corresponding to the intervention was provided. During the VCT60week, there was a tendency for: lower average glucose, higher number of hypoglycemia events, and higher frequency ofsensor scans compared to the VCT40 week. Conclusion. The continuous glucose monitor was well-received and assisted in making decisions regarding their diet and medical treatment.

OBJETIVO: La terapia de un inhibidor de la bomba de protones más dos antibióticos es el tratamiento más aceptado para la infección por el Helicobacter pylori. Sin embargo, no hay consenso sobre su duración. El objetivo fue comparar los porcentajes de erradicación del esquema de omeprazol+amoxicilina+claritromicina administrados durante 7 vs 10 días. METODOLOGÍA: Seleccionamos pacientes del Hospital Militar Central y Policlínico Peruano-Japonés con síntomas del tracto gastrointestinal superior y Helicobacter pylori. Excluimos aquéllos con úlcera péptica. Para el diagnóstico se tomaron biopsias para la prueba de la ureasa, PCR, cultivo y coloración con plata. Empleamos omeprazol+claritromicina+ amoxicilina, durante 7 días versus 10 días. Realizamos endoscopía control al mes de terminado el tratamiento, y utilizamos técnicas de biología molecular para diferenciar las re...