The metabolic syndrome (MS) is a cluster of metabolic abnormalities considered risk factors for developing cardiovascular disease and diabetes. MS components are defined according to different guidelines and consensus. The definition proposed by the National Cholesterol Education Program Adult Treatment Panel III (ATPIII) and the International Diabetes Federation (IDF) are the most commonly used in the different publications. These definitions have been updated in some populations according to ethnicity and geographical location, such as the Latin American Diabetes Association (ALAD) that defines a specific abdominal perimeter for Latin-Americans. In 2009 the publication Harmonizing the Metabolic Syndrome suggested a consensus on the application of unified diagnostic criteria for MS. Regarding the pathophysiology of MS, insulin resistance has been considered the main factor for developme...

Type 1 diabetes mellitus (T1DM) is one of the most common chronic childhood diseases. However, a large number of adult patients live with this condition. Insulin therapy is the cornerstone of diabetes treatment. Other important aspects are the promotion of a healthy lifestyle and the adhesion to medications. This is the case of a 29-year-old woman with a fifteenyear diagnosis of T1DM. Medical treatment and evolution over the last five years are described. The importance of new technologies such as continuous glucose monitoring and other factors such as adherence to treatment and family support were particularly important for the patient’s adequate disease control.

El objetivo del presente trabajo es describir la prevalencia de síndrome metabólico (SM) y la relación de los componentes de SM con el índice de masa corporal (IMC) y la talla, en una población de estudiantes de Lima. La muestra fue de 185 estudiantes de un instituto superior tecnológico, en quienes se evaluó índice de masa corporal, perímetro abdominal, control de glucosa en ayunas, colesterol HDL y triglicéridos. Los criterios utilizados para el diagnóstico de SM fueron los de la Federación Internacional de Diabetes. El criterio de talla baja se basó en la descripción del documento “NORMA Oficial Mexicana NOM-174-SSA1-1998, para el manejo integral de la obesidad”. El IMC se basó en los parámetros de sobrepeso y obesidad regidos por la OMS. La prevalencia de SM fue de 4% en la población estudiada. La prevalencia de glucosa de ayuno alterada (mayor de 100 mg%) fue de...