Objective: To compare the frequency of thyroid node disease (TND) in patients with metabolic syndrome (MS) and in patients without metabolic syndrome in an area with good iodine supply. Materials and methods: This is an analytical comparative casecontrol study performed in paired groups. There were 40 patients with MS and 40 controls attending the Endocrinology service in Cayetano Heredia Hospital in Lima, Peru, who were paired according to age and sex. Weight, height, and blood pressure measurements were taken from clinical records. Abdominal circumference was measured, and the presence of acanthosis nigricans was determined. Lipid profile, baseline blood glucose and TSH were determined. Thyroid ultrasonography was performed in all participants. Thyroid volume values were recorded and thyroid nodes measuring >5-mm were considered as clinically significant. Results: Eighty per cent of...

Objective: To compare the frequency of thyroid node disease (TND) in patients with metabolic syndrome (MS) and in patients without metabolic syndrome in an area with good iodine supply. Materials and methods: This is an analytical comparative casecontrol study performed in paired groups. There were 40 patients with MS and 40 controls attending the Endocrinology service in Cayetano Heredia Hospital in Lima, Peru, who were paired according to age and sex. Weight, height, and blood pressure measurements were taken from clinical records. Abdominal circumference was measured, and the presence of acanthosis nigricans was determined. Lipid profile, baseline blood glucose and TSH were determined. Thyroid ultrasonography was performed in all participants. Thyroid volume values were recorded and thyroid nodes measuring >5-mm were considered as clinically significant. Results: Eighty per cent of...

Introduction. Diabetic foot is a frequent complication of diabetes. Data are scarce in northern Peru. Objective. To describe the clinical evolution of the diabetic foot in a hospital in Lambayeque-Peru, between 2018 and 2019. Methods. Descriptive, prospective study. The patients were recruited by emergency/consultation and followed by the diabetic foot unit through daily visits and dressings. Results. Follow-up from August 2018 to October 2019. There were 136 patients; median age: 63 years (IQR = 54-86) and 50.38% were men. The median number of years with diabetes and hospitalization time was 10 years and 10 days; 40% and 21% had trauma and previous amputation. The frequencies of high blood pressure, diabetic nephropathy, chronic kidney disease, previous acute coronary syndrome and cerebrovascular event were: 52.9%, 26.4%, 33.3%, 2.9% and 16.6%, respectively; 50.7% had involvement of the...

Objetivo: Estimar la proporción de sujetos con diabetes mellitus tipo 2 (DMT2) que alcanzan la meta terapéutica para HbA1C un año después del diagnóstico (control metabólico temprano). Métodos: Revisión retrospectiva de historias clínicas de adultos atendidos en 16 centros médicos distribuidos en nueve ciudades peruanas. Se incluyeron pacientes que recibieron un diagnóstico inicial de DMT2 y tuvieron al menos un año de seguimiento. Se consideraron las metas metabólicas definidas en los estándares ADA 2018. Resultados: Se incluyeron 457 sujetos (53,03% mujeres). Cuando fueron diagnosticados, la edad media fue de 55,75 años (DE ± 12,92), la media de HbA1C fue de 9,10% (DE ± 2,28). Hubo diagnóstico concomitante de hipertensión arterial o de dislipidemia en 27,13% y 52,40%, respectivamente. Al año de seguimiento, 57,76% de los sujetos alcanzó la meta de HbA1C (<7,0%). El...

Objective: To estimate the rate of subjects with type 2 diabetes mellitus (T2DM) who reach the therapy goal for HbA1C one year after diagnosis (early metabolic control). Methods: This was a retrospective study reviewing clinical records of adults who came to sixteen health centers distributed in nine Peruvian cities. Patients who received an initial T2DM diagnosis and who had at least one-year follow-up were included. Metabolic goals set in ADA 29018 standards were considered.     Results: Four hundred and fifty-seven subjects (53,03% female) were included. When diagnosed, their mean age was 55,75 years (standard deviation [SD]: ± 12,92), and mean HbA1C value was 9,10% (SD: ± 2,28). Concomitant diagnosis including high blood pressure or dyslipidemia were found in 27,13% and 52,40% of all subjects, respectively. After one-year follow-up, 57,76% of all subjects achieved th...

Objective: To estimate the rate of subjects with type 2 diabetes mellitus (T2DM) who reach the therapy goal for HbA1C one year after diagnosis (early metabolic control). Methods: This was a retrospective study reviewing clinical records of adults who came to sixteen health centers distributed in nine Peruvian cities. Patients who received an initial T2DM diagnosis and who had at least one-year follow-up were included. Metabolic goals set in ADA 29018 standards were considered.     Results: Four hundred and fifty-seven subjects (53,03% female) were included. When diagnosed, their mean age was 55,75 years (standard deviation [SD]: ± 12,92), and mean HbA1C value was 9,10% (SD: ± 2,28). Concomitant diagnosis including high blood pressure or dyslipidemia were found in 27,13% and 52,40% of all subjects, respectively. After one-year follow-up, 57,76% of all subjects achieved th...