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.

Introducción Se ha encontrado que la enfermedad por reflujo gastroesofágico (ERGE) está asociada con el uso de cocinas tradicionales que emplean combustible de biomasa. Fumar induce la relajación del esfínter esofágico inferior, volviendo a sus niveles basales después de 3-8 minutos de dejar de fumar. Esta relajación permite que tenga lugar la ERGE. Nuestro objetivo fue evaluar si el cambio de las cocinas tradicionales que emplean combustible de biomasa está relacionado con una reducción de la ERGE y/o síntomas respiratorios. Metodología Estudio transversal que incluyó 79 mujeres expuestas crónicamente a cocinas tradicionales que emplean combustibles de biomasa y que residen en Lliupapuquio, región de Andahuaylas, Perú (3200 msnm). Se aplicó el cuestionario ATS modificado por Accinelli y validado en otros estudios. El análisis estadístico se realizó mediante la prueba...

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.

Study Objectives Assess acute changes in nocturnal sleep oxygenation, sleep disordered breathing and symptoms of Acute Mountain Sickness (AMS) in healthy High Altitude (HA) sojourners. Methods Ten subjects born at Sea Level (SL) were enrolled and underwent nocturnal polygraphy for 5 consecutive nights at HA and 2 nights before and after HA (2761 m). Nocturnal oxygen profiles were characterized by the mean Oxyhaemoglobin Saturation (SpO2) during sleep, and sleep apnea severity was represented by the Apnea-Hypopnea Index (AHI). Repeated measures linear regression was used to examine responses in outcome variables (SpO2, logAHI and LLS) between HA and SL. Mean SpO2 on night 1 at HA was used to stratify post-hoc analyses based on mean level of nocturnal desaturation and logAHI. Subjects completed the Lake-Louise Score (LLS) survey every day. Results Compared to SL, mean SpO2 was lower at HA ...