Bøger af Carlos García-Escovar

The ancestral and current "ways of life" also interfere with the nutritional quality of the population. For this reason, this research study was conducted with a methodological approach of Critical Epidemiology. Additionally, modern life has initiated important sectors of the community in the consumption of junk food at almost all age levels. Although the geographical location of our country is privileged for agricultural activity, the cultural background before and after the Spanish conquest, and the COVID 19 pandemic modified eating habits; external influence, lack of work, lack of knowledge and self-esteem problems are also important. To develop projects for a change in the food system we need a real nutritional diagnosis of our population. This academic research work related to the analysis of the "Significant relationship between sociocultural and economic factors of Ecuador and its nutritional status" was conducted with a sample of 564 subjects, 56.7% are women and 43.3% men.

Medical diagnosis is not possible without the physiopathological knowledge of this pathology, this was clearly demonstrated with the last pandemic, I am referring to COVID-19, when this terrible disease started, complications and mortality were higher than expected; generally, other respiratory diseases could be complicated with pneumonias; however, COVID-19 evolved to pulmonary embolisms; when we knew the physiopathology of this new disease we started to control it, even before the vaccine. In addition, for health care and medical attention we must understand what influences the conservation of homeostasis in the development of pathologies, we must count on previous learning achievements in the areas of biology and physiology; there are occasions when a person arrives with flu and greets everyone; however, a few get the flu with symptoms of different intensity, but most do not even suffer the disease. For there are different responses to aggression, even in people of the same age, of the same sex, apparently normal, of a similar socioeconomic level, without stressing the dietary differences...

Quando queremos saber se temos diabetes, pensamos que o teste de glicemia em jejum é a primeira coisa a fazer; contudo, pode ser que mesmo que saia normal, pode ser que a glicemia pós-prandial, duas horas após a ingestão de uma carga de 75 g de hidratos de carbono, esteja elevada, pelo que o nosso paciente tem diabetes mellitus 2. Devemos lembrar que um doente tem glicemia normal quando o jejum de pelo menos 8 horas se situa entre 60 e 100 mg/dl e se está entre 100 e 110 mg/dl dizemos que tem síndrome metabólica ou pré-diabetes e quando está acima dos 110 mg/dl dizemos que tem diabetes mellitus 2.Se um paciente tem menos de 110 mg/dl de jejum; mas com insulina muito alta, o que significa que o pâncreas está a fazer um grande esforço para manter uma glicemia normal, causada pela resistência à insulina, verificamos isto com uma fórmula para calcular o HOMA e se for mais de 2,5 então esse paciente tem resistência à insulina. Há um atraso no diagnóstico e uma adesão deficiente ao tratamento em todas as suas exigências. Mas a situação socioeconómica e cultural da comunidade equatoriana impede a adesão efectiva ao tratamento....

Lorsque nous voulons savoir si nous sommes diabétiques, nous pensons que la mesure de la glycémie à jeun est la première chose à faire ; cependant, il se peut que même si le résultat est normal, il se peut que la glycémie postprandiale, deux heures après l'ingestion d'une charge de 75 g de glucides, soit élevée, et que notre patient souffre donc de diabète sucré 2. Il faut se rappeler qu'un patient a une glycémie normale lorsqu'à jeun pendant au moins 8 heures elle se situe entre 60 et 100 mg/dl et si elle se situe entre 100 et 110 mg/dl on dit qu'il a un syndrome métabolique ou un pré-diabète et lorsqu'elle est supérieure à 110 mg/dl on dit qu'il a un diabète sucré 2.Si un patient a moins de 110 mg/dl à jeun, mais une insuline très élevée, ce qui signifie que le pancréas fait un grand effort pour maintenir une glycémie normale, causée par une résistance à l'insuline, nous vérifions cela avec une formule pour calculer le HOMA et s'il est supérieur à 2,5, alors ce patient a une résistance à l'insuline. Il y a un retard dans le diagnostic et une mauvaise adhésion au traitement dans toutes ses exigences. Mais la situation socio-économique et culturelle de la communauté équatorienne empêche une adhésion effective au traitement.....

Quando vogliamo sapere se abbiamo il diabete, pensiamo che il test della glicemia a digiuno sia la prima cosa da fare; tuttavia, può darsi che, anche se risulta normale, la glicemia postprandiale, due ore dopo aver ingerito un carico di 75 g di carboidrati, sia elevata, e quindi il nostro paziente ha il diabete mellito 2. Dobbiamo ricordare che un paziente ha una glicemia normale quando a digiuno da almeno 8 ore è compresa tra 60 e 100 mg/dl; se è compresa tra 100 e 110 mg/dl diciamo che ha la sindrome metabolica o il pre-diabete e quando è superiore a 110 mg/dl diciamo che ha il diabete mellito 2.Se un paziente ha meno di 110 mg/dl a digiuno; ma con un'insulina molto alta, il che significa che il pancreas sta facendo un grande sforzo per mantenere una glicemia normale, causata dall'insulino-resistenza, lo verifichiamo con una formula per calcolare l'HOMA e se è superiore a 2,5 allora il paziente ha l'insulino-resistenza. Vi è un ritardo nella diagnosi e una scarsa aderenza al trattamento in tutti i suoi requisiti. Ma la situazione socio-economica e culturale della comunità ecuadoriana impedisce un'effettiva adesione al trattamento....

When we want to know if we have diabetes we think that the fasting blood glucose test is the first thing; however, it may be that even if it comes out normal, it may be that the postprandial blood glucose, two hours after ingesting a load of 75 g of carbohydrates, is elevated, then our patient has diabetes mellitus 2. We must remember that a patient has normal glycemia when fasting for at least 8 hours is between 60 and 100 mg/dl and if it is between 100 and 110 mg/dl we say that he has a metabolic syndrome or prediabetes and when it is more than 110 mg/dl we say that he has diabetes mellitus 2.If a patient has less than 110 mg/dl fasting; but with very high insulin, which means that the pancreas is making a great effort to maintain normal glycemia, caused by insulin resistance, we check this with a formula to calculate the HOMA and if it is more than 2.5 then that patient has insulin resistance. There is delay in diagnosis and poor adherence to treatment in all its requirements. But the socioeconomic and cultural situation of the Ecuadorian community prevents effective adherence to treatment....

Cuando queremos saber si tenemos Diabetes pensamos que el examen de Glicemia en ayunas es lo primero; sin embargo, puede ser que aunque esta salga normal; puede ser que la Glicemia postprandial, dos horas después de ingerir una carga de 75 g de hidratos de carbono, este elevada, entonces nuestro paciente tiene diabetes mellitus 2. Debemos recordar que un paciente tiene la glicemia normal cuando en ayunas de al menos 8 horas esta entre 60 y 100 mg/dl y si esta entre 100 y 110 mg/dl decimos que tiene un síndrome metabólico o sea prediabetes y cuando tiene más de 110 mg/dl decimos que tiene diabetes mellitus 2. Si un paciente tiene menos de 110 mg/dl en ayunas; pero con la insulina muy elevada, lo cual significa que el páncreas está haciendo un gran esfuerzo para mantener normal la glicemia, ocasionada por la resistencia a la insulina, esto lo comprobamos con una fórmula para calcular el HOMA y si tiene más de 2,5 entonces ese paciente tiene resistencia a la insulina. Hay retraso en el diagnóstico y una pobre adherencia al tratamiento en todos sus requerimientos. Pero la situación socioeconómica y cultural de la comunidad ecuatoriana impiden el cumplimiento efectivo del tratamiento...