The new findings from the Association of Statistical Clinical Endocrinology (AACE) include 34 clinical practice recommendations.
In Puerto Rico, 55% of patients with type 2 diabetes have high fat levels. Photo: Shutterstock.
Las nuevas clinical practice guides for diagnostic and treatment de la enfermedad del high fat non alcoholic with the primary directions specifically for primary clinical attentions and endocrinology.
Includes 34 clinical practice recommendations based on evidence for detection, diagnostics, management and derivation, presented in a table and a flow chart of algorithms, as well as detailed text.
These are the first types of this type for this medicine field. patient con la enfermedad del high fat non alcoholic (NAFLD for their English syllables) are not included in the primary attorney entrants and endocrinology. “Only when the company is more advanced are the derivatives and the specialists in the field”, affirmed Medscape, Scott Isaacs, MD, co-chair of the editorial board of their directories.
Against this, indication that primary and secondary attenuation drugs endocrinology Debe be the first to diagnose and manage these patientsdebit from the fleet of surplus specialists in haggling for hacerlo.
Incidence of non-alcoholic fatty acids
Cerca de 80 million estadounidenses have NAFLD, pero muy pocos son consonses de ello; on the other hand, progressive esthetosis varies from progressive to non-alcoholic estheathepatitis conditions (NASH is labeled in English), fibrotic and cirrhosis in the terminal stage. Y NASH, a su vez, is one of the main causes of skin cancer. The degraded grease field is fortunately associated with insulin resistance, diabetes type 2, atherogenesis and myocardial dysfunction.
La world prevalence is about 25% and in non-alcoholic estheathepatitis from 12% to 14%. An embargo, a recent study found among the patients in primary and endocrine attenuation clinicsmore than 70% of los patient con diabetes type 2 and more than 90% con diabetes type 2 having a body mass index higher than 35 kg / m 2 increased only high fatand more than 20% of them patient tenían fibrosis hepática significativa.
Problematic, many people are aware of what each of them is. “It’s fine. Of the more than 80 million people you have, you only get 6% less than you’s. señaló Isaacs, an endocrinologist who lives in Atlanta, Georgia.
Of course, the majority of NAFLD cases to diagnose incidental behavior when people have some ultrasound or a computed tomography for other reasons. Up to 70 per cent of cases, the hepatic enzymes are normaly esos patient rara vez se someten a exámenes del hígado, anotó Isaacs.
In an editorial, Suthat Liangpunsakul, MD, wrote: “From my perspective, as a hepatologist, this AACE guide is very practical and fossils incorporating habitual practice into primary attenuation and endocrinology environments. The temprana identification and stratification of the ridges patient with NAFLD, especially the degree of hepatic fibrosis, which are necessary to reduce the costs of posterior medical attenuation and specialized attenuation derivations without justification “.
Non-alcoholic vegetable fat warehouse in Puerto Rico
Between environmental factors who can contribute to the desarrollo of the nursing of high fat non alcoholic, is stresscausing changes in the central nervous system, provoking the release of stress hormones (epinephrine and norepinephrine).
“Essential hormonal masses, which we use to control high blood glucose in the hypoglycemia stage,” he said. Dr. Jorge de Jesús Miranda, President of the Puerto Rican Society of Endocrinology and Diabetology and specialist in endocrinology, diabetes and metabolism.
Out of the ordinary, obsession, depression, malnutrition, and physical activity can all be attributed to the fact that they occur in the desolation of this disease, “for example, in Puerto Rico, which has more than 17% of type 2 diabetes and 50% of obesity in the islandthe 55% of los patient type 2 diabetics have high fat diets. Here we have a series of factors that determine “race, genetics, ethnicity and environmental issues”.