Segundo Consenso de la Sociedad Chilena de Endocrinología y Diabetes sobre Resistencia a la Insulina

Autores/as

  • Felipe Pollak Cornejo PUC
  • A Verónica Araya Departamento de Medicina Interna, Sección Endocrinología. Hospital Clínico de la Universidad de Chile. Santiago, Chile.
  • Alejandra Lanas Departamento de Medicina Interna, Sección Endocrinología. Hospital Clínico de la Universidad de Chile. Santiago, Chile.
  • Jorge Sapunar 3Departamento de Medicina Interna, Unidad de Endocrinología. Facultad de Medicina. Universidad de la Frontera. Temuco, Chile.

Palabras clave:

Intra-abdomial fat, Insulin resistance, Life style, Metformin, Risk factor

Resumen

Insulin resistance is a prevalent condition commonly associated with unhealthy lifestyles. It affects several metabolic pathways, increasing risk of abnormalities at different organ levels. Thus, diverse medical specialties should be involved in its diagnosis and treatment. With the purpose of unifying criteria about this condition, a scientific-based consensus was elaborated. A questionnaire including the most important topics such as cardio-metabolic risk, non-alcoholic fatty liver disease and polycystic ovary syndrome, was designed and sent to national experts. When no agreement among them was achieved, the Delphi methodology was applied. The main conclusions reached are that clinical findings are critical for the diagnosis of insulin resistance, not being necessary blood testing. Acquisition of a healthy lifestyle is the most important therapeutic tool. Insulin-sensitizing drugs should be prescribed to individuals at high risk of disease according to clinically validated outcomes. There are specific recommendations for pregnant women, children, adolescents and older people.

Biografía del autor/a

Felipe Pollak Cornejo, PUC

fpollak@gmail.com

A Verónica Araya, Departamento de Medicina Interna, Sección Endocrinología. Hospital Clínico de la Universidad de Chile. Santiago, Chile.

Hospital Clínico Universidad de Chile

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Publicado

2015-05-13

Cómo citar

Pollak Cornejo, F., Araya, A. V., Lanas, A., & Sapunar, J. (2015). Segundo Consenso de la Sociedad Chilena de Endocrinología y Diabetes sobre Resistencia a la Insulina. Revista Médica De Chile, 143(5). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/4250

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