Underutilization of insulin and better metabolic control. A NOVA clinic experience.

Objective: To present the results of metabolic control in patients with type 2 Diabetes Mellitus from a private clinic in Northern Mexico.

Methods: This cross-sectional study used retrospective data obtained from electronic records from a private outpatient clinic at the end of 2018. Inclusion criteria were a diagnosis of T2DM and age ≥ 18 years.

[Adequate restitution in primary hypothyroidism depending on levothyroxine formulations].

Background: The prevalence of primary hypothyroidism (PH) is around 3.8%-4.6% in general population.

SGLT2 inhibitors as add on therapy in type 2 diabetes: a real world study.

Background: Type 2 diabetes mellitus (T2DM) is a progressive chronic disease associated with severe microvascular and macrovascular complications. Our aim is to assess the real world effectiveness of SGT" inhibitors in achieving metabolic therapeutic goals.

Methods: A retrospective, observational study.

Steroid hyperglycemia: Prevalence, early detection and therapeutic recommendations: A narrative review.

Steroids are drugs that have been used extensively in a variety of conditions. Although widely prescribed for their anti-inflammatory and immunosuppressive properties, glucocorticoids have several side effects, being hyperglycemia one of the most common and representative. In the present review, we discuss the main epidemiologic characteristics associated with steroid use, with emphasis on the identification of high risk populations.

Glucose disturbances in non-diabetic patients receiving acute treatment with methylprednisolone pulses.

Objective: Methylprednisolone pulses are used in a variety of disease conditions, both for acute and chronic therapy. Although well tolerated, they increase glucose levels in both non-diabetic and diabetic patients. They may also be considered a significant risk for acute metabolic alterations.

[Thyroid incidentaloma frequency in a university hospital].

Background: The prevalence of thyroid incidentaloma is variable and always created the dilemma of how to manage them. The objective was to determine the frequency of thyroid incidentalomas in a University Hospital.

Methods: A descriptive, transversal, prospective study was done; a non-probabilistic sample was used with patients who met the following criteria: >18 years, indiscriminate sex, and an image that included neck: ultrasound, computed tomography and/or magnetic resonance.

[NOPHAL Proyect: an integreting vision of hyperglycemia at the hospital].

Patients with hyperglycemia are more likely to be hospitalized, and evidence links it with poor outcomes. Recognizing the importance of glycemic control, we develop a multidisciplinary educational program on inpatient glycemic management, with metabolic goals that are reasonable, achievable and safe.

[Prevalence of hypokalemia in patients with methylprednisolone pulse therapy].

Objective: To determine the prevalence of hypokalemia in patients with methylprednisolone pulse therapy.

Design: We carried out a descriptive, cross-sectional study.

Material And Methods: We enrolled 110 outpatients who received pulse doses of 1 g of intravenous methylprednisolone for three consecutive days.

Nondiagnostic thyroid fine needle aspiration cytology: outcome in surgical treatment.

Background: Fine-Needle Aspiration (FNA) is the main screening process for distinguishing benign from malignant thyroid nodules. Despite this, by 5-29% of patients, their FNA results are not enough to confirm malign neoplasia, particularly in cases with follicular lesions. The objective of this report is to present the definitive histological results of a group of 41 patients with FNA of Thyroid nodule catalogued as "indeterminate/non diagnostic" sent for surgical treatment.

[Insulin therapy in patients with severe hypertriglyceridemia].

A series of seven patients with severe hypertriglyceridemia (triglyceride levels > 1000 mg/dL) is presented. Four of the patients were diabetics, two of them were in treatment with anti-retroviral drugs, and three of them presented acute pancreatitis. In all patients intravenous infusion of insulin was initiated at a rate of 0.

[Thyroid cancer in children and adolescents].

Background: Thyroid nodules in children and adolescents may be associated to malignant neoplasms. Although thyroid cancer is a rare event in this age group, delayed diagnosis is associated to metastatic, regional or lung disease, but even in these circumstances appropriate treatment may be followed by good prognosis. We decided to review the clinical course of these patients in our hospital from 1980 to 2001.