Publications by authors named "Anca Elena Sirbu"

Background: Insulin pumps coupled with continuous glucose monitoring sensors use algorithms to analyze real-time blood glucose levels. This allows for the suspension of insulin administration before hypoglycemic thresholds are reached or for adaptive tuning in hybrid closed-loop systems. This longitudinal retrospective study aims to analyze real-world glycemic outcomes in a pediatric population transitioning to such devices.

View Article and Find Full Text PDF
Article Synopsis
  • Renal dysfunction is a complication of obesity and can improve after metabolic and bariatric surgery (MBS), but factors like body composition need more research, especially in males and females.
  • A study of 196 patients showed that after laparoscopic sleeve gastrectomy, men improved their kidney function based on weight loss, while women’s improvement was more related to visceral fat levels.
  • The findings suggest that visceral adipose tissue significantly affects kidney function in women, indicating that body composition plays a key role in understanding renal health after weight loss surgery.
View Article and Find Full Text PDF
Article Synopsis
  • Adrenal tumors are common and can be benign or malignant; thorough evaluations are essential to identify any hormonal or metabolic issues.
  • A study of 264 patients revealed that the majority were middle-aged women, with a low malignancy rate of 4.54% and most tumors (71.95%) being hormonally nonfunctioning.
  • Both functioning and nonfunctioning adrenal tumors are linked to cardiometabolic comorbidities, suggesting that all patients should undergo comprehensive hormonal and malignancy assessments, regardless of tumor type.
View Article and Find Full Text PDF

: The literature suggests that physiological menopause (MP) seems linked with increased adiposity with a preference for intra-abdominal fat accumulation, greater than what can be attributed only by aging, which could magnify this period's increased cardiovascular risk. : We retrospectively analyzed two age and body mass index (BMI) propensity-matched subgroups each formed of 90 clinically healthy, 40-60-year-old postmenopausal women, within the first 5 and 5-10 years of MP. The 10-year ASCVD risk was assessed using medical history, anthropometric data, and lipid profile blood tests.

View Article and Find Full Text PDF

Preconception evaluation of couples wishing to conceive is an important step toward a healthy pregnancy and it is especially important in people with a chronic condition or at genetic risk. The most common endocrine disorders in women at reproductive age are those involving the thyroid gland and it is well recognized that hyperthyroidism (HT), over-function of the thyroid gland, is associated with risks of maternal, fetal, and neonatal complications. The aim of this paper is to review the latest evidence regarding the components of preconception counseling in women with HT that contemplate a pregnancy.

View Article and Find Full Text PDF

Preconception counseling is an essential tool for preventing adverse pregnancy outcomes associated with thyroid dysfunction. The high prevalence of thyroid disease among women of reproductive age, and the increased risk of adverse pregnancy outcomes associated with thyroid dysfunction, emphasize the necessity for well-established screening and treatment criteria in the preconception period. We therefore conducted a literature review for relevant information on the screening, diagnosis and treatment of subclinical and overt hypothyroidism in women seeking pregnancy.

View Article and Find Full Text PDF

Introduction: Visceral adiposity is associated with decreased serum adiponectin levels, peripheral resistance to insulin and an increased risk of cardio-metabolic complications. However, the link between adiponectin expression in visceral adipose tissue (VAT), its serum levels and metabolic protection is controversial. The aim of this study was to investigate the relationship between the adiponectin gene expression in VAT and clinical and metabolic parameters in patients with severe obesity.

View Article and Find Full Text PDF

Purpose: We investigated, at diagnosis, the relationship between serum immunoglobulin G4 levels and the main characteristics of Graves' disease: hyperthyroidism severity, goiter size, presence of active Graves' ophthalmopathy, antithyroid antibodies status, and titer.

Methods: This prospective study included 80 newly diagnosed Graves' disease patients. The main parameters measured at diagnosis: thyroid-stimulating hormone, free thyroxine, free triiodothyronine, total triiodothyronine, thyroglobulin, antithyroid peroxidase antibodies, anti-thyroglobulin antibodies, thyroid-stimulating hormone receptor antibodies, immunoglobulin G4.

View Article and Find Full Text PDF

Background: Epidemiological data on obesity prevalence are scarce in Romanian population. Consequently, the aim of our study was to evaluate the prevalence of obesity and unhealthy behaviors among school children and adolescents from Bucharest, Romania.

Methods: Cross-sectional study, 866 participants (53.

View Article and Find Full Text PDF
Article Synopsis
  • A 47-year-old woman with chronic hepatitis C experienced acute chest pain and symptoms leading to the diagnosis of Takotsubo cardiomyopathy (TCM) and thyrotoxicosis after treatment with IFNα and Ribavirin.
  • Despite symptoms resembling a heart attack (STEMI), her coronary arteries were normal, and tests indicated TCM characterized by left ventricular apical ballooning.
  • After supportive care, her heart function improved, and she successfully completed hepatitis C treatment without any subsequent thyroid or heart issues.
View Article and Find Full Text PDF