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Published on: September 26, 2018
[Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome]
Patricio López-Jaramillo1, Ramiro A Sánchez2, Margarita Díaz3
1Fundación Oftalmológica de Santander FOSCAL, Universidad de Santander UDES, Bucaramanga, Colombia.
Insights
This guide addresses metabolic syndrome in Latin America, focusing on patients with diabetes and hypertension. It highlights the syndrome
Area of Science:
- Cardiology
- Endocrinology
- Nephrology
- Internal Medicine
- Diabetes Management
Background:
- Metabolic syndrome, a cluster of metabolic alterations, shows high prevalence in Latin America.
- The concept of metabolic syndrome is debated but considered a useful nosographic entity in the region.
- Patients with diabetes, hypertension, and comorbidities represent a high-risk, often underestimated population.
Purpose of the Study:
- To provide a guide for physicians managing patients with diabetes, hypertension, and related comorbidities in Latin America.
- To raise awareness among physicians regarding the high-risk population associated with metabolic syndrome.
- To offer updated recommendations based on expert consensus.
Main Methods:
- Development of guidelines by a multidisciplinary expert panel from Latin American medical societies.
- Consensus reached through presentations and debates during a 2-day conference in Bucaramanga, October 2012.
- Recommendations approved by all participants.
Main Results:
- The document emphasizes the clinical utility of recognizing metabolic syndrome in Latin America.
- Identifies a specific high-risk patient population requiring focused medical attention.
- Provides a framework for diagnosis and treatment strategies.
Conclusions:
- Physicians should pay particular attention to metabolic syndrome in patients with diabetes and hypertension.
- Effective management requires addressing comorbidities and complications associated with these conditions.
- Further interventions are needed to ensure adherence to guideline recommendations by both physicians and patients.
Abstract:
The present document has been prepared by a group of experts, members of Cardiology, Endocrinology, Internal Medicine, Nephrology and Diabetes societies of Latin American countries, to serve as a guide to physicians taking care of patients with diabetes, hypertension and comorbidities or complications of both conditions. Although the concept of metabolic syndrome is currently disputed, the higher prevalence in Latin America of that cluster of metabolic alterations has suggested that metabolic syndrome is useful nosography entity in the context of Latin American medicine. Therefore, in the present document, particular attention is paid to this syndrome in order to alert physicians on a particular high- risk population, usually underestimated and undertreated. These recommendations results from presentation and debates by discussion panels during a 2-day conference held in Bucaramanga, in October 2012, and all the participants have approved the final conclusions. The authors acknowledge that the publication and diffusion of guidelines do not suffice to achieve the recommended changes in diagnostic or therapeutic strategies, and plan suitable interventions overcoming both physicians and patients from effectively adhering to guideline recommendations.
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