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1.
Wien Klin Wochenschr ; 136(Suppl 9): 467-477, 2024 Jul.
Artículo en Alemán | MEDLINE | ID: mdl-39196351

RESUMEN

People living with diabetes mellitus can be supported in the daily management by diabetes technology with automated insulin delivery (AID) systems to reduce the risk of hypoglycemia and improve glycemic control as well as the quality of life. Due to barriers in the availability of AID-systems, the use and development of open-source AID-systems have internationally increased. This technology provides a necessary alternative to commercially available products, especially when approved systems are inaccessible or insufficiently adapted to the specific needs of the users. Open-source technology is characterized by worldwide free availability of codes on the internet, is not officially approved and therefore the use is on the individual's own responsibility. In the clinical practice a lack of expertise with open-source AID technology and concerns about legal consequences, lead to conflict situations for health-care professionals (HCP), sometimes resulting in the refusal of care of people living with diabetes mellitus. This position paper provides an overview of the available evidence and practical guidance for HCP to minimize uncertainties and barriers. People living with diabetes mellitus must continue to be supported in education and diabetes management, independent of the chosen diabetes technology including open-source technology. Check-ups of the metabolic control, acute and chronic complications and screening for diabetes-related diseases are necessary and should be regularly carried out, regardless of the chosen AID-system and by a multidisciplinary team with appropriate expertise.


Asunto(s)
Diabetes Mellitus , Sistemas de Infusión de Insulina , Humanos , Austria , Automonitorización de la Glucosa Sanguínea , Diabetes Mellitus/terapia , Medicina Basada en la Evidencia , Insulina/administración & dosificación , Insulina/uso terapéutico
2.
Wien Klin Wochenschr ; 135(Suppl 6): 706-720, 2023 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-37821694

RESUMEN

The prevalence of overweight and obesity is steadily increasing in Austria as well as internationally. Obesity in particular is associated with multiple health risks, comorbidities, functional disability, and social stigma. Obesity is an independent, complex, chronic disease and should be treated as such by a multidisciplinary team of appropriately qualified personnel. In addition to recent international guidelines, this consensus paper outlines the overall principles of the management of overweight and obesity and provides guidance for the diagnosis and conservative treatment, focusing on lifestyle modifications and pharmacotherapy. Using the "5A" framework of behavioral health intervention, guidelines for a structured, pragmatic, and patient-centered medical care of adults with overweight or obesity are presented.


Asunto(s)
Tratamiento Conservador , Sobrepeso , Adulto , Humanos , Sobrepeso/epidemiología , Sobrepeso/terapia , Obesidad/diagnóstico , Obesidad/epidemiología , Obesidad/terapia , Estilo de Vida , Comorbilidad
3.
Wien Klin Wochenschr ; 135(Suppl 6): 721-728, 2023 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-37821695

RESUMEN

These clinical practice guidelines represent the consensus opinion of a group of Austrian specialist physicians associated with the treatment of obesity. The recommendations incorporate the current literature and guidelines and aim to balance both procedural feasibility and patient acceptance and adherence. Special emphasis was placed on simplification of the preoperative clarification and maximum patient safety. Therefore, this article makes no claim to be complete in all fields.


Asunto(s)
Cirugía Bariátrica , Obesidad Mórbida , Humanos , Obesidad Mórbida/cirugía , Obesidad , Consenso , Austria
4.
Wien Klin Wochenschr ; 135(Suppl 1): 164-181, 2023 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-37101039

RESUMEN

These are the guidelines for diagnosis and treatment of diabetic neuropathy and diabetic foot.The position statement summarizes characteristic clinical symptoms and techniques for diagnostic assessment of diabetic neuropathy, including the complex situation of the diabetic foot syndrome. Recommendations for the therapeutic management of diabetic neuropathy, especially for the control of pain in sensorimotor neuropathy, are provided. The needs to prevent and treat diabetic foot syndrome are summarized.


Asunto(s)
Diabetes Mellitus , Pie Diabético , Neuropatías Diabéticas , Humanos , Neuropatías Diabéticas/diagnóstico , Neuropatías Diabéticas/terapia , Pie Diabético/diagnóstico , Pie Diabético/terapia , Dolor , Síndrome
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