[Checklist for patients with type 2 diabetes mellitus for remote consultation]. / Checklist para pacientes con diabetes mellitus tipo 2 en consulta telemática.

The current circumstances cause by the COVID-19 force primary care doctors to find out new ways to guarantee the health care of our type 2 diabetes patients. There is evidence that supports the remote consultation efficacy in the glycemic control in patients with type 2 diabetes. Facing the rapid adaptation of clinical practice to the remote consultation use, from de Diabetes Group of the Spanish Society of Family and Community Medicine (SemFyC), we have prepared a document embodied in a telematic action / monitoring algorithm in the care of patients with type 2 diabetes.

[Are there any clinical and metabolic differences between immigrant and Spanish-born diabetic patients?]. / ¿Existen diferencias clínicas y metabólicas entre diabéticos inmigrantes y autóctonos?

AIM: To determine the clinical features and the metabolic control in immigrant diabetic patients in two Primary Care centres in La Rioja, Spain. DESIGN: Descriptive study. SETTING: Two urban Primary Care centres which cover a population of 11,700 and 23,000 patients in Logroño. PRIMARY OUTCOMES: Socio-demographic variables (age, sex, origin country of origin, age at onset of diabetes), clinical variables (blood pressure, waist circumference (WC), high, weight, BMI) and analytical variables (fasting blood glucose, HbA1c, lipid profile). The immunology of DM and baseline C-peptide were studied in patients younger than 40 years old. PARTICIPANTS: A total of 70 diabetic immigrants, aged between 18 and 70 years old and registered until December 31(st) 2009, and 70 Spanish-born diabetic patients were selected by consecutive sampling. RESULTS: The final sample consisted of 140 patients (70 immigrants, 70 Spanish). Mean age of Spanish-born diabetics, 55.5 years, of immigrants 45.7 years (P=.002).Age at diagnosis 38.4 years in immigrants and 48.1 years in autochthonous (P=.004).WC in immigrants 104.1cm, in Spanish-born, 105.3 cm (P=.56).BMI in immigrants 29, in Spanish-born 32.1 (P=.06).Mean glycated haemoglobin (HbA1c) in immigrants 8.4%, in Spanish-born 7.5% (P=.002). Blood pressure and lipid values were lower in Hindustani and North African patients than in Spanish-born and other immigrant groups. CONCLUSIONS: Immigrant diabetic patients are younger at diagnosis, have an unchanged baseline C-peptide secretion, higher HbA1c levels, higher WC with lower BMI compared to Spanish-born patients.

Checklist para pacientes con diabetes mellitus tipo 2 en consulta telemática / Checklist for patients with type 2 diabetes mellitus for remote consultation

Las circunstancias actuales provocadas por la COVID-19 nos obligan a los profesionales de atención primaria a idear nuevas formas de garantizar la atención sanitaria de nuestros pacientes con diabetes tipo 2 (DM2). Existen evidencias que respaldan la eficacia de la telemedicina en el control glucémico de los pacientes con DM2. Ante la rápida adaptación de la práctica clínica al uso de la telemedicina, el Grupo de Trabajo de Diabetes de la Sociedad Española de Medicina Familiar y Comunitaria (SemFyC) optó por elaborar un documento de consenso plasmado en un algoritmo de actuación/seguimiento telemático en la atención de los pacientes con DM2.(AU)

The current circumstances cause by the COVID-19 force primary care doctors to find out new ways to guarantee the health care of our type 2 diabetes patients. There is evidence that supports the remote consultation efficacy in the glycemic control in patients with type 2 diabetes. Facing the rapid adaptation of clinical practice to the remote consultation use, from de Diabetes Group of the Spanish Society of Family and Community Medicine (SemFyC), we have prepared a document embodied in a telematic action / monitoring algorithm in the care of patients with type 2 diabetes.(AU)

¿Existen diferencias clínicas y metabólicas entre diabéticos inmigrantes y autóctonos? / Are there any clinical and metabolic differences between immigrant and Spanish-born diabetic patients?

Objetivo: Conocer las características clínicas y metabólicas de los pacientes diabéticos inmigrantes en 2 centros de salud de La Rioja. Diseño: Estudio descriptivo. Emplazamiento: Dos centros de salud urbanos que atienden a una población de 11.700 y 23.000 personas en Logroño. Participantes: Setenta personas diabéticas inmigrantes de entre 18 y 70 años, registradas hasta diciembre de 2009 y 70 diabéticos autóctonos seleccionados por muestreo consecutivo. Mediciones principales: Variables sociodemográficas (edad, sexo, país de origen, edad en el momento del diagnóstico de diabetes), clínicas (presión arterial, perímetro abdominal, talla y peso) y analíticas (glucemia basal, HbA1c y perfil lipídico). Se estudió la inmunología de la diabetes y el péptido C en los menores de 40 años. Resultados: Muestra final 140 pacientes. La edad media de los diabéticos inmigrantes fue de 45,7 vs. 55,5 años en los autóctonos (p = 0,002). La edad media en el momento del diagnóstico en los inmigrantes fue de 38,4 vs. 48,1 años en los autóctonos (p = 0,004). El perímetro abdominal en los inmigrantes fue de 104,1 vs. 105,3cm en los autóctonos (p = 0,56). El índice de masa corporal (IMC) en inmigrantes fue de 29 vs. 32,1 en los autóctonos (p = 0,06). La HbA1c media en los inmigrantes fue de 8,4 vs. 7,5% en los autóctonos (p = 0,002). Los valores de presión arterial y control lipídico resultaron inferiores en pacientes indostánicos y norteafricanos en comparación con la población autóctona y los otros grupos de inmigrantes. Conclusiones: Los diabéticos inmigrantes son más jóvenes en el momento del diagnóstico, tienen valores de HbA1c superiores, mayor perímetro abdominal con IMC más bajos que los diabéticos autóctonos. La secreción de péptido C está conservada en la mayoría de los diabéticos menores de 40 años(AU)

Aim: To determine the clinical features and the metabolic control in immigrant diabetic patients in two Primary Care centres in La Rioja, Spain. Design: Descriptive study. Setting: Two urban Primary Care centres which cover a population of 11,700 and 23,000 patients in Logroño. Primary outcomes: Socio-demographic variables (age, sex, origin country of origin, age at onset of diabetes), clinical variables (blood pressure, waist circumference (WC), high, weight, BMI) and analytical variables (fasting blood glucose, HbA1c, lipid profile). The immunology of DM and baseline C-peptide were studied in patients younger than 40 years old. Participants: A total of 70 diabetic immigrants, aged between 18 and 70 years old and registered until December 31st 2009, and 70 Spanish-born diabetic patients were selected by consecutive sampling. Results: The final sample consisted of 140 patients (70 immigrants, 70 Spanish). Mean age of Spanish-born diabetics, 55.5 years, of immigrants 45.7 years (P=.002).Age at diagnosis 38.4 years in immigrants and 48.1 years in autochthonous (P=.004).WC in immigrants 104.1cm, in Spanish-born, 105.3cm (P=.56).BMI in immigrants 29, in Spanish-born 32.1 (P=.06).Mean glycated haemoglobin (HbA1c) in immigrants 8.4%, in Spanish-born 7.5% (P=.002). Blood pressure and lipid values were lower in Hindustani and North African patients than in Spanish-born and other immigrant groups. Conclusions: Immigrant diabetic patients are younger at diagnosis, have an unchanged baseline C-peptide secretion, higher HbA1c levels, higher WC with lower BMI compared to Spanish-born patients(AU)

¿Antiagregamos a todos los pacientes diabéticos? / No disponible

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