II Consenso de la Sociedad Chilena de Endocrinología y Diabetes sobre resistencia a la insulina

Felipe Pollak; A. Verónica Araya; Alejandra Lanas; Jorge Sapunar; Marco Arrese Jiménez; Carmen Gloria Aylwin; Carmen Gloria Bezanilla; Elena Carrasco; Fernando Carrasco; Ethel Codner; Erik Diaz; Pilar Durruty A.; José Eduardo Galgani Fuentes; Hernán García; Rodolfo Lahsen; Claudio Liberman; Gloria López S.; Alberto Maiz; Verónica Mujica; Jaime Poniachik; Teresa Sir P.; Néstor Soto; Juan Valderas; Paulina Villaseca; Carlos Zavala

Ayuda

II Consenso de la Sociedad Chilena de Endocrinología y Diabetes sobre resistencia a la insulina

Felipe Pollak ^[1] ; Verónica Araya ^[2] ; Alejandra Lanas ^[2] ; Jorge Sapunar ^[3] ; Marco Arrese ^[1] ; Carmen Gloria Aylwin ^[8] ; Carmen Gloria Bezanilla ^[4] ; Elena Carrasco ^[5] ; Fernando Carrasco ^[2] ; Ethel Codner ^[2] ; Erik Díaz ^[3] ; Pilar Durruty ^[2] ; José Galgani ^[1] ; Hernán García ^[1] ; Rodolfo Lahsen ^[4] ; Claudio Liberman ^[2] ; Gloria López ^[2] ; Alberto Maíz ^[1] ; Verónica Mujica ^[6] ; Jaime Poniachik ^[2] ; Teresa Sir ^[7] ; Néstor Soto ^[9] ; Juan Valderas ^[1] ; Paulina Villaseca ^[1] ; Carlos Zavala ^[4]
1. [1] Pontificia Universidad Católica de Chile
  
  Pontificia Universidad Católica de Chile
  
  Santiago, Chile
2. [2] Universidad de Chile
  
  Universidad de Chile
  
  Santiago, Chile
3. [3] Universidad de La Frontera
  
  Universidad de La Frontera
  
  Temuco, Chile
4. [4] Clínica Las Condes
  
  Clínica Las Condes
  
  Santiago, Chile
5. [5] Universidad Autónoma de Chile
  
  Universidad Autónoma de Chile
  
  Temuco, Chile
6. [6] Universidad Católica del Maule
  
  Universidad Católica del Maule
  
  Provincia de Talca, Chile
7. [7] Hospital San Juan de Dios
  
  Hospital San Juan de Dios
  
  Santiago, Chile
8. [8] Hospital de la Dirección de Previsión de Carabineros de Chile Unidad de Diabetes Servicio de Medicina
9. [9] Hospital San Borja Arriarán Servicio de Endocrinología y Diabetes
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Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 143, Nº. 5, 2015, págs. 637-650
Idioma: español
Títulos paralelos:
- Second Consensus of the Chilean Society of Endocrinology and Diabetes about insulin resistance
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Resumen
- Insulin resistance is a prevalent condition commonly associated with unhealthy lifestyles. It affects several metabolic pathways, increasing risk of abnormalities at different organ levels. Thus, diverse medical specialties should be involved in its diagnosis and treatment. With the purpose of unifying criteria about this condition, a scientific-based consensus was elaborated. A questionnaire including the most important topics such as cardio-metabolic risk, non-alcoholic fatty liver disease and polycystic ovary syndrome, was designed and sent to national experts. When no agreement among them was achieved, the Delphi methodology was applied. The main conclusions reached are that clinical findings are critical for the diagnosis of insulin resistance, not being necessary blood testing. Acquisition of a healthy lifestyle is the most important therapeutic tool. Insulin-sensitizing drugs should be prescribed to individuals at high risk of disease according to clinically validated outcomes. There are specific recommendations for pregnant women, children, adolescents and older people.