Browsing by Author "Mena, Francisca"

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    Effect of low dose Semaglutide in people with Type 1 Diabetes and excess weight
    (2024) Grassi, Bruno A.; Onetto, Maria Teresa; Sanchez, Camila; Tapia, Nicole; Mena, Francisca
    Obesity is a prevalent problem in people living with T1D (PwT1D), and it has been linked to cardiovascular disease in this population. The use of low dose weekly Semaglutide (0,5 mg) was evaluated in a cohort of PwT1D and excess weight.
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    Insulin settings and their association with time in range in patients with type 1 diabetes users of predictive low glucose suspend (PLGS) augmented insulin pumps in Santiago, Chile
    (2022) Grassi, Bruno A.; Carames, Belen; Cristian Plaza-Plaza, Jose; Teresa Onetto, Maria; Moreno, Sebastian; Sandoval, Trinidad; Tapia, Nicole; Mena, Francisca; Revello, Alejandro
    Aims: Sensor augmented insulin pumps have become a powerful tool for managing type 1 diabetes (T1D). This study aimed to analyze the insulin pump configuration in users of predictive insulin suspension technology (PLGS).Methods: T1D patients on insulin pumps with PLGS (Medtronic 640G (R)) were enrolled. Data was obtained from medical records and pump data was downloaded for 30 days. Basal insulin, bolus calculator parameters, and PLGS operation parameters were analyzed and compared with Time in Range, Time Below Range, and Time Above Range.Results: 112 patients were included, with average TIR of 73,96 % and HbA1c 7,0 % and 25 months of follow-up. Basal insulin remained similar to initial doses, with an increase of 27 % for the Dawn phenomenon. The Car-bohydrate ratio was slightly more aggressive. Insulin sensitivity was 17 % less stringent than initially pro-grammed. No differences were observed in Time in Rage according to the number of basal, ratio, and sensitivity segments. Time of insulin suspension correlated directly with Time Bellow Range. Conclusions: Patients with good metabolic control have basal insulin programming similar to their initiation doses with less aggressive sensitivity factors. Excessive suspension time determined by PLGS could be an expression of excess insulin and increased hypoglycemia risk.
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    'Missing time⟫: Experiences of demand management doctors in Chilean primary health care
    (2021) Troncoso, Jonathan; Gonzalez, Cristian; Mena, Francisca; Valencia, Angelica; Cuevas, Paulina; Pablo Rubio, Juan
    Objective: Characterize the current situation of the demand manager physician (DMP) in pri-mary health care (PHC), from the perceptions of those who fulfill this role, their medical peers and the directors of the family health centers (CESFAMs). Design: Qualitative cross-sectional study with a grounded theory approach. Site: Four CESFAMs from the South East Metropolitan Health Service in Santiago, Chile. Participants: Demand manager physician, general practitioners and directors of CESFAM. Method: A semi-structured interview and discussion group were used as data collection tech-nique. Open, axial, and selective coding was carried out with the support of the NVivo12 software. Results: In practice, DMP performs more functions than those defined for the position by the Ministry of Health, generating the feeling of lack of time to carry out their work, what represents their main barrier at work and reflects the absence of institutional support they receive from their employees. Among these invisible functions are: providing feedback to the medical team, leading clinical meetings, and generating reference protocols. For the good performance of the DMP it is necessary to have technical skills and be recognized by their peers. It was estimated that the family doctor is the most suitable professional for the position. The work of the DMP is limited by institutional factors such as waiting lists, lack of specialists, and poor coordination between levels of care. Conclusions: Standardizing the functions of the DMP is a necessary element for its consolidation and achieving the objectives of maintaining continuity of care in the population. (c) 2021 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).