Paolo Desenzani @despal65
Medico Chirurgo Specialista in Endocrinologia e Diabetologia, Geriatria paolodesenzani.it Joined September 2012-
Tweets131
-
Followers27
-
Following111
-
Likes40
¿Qué tiempos estamos viviendo? A mí me tocó cuando la diabetes se dividía en insulinodependiente y no insulinodependiente; después llegó la era tipo 1 y tipo 2; luego aparecieron las formas específicas (MODY, LADA, diabetes pancreática), y ahora el debate se ha desplazado hacia el otro extremo del espectro: la prediabetes. Un grupo de especialistas publicó recientemente en Lancet Diabetes & Endocrinology una propuesta de Shah VN et al. para eliminar el término "prediabetes" y sustituirlo por una clasificación en tres etapas de diabetes tipo 2, adoptando el término "disglucemia" para las etapas previas a la enfermedad manifiesta. El argumento de fondo no es menor: solo un tercio de los pacientes etiquetados como prediabéticos desarrolla diabetes; el resto permanece en disglucemia o revierte a la normalidad. Y mientras tanto, la palabra "prediabetes" transmite, casi inevitablemente, la idea de que todavía se está sano. No existe un proceso de aprobación farmacológica formal para esta condición, aunque agentes como metformina, pioglitazona y los agonistas del GLP-1 han demostrado que pueden reducir la progresión hacia la enfermedad manifiesta. La clasificación propuesta quedaría así: etapa 1 (glucemia normal, con glucosa en ayunas en ascenso pero dentro del rango normal, HbA1c menor de 5.7% y TITR mayor de 90-95%); etapa 2 (disglucemia, con glucosa por encima de lo normal sin alcanzar criterios diagnósticos de DM2, HbA1c entre 5.7 y 6.4%, lo que hoy conocemos como prediabetes), subdividida en 2a para progresores lentos y 2b para progresores rápidos; y etapa 3 (DM2 manifiesta, con glucosa en ayunas mayor o igual a 7.0 mmol/L, HbA1c mayor o igual a 6.5% y TITR menor de 80%). Y aquí es donde la etapa 1 cobra una relevancia que muchas veces pasamos por alto, aunque también es la más difícil de delimitar: un paciente puede llevar años con glucosas en ayunas entre 90 y 105 mg/dL (técnicamente normales) y al mismo tiempo tener un HOMA-IR de 8, con el páncreas trabajando a marchas forzadas para mantener esa apariencia de normalidad. Es la luna de miel metabólica: la glucemia luce tranquila en el laboratorio, pero detrás de esa fachada hay una resistencia a la insulina que ya está instalada y una célula beta que está pagando el precio. Cuando el páncreas ya no pueda compensar, la glucosa subirá, y para ese momento, el daño lleva años en curso. Vale añadir que el riesgo cardiovascular en estas etapas tempranas parece relacionarse tanto con el síndrome metabólico en su conjunto como con la hiperglucemia per se, lo que complica aún más la interpretación clínica de la etapa 1. Vale la pena aclararlo antes de seguir: esto no es una guía vigente. La ADA 2026 conserva el término prediabetes. Se trata de una propuesta académica con defensores y con críticos, y el debate apenas comienza.
Il «fegato grasso» fa male anche al cuore: un problema serio che non dà sintomi. Ecco a che cosa dar peso corriere.it/salute/nutrizi…
Tanti Auguri alla mia Elisa per i suoi 20 anni
Grande onore aver conosciuto dr ssa Melanie Davies diabetologa UK primo nome delle Linee Guida diabetologiche ADA EASD !!!!!
Semaglutide: una nuova opzione terapeutica per lo scompenso a frazione d’eiezione preservata cardiolink.it/abstract/?id=1…
Lo psicologo più importante del mondo rivela 21 regole che cambieranno la tua vita in meglio curiosandosimpara.com/2019/01/09/lo-…
Prevenire il diabete «in famiglia»: anticipare l’orario della cena può essere utile? corriere.it/salute/nutrizi…
Just 4,000 daily steps may lower your risk of death, study finds nbcnews.com/health/health-… via @nbcnews
Dai un'occhiata al video di paolodesenzani! #TikTok vm.tiktok.com/ZGJxJ1k3D/?t=2
Dai un'occhiata al video di paolodesenzani! #TikTok vm.tiktok.com/ZGJ9NNrb6/?t=2
Mauro Morandi @maurinio72
3 Followers 102 Following
Roberto Trevisan @roby_trevisan
71 Followers 186 Following
Martina Gelmini @GelminiMartina
9 Followers 266 Following
Antonio Bellavia @bellaviantonio
0 Followers 21 Following
Gianluca Perseghin @GianluPerse
130 Followers 119 Following Professor of Endocrinology - Università degli Studi di Milano Bicocca at Policlinico di Monza
Antonio Ciaccio @ciaccio_
87 Followers 254 Following Gastroenterologist with a focus on Liver disease. working @ Ospedale San Gerardo, Monza IT
emanuele.daniello @EmanueleDanHF
103 Followers 158 Following Cardiology Fellow from Ferrara University.Passionate about Heart Failure and Hemodynamic assessment.
Bfb Insurance Broker @BfbBroker
77 Followers 2K Following Servizi di consulenza per imprese, professionisti e privati sulle migliori proposte nel campo assicurativo. RUI n° B000373314 [email protected]
Marta @Marta_0308
5 Followers 12 Following
Club Esse Villaggi @Club_Esse
185 Followers 191 Following Club Esse: 16 destinazioni sulle più belle spiagge italiane, 1 business Hotel a Roma e un accogliente Hotel sci ai piedi a Pila in Valle d'Aosta!
Bianca @EsEiArEi8
15 Followers 94 Following
gilberto bacchi @BacchiGilberto
1 Followers 3 Following
Yvonne isaac @ICTWOrg
5K Followers 1K Following I CHANGE THE WORLD ORG is a non-Profit Community Service Organization to Eliminate Hunger & Poverty World-Wide Donate Now
Osteria Antica Pieve @PieveAntica
21 Followers 159 Following ristorante con menù di pesce nel fine settimana su prenotazione, menu vegano vegetariano su prenotazione e menu personalizzati a richiesta del cliente.
roberto @rogiova60
5 Followers 90 Following
Fortunato Marino @FMarino58
1 Followers 39 Following
Valentina Vitale @vitale_vv
10 Followers 26 Following
isabella @isvisma
3 Followers 49 Following
Vincenzo Iannone @vamproduzioni
10K Followers 15K Following Mi occupo di produzioni teatrali e televisive;di consulenza per progetti artistici-eventi culturali; dir. art. EVETIMES PRODUZIONI https://t.co/Q7NubroBHO
Maurizio marconi @marconimaurizio
7 Followers 62 Following
luca zenoni @zuperzen64
1 Followers 7 Following
Mattia Gianizza @MattiaGianizza
59 Followers 779 Following Papà, medico, cattolico, bresciano. Appassionato di politica, scienza e storia.
Sempre Scelta civica @MontiLombardia
277 Followers 343 Following Per tutti i Lombardi che sposano l'agenda Monti e ora che @scelta_civica è una realtà credono un po' di più alla politica
alberto @paolodesenzani
2 Followers 10 Following
angela girelli @angela_girelli_
147 Followers 446 Following
Luisella rossi @Lr572012
7 Followers 26 Following
Daniel J Drucker @DanielJDrucker
36K Followers 1K Following A clinician scientist at LTRI @sinaihealth studying GLP-1, diabetes, obesity and the gut endocrine system Proud 🇨🇦Not going anywhere Am 🇮🇱Chai
AACE @TheAACE
17K Followers 2K Following Official Twitter account for the American Association of Clinical Endocrinology (AACE). Elevating endocrinology since 1991. Retweets ≠ endorsements.
Prediabetes758 @Prediabetes758
207 Followers 621 Following Losing 7% of your body weight can cut your risk of developing Type 2 diabetes by up to 58%. We'll help :-)
PreDiabetes Centers @PreDiabetesCtrs
940 Followers 727 Following Providing free prediabetes screening and comprehensive prediabetes treatment in cities across Texas.
Advanced Technologies... @ATTDconf
6K Followers 786 Following 19th International Conference on Advanced Technologies & Treatments for Diabetes (#ATTD2026) to be held on 11-14 March 2026 in Barcelona, Spain.
National Lipid Associ... @nationallipid
14K Followers 8K Following A non-profit, multi-disciplinary medical society focused on enhancing the practice of lipid management in clinical medicine.
European Society of C... @ESC_Journals
119K Followers 7K Following Official @ESC_journals account for the most successful family of CV journals. Articles FREE for 24h from time of post. European Society of Cardiology @escardio
Subodh Verma @SubodhVermaMD
2K Followers 520 Following Heart Surgeon-Scientist @UnityHealthTO Professor & Canada Research Chair, CV Surgery @UofTMedicine Mentorship | Innovation | Heart Health
Giovanni Vinetti @GiovanniVinetti
152 Followers 382 Following MD, PhD, Sports Medicine specialist | Senior researcher at @EuracMEMed | Adjunct lecturer at @UniBS_official | Editor @EJAP_official
Nature Reviews Endocr... @NatureRevEndo
36K Followers 571 Following The latest advances in diabetes, obesity, nutrition, thyroid and more from the editors of Nature Reviews Endocrinology, a review journal.
Medscape Endo @MedscapeEndo
13K Followers 758 Following Medscape Diabetes & Endocrinology provides you with breaking medical news; reference on drugs, diseases, and procedures; and free CME.
Int. Diabetes Fed. @IntDiabetesFed
63K Followers 932 Following The mission of the International Diabetes Federation is to improve the lives of people with diabetes and prevent diabetes in those at risk.
ADA Professional Publ... @ADA_Pubs
11K Followers 506 Following Leading the way in #diabetes research, care & education: @Diabetes_ADA @DiabetescareADA | @AmDiabetesAssn @ADA_Pubs @ADA_DiabetesPro | https://t.co/LLCl75Sa0L
EASD @EASDnews
14K Followers 106 Following We promote excellence in #diabetes care through #research, #networking and #education. Privacy Policy: https://t.co/a3EApfcoFV
Diabetologia @DiabetologiaJnl
21K Followers 2K Following We publish high-quality, cutting edge articles on all aspects of diabetes, from basic science through translational work to clinical research.
American Diabetes Ass... @ADA_DiabetesPro
28K Followers 802 Following We uplift people with #diabetes, break down barriers to care, & fund research. Explore the ADA’s Community Guidelines: https://t.co/LnQgp3xKFx #WeFight
SID Italia @Sid_Italia
560 Followers 31 Following In campo diabetologico e metabolico la SID svolge attività di promozione e conduzione della ricerca scientifica, di formazione e aggiornamento per medici
ABCD Diabetes @ABCDiab
11K Followers 199 Following ABCD is the national organisation of Consultant Physicians in Britain who specialise in Diabetes Mellitus.
The Lancet Diabetes &... @TheLancetEndo
55K Followers 2K Following Your leading source of international, cutting-edge research, review, and opinion in clinical diabetes and endocrinology. IF=41·8.
Stefano Del Prato @SDelprato
2K Followers 314 Following Diabetologist. Professor of Endocrinology, @Unipisa. Past-President @EASD. President European Diabetes Forum @EUDF. Honorary president @Sid_Italia.
Roberto Trevisan @roby_trevisan
71 Followers 186 Following
Stefano Ciardullo @StefanoCiardul2
118 Followers 329 Following MD #endocrinologist at University of Milano Bicocca and Policlinico di Monza with an interest in #diabetes #NAFLD
Gianluca Perseghin @GianluPerse
130 Followers 119 Following Professor of Endocrinology - Università degli Studi di Milano Bicocca at Policlinico di Monza
EASDelearning @EASDelearning
5K Followers 2K Following We're a free knowledge hub for #diabetes healthcare professionals, bringing you news and research updates, plus a suite of world-class e-learning modules
𝐀𝐯𝐯𝐞𝐧�... @Avvenire_Nei
119K Followers 846 Following Profilo Ufficiale - Quotidiano di ispirazione cattolica
Vatican News @VaticanNews
731K Followers 2 Following Vatican News is a service provided by the Holy See's Dicastery for Communication. Follow us for news about Pope Leo XIV, the Vatican, and the Church.
Vatican News @vaticannews_it
202K Followers 161 Following Vatican News è un servizio del Dicastero per la Comunicazione della Santa Sede. Seguici per le notizie ufficiali sul Papa, il Vaticano, la Chiesa.
iDoctors.it @iDoctors_it
1K Followers 315 Following Il primo servizio in Italia per la prenotazione online di visite mediche ed esami diagnostici. Vai su https://t.co/ogsW6LwWj7 o scarica l'app per iOS e Android!
Giuseppe Casella @casellagiusepp1
7 Followers 261 Following
Francesco scolari @Francescoscol10
7 Followers 0 Following
Casella Giuseppe @CasellaGiusepp2
7 Followers 0 Following
BBC News (UK) @BBCNews
15.1M Followers 85 Following News, features and analysis. For world news, follow @BBCWorld. Breaking news, follow @BBCBreaking. Latest sport news @BBCSport. Our Instagram: BBCNews
Il Fatto Quotidiano @fattoquotidiano
2.1M Followers 6K Following Sanzioni a Israele, basta scuse. Dopo le violenze e i crimini di Gaza, Meloni tolga il veto. FIRMA ORA 👉 https://t.co/iXUGxx9Vp5
Ass.Med.Endo. @ASSMEDENDO
56 Followers 19 Following
armando rotondi @diabeleno
9 Followers 13 Following
BBC Breaking News @BBCBreaking
50.0M Followers 3 Following Breaking news alerts and updates from the BBC. For news, features, analysis follow @BBCWorld (international) or @BBCNews (UK). Latest sport news @BBCSport.
Claudia Carzeri @ccarzeri
446 Followers 384 Following Consigliere Regione Lombardia. Presidente commissione territorio, infrastrutture, trasporti e housing sociale.
Papież Leon XIV @Pontifex_pl
908K Followers 47 Following Witamy na oficjalnym profilu Jego Świątobliwości Papieża Leona XIV.
Papież Franciszek �... @Pontifex266_pl
888K Followers 71 Following
Diabetes Daily @diabetesdaily
61K Followers 1K Following Leading diabetes community - we want YOU to live a healthier, happier, more hopeful life!
#DiabetesHealth @DiabetesHealth
64K Followers 18K Following Diabetes Health helps people living with diabetes make informed decisions to prevent the devastating effects of diabetes complications.
Vincenzo Iannone @vamproduzioni
10K Followers 15K Following Mi occupo di produzioni teatrali e televisive;di consulenza per progetti artistici-eventi culturali; dir. art. EVETIMES PRODUZIONI https://t.co/Q7NubroBHO
Maurizio marconi @marconimaurizio
7 Followers 62 FollowingYou might like
