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A cross-sectional study was conducted on a 20-74-year-old population in an urban white-Hispanic population in Paraguay to determine the prevalence of diabetes mellitus (DM), impaired glucose tolerance (IGT), and associated cardiovascular disease (CVD) risk factors. In total 1606 subjects completed the study (response rate 80.3%; 1094 women, 512 men). The overall prevalences were: DM 6.5%, IGT 11.3%, hypertension 17.1%, and obesity 31.6% with more obesity in women (35.7% vs 22.8%, p < 0.05). Age-standardized prevalences were: DM 6.5%, IGT 13.5% in females and DM 5.5%, IGT 7.2% in males. DM and IGT subjects had two or more CV risk factors significantly more often than the normal population. In conclusion, DM, IGT, hypertension, and obesity are common in this South American Hispanic urban population, particularly in women. Public health measures, such as lifestyle education, are required to decrease these noncommunicable diseases.

RESUMENEn la Facultad de Ciencias Médicas de la UNA no contamos con un plan de desarrollo de la docencia, ni con un perfil docente que oriente la formación del médico en el ámbito de la docencia, y a la evaluación del desempeño docente.Se pretende que este trabajo elabore un documento que delinee el perfil genérico del docente de la FCM-UNA, contextualizado global y localmente, como base para generar las políticas y estrategias de un plan de desarrollo docente, que sirva como guía del itinerario formativo del docente médico y que además siente las bases para la evaluación y promoción de la carrera docente en nuestra facultad.Consideramos que este estudio, con el establecimiento del perfil del docente médico de la FCM-UNA, sentará las bases para diseñar, impulsar y gestionar un plan de desarrollo de la docencia que contemple la implementación, fortalecimiento y acompañamiento de la carrera docente, además de la evaluación y el aseguramiento de la calidad de la educación médica en nuestra facultad.Autor correspondiente: Sandra Ocampos. Jefe del Departamento de Docencia. Dirección institucional: Dr. Montero y Lagerenza Mail: jimzac@conexion.com.py.

Aim: To analyze the relationship between diagnosis of DM, Hyperglycemia of hospital admission and evolution of patients hospitalized for COVID-19 in the Sanatorium “Las Lomas” Asunción, Paraguay. Materials and methods: Observational, analytical, case-control, retrospective design. Total population: 304 patients. Study period: September 2020 to March 2021. Definitions: Controls (Group 1) : Demographically similar patients without diagnosis of DM or Hyperglycemia at hospital admission. Non-probabilistic sampling, consecutive cases. Cases: adult patients ≥18 years, both sexes, hospitalized for COVID-19 with diagnosis of DM (Group 2) or Hyperglycemia at admission without prior diagnosis of DM (Group 3) Admission hyperglycemia was considered 140 mg/dl. Results: Of the 304 patients selected: 100 were from Group 1 (G1) , 102 from Group 2 (G2) and 102 from Group 3 (G3) . The length of hospital stay was 7, 10 and 10 days, for G1, G2 and G3 respectively. Mortality was 5%, 10.7% (OR: 2.3 p: 0.12) and 11.7% (OR: 2.5 P: 0.08) for G1, G2 and G3 respectively. It was observed in G1, G2 and G3: the need for O2: 56%, 57.8% (OR: 1.07 p: 0.79) and 71.5% (OR: 2 p: 0.02) ; the use of high-flow cannula was necessary in 7%, 10,7% (OR: 1.6 p: 0.34) and 17.6% (OR: 2.8 p: 0.02) ; ICU admission in 11%, 25.4% (OR: 2.8 p: 0.007) 27.4% (OR: 3 p: 0.003) ; need for mechanical ventilation: 8%, 22.5% (OR: 3.3 p: 0.004) , 21.5% (OR: 3.1 p: 0.006) ; need for dialysis: 2%, 3.9% (OR: 2 p: 0.42) , 6.8% (OR: 3.6% p: 0.09) . The occurrence of complications: 11%, 30.3% (OR: 3.5 p: 0.000) , 34.3% (OR: 4,2 p: 0,000) Conclusion: The need for admission to ICU, mechanical ventilation, and occurrence of complications were significantly more frequent in patients with DM than controls. Mortality was no different statistically. In patients with hyperglycemia without prior diagnosis of DM, mortality was more frequent, but without statistical significance. The rest of the variables of bad evolution except the need for dialysis were all more frequent. Disclosure M. G. Canata: None. S. A. Logwin: None. E. D. Bueno colman: None. A. Benitez: None. A. J. Fretes: None. G. Brunstein diez perez: None. C. Bordon: None. J. T. Jimenez: None. M. Palacios: None.