Dr. Ramon Krauel is a renowned endocrinologist formed at Harvard University. Stresses in the treatment of childhood obesity and metabolic complications of diabetes mellitus type I is also a speaker at national and international courses and congresses on pediatric endocrinology. He is a member of various medical societies.
*Translated with Google translator. We apologize for any imperfection
• More than 15 years of experience• Head of the Pediatric Endocrinology Section at the Sant Joan de Déu Hospital, Barcelona (today)
• Bachelor of Medicine and Surgery from the Autonomous University of Barcelona (1999)• Specialist in Pediatrics and its areas of specialization (2004)
• Specialist in Pediatrics at Harvard University (2006)• Specialist in Pediatric Endocrinology at Harvard University (2009) ...
Publications and conferences
• Speaker at congresses and pediatric endocrinology courses both nationally and internationally
• Member of the Catalan Society of Pediatrics (SCP)• Member of the Spanish Association of Pediatrics (AEP)
*Translated with Google translator. We apologize for any imperfection
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Obesity is a disorder of the weight of a person is above what is considered healthy based on their height. Today, childhood obesity is a problem that Obesity is a disorder of the weight of a person is above what is considered healthy based on their height. Today, childhood obesity is a problem that affects a large number of developed countries where the number of children and adolescents who are overweight is rising alarmingly. Obese children may have serious health problems in adulthood, and heart disease, diabetes, asthma, high cholesterol, sleep apnea, etc. In addition to the physical consequences, childhood obesity can also involve psychological problems such as low self-esteem, depression or feelings of inferiority, which prevent the child to interact with others and limit their social relationships. Sometimes the weight problem may be caused by a disease or an imbalance of hormones, but more often it is by a poor diet, hence the importance of instilling healthy habits to children.
Diabetes is a disease characterized by a significant increase in blood glucose levels (hyperglycemia ), whose symptoms are usually fatigue, emaciationDiabetes is a disease characterized by a significant increase in blood glucose levels (hyperglycemia ), whose symptoms are usually fatigue, emaciation produced in a short time, excessive thirst and urination extreme ( even at night ). This pathology is caused by an alteration of the action of insulin, either because it does not exist or because the patient's pancreas no longer make it. This last case is what causes diabetes mellitus or insulin-dependent (type I diabetes), which appears in childhood. In the case of people with diabetes type I, substitute this lack of insulin treatment to be followed for life, proper diet that allows greater control of blood glucose levels throughout the day and about good habits of physical exercise. In contrast, type II diabetes is a consequence of hypertension, high cholesterol, obesity, among other causes. Requires more control over diet that is done and sometimes treatment with oral antidiabetic (pills ). Besides, during gestation can also see the unbalanced blood glucose levels, which causes the called gestational diabetes.
Diabetes nutrition should be the basic principle of all those patients who wish to have a good control of the disease in both type I diabetes, or
Diabetes nutrition should be the basic principle of all those patients who wish to have a good control of the disease in both type I diabetes, or insulin, as in type II. The diabetic patient should meet their nutritional needs with nutritionist and establish the foundations for proper control of the disease, based on three pillars: diet, insulin and exercise. Depending on the dose of insulin required (in cases of type I diabetes) and exercise or daily activity carried out in addition to consider other aspects such as developing other diseases diet will be personalized. Furthermore, in diabetes diet 5 meals a day are performed, to always be possible at the same time, in amounts somewhat lower than usual, without neglecting any of the food groups (carbohydrates, fruit, vegetables, proteins, fats, vitamins and minerals, and water) and balancing carbohydrate intake (65%), protein (15%) and fat (30%). Besides, avoid foods high in cholesterol (sausages and fats) and try to always eat fresh food (never prepared), and control the presence of chromium, zinc and sodium in the diet. Regarding called diabetic food, despite being considered suitable for diet, it is not advisable abused are prepared as products.
Bulimia is an eating behavior disorder characterized by the inability of the patient to control the urge to eat excessive amounts of food, followed byBulimia is an eating behavior disorder characterized by the inability of the patient to control the urge to eat excessive amounts of food, followed by the ensuing guilt and monitoring practices to counteract the effects of large meals. Among them, the most common are self-induced vomiting, taking laxatives or diuretics, strict monitoring regimes or practice of excessive exercise. The causes of this disease include psychological, biological and social factors that cause image distortion that the subject has of himself and carried him look fat even though their weight is normal or less than adequate. Bulimia treatment should be urgent because it can cause death, and originally based in psychotherapy, even in very severe disease states may require hospitalization.
Excess secretion of growth hormone disorders often causes certain known with the names of gigantism or acromegaly, characterized by abnormal body growth. When this adrenal disease occurs during the age of growth, before the bony plates have closed, it is called gigantism and the most common cause that causes this disease is a benign tumor that occurs in the pituitary and generates this hormone in excess; if it occurs after this period, it is called acromegaly. Children who suffer from this disease are often extremely large for his age. Some of the symptoms that affected by excessive secretion of growth hormone may be delayed puberty, front and mandibular prominence, large hands and feet with thick fingers, weakness, shortness of side vision, etc.
Obesity is a disease characterized by the presence of an excess of fat mass (fat) in the body and for weight gain, usually due to a disproportionate food intake. This condition is easily diagnosed by assessing the body mass index and overall constitution of the person. The sum of factors that cause this disease, typical of the XXI century, include a sedentary lifestyle, a poor dietary patterns, and genetic and environmental factors. On the other hand, obesity is often aggravated by a number of other associated diseases, such as diabetes, cholesterol, triglycerides and hypertension, in addition to incur certain social rejection and lead to psychological problems. Also among the population suffering from this disease, there is increased risk of cardiovascular events, particularly in patients with abdominal obesity (an indicator of insulin resistance). The treatment of obesity through the monitoring of the recommendations of endocrine and nutritionists, based on a good individualized dietary plan, and changes in daily routines, especially when it comes to exercise. It is also important to establish these guidelines from childhood to avoid the appearance of so-called childhood obesity.
Puberty is the period, after childhood, between 9 and 20 years old approximately. At this stage psychological, biological, sexual and social changes, which can lead to certain diseases occur. Among the best-known disorders highlights puberty delayed puberty, in which a boy or a girl, arrived 14 years, it has not yet started the physical and psychological development into adolescence. This late development may be due to genetic factors, hormonal causes, chromosomal abnormalities or tumors that affect hormone secretion glands or hypothalamus. Instead, another disorder associated called early puberty is the beginning of physical changes in children prematurely (before age 12): in girls is often caused development of breast button below seven years and pubic hair before eight; and children is the appearance of pubic hair and genitals elongation between 7 and 10 years. Both early and late puberty can occur only partially or completely. ...
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