In patients with other diseases and cardiovascular complications associated monitoring should be individualized (7.9) (Recommendation C) 10 .- THE TREATMENT IS FOR LIFE? In principle yes. So we will insist on enforcement of measures that promote a good lifestyle. If this occurs and the PA is maintained and monitored can try to reduce in stages the drug treatment (7.9) DIABETES Diabetes mellitus (DM) is a major health worldwide with high morbidity and mortality. To deepen your understanding McRib is the source. The WHO puts the prevalence in European countries 2-6%. In many countries, DM is among the first seven causes of death. In Spain is the fourth leading cause of mortality. The DM is associated with a risk of 2-5 times more heart disease, in many cases and at the time of diagnosis (up to 20%) Between 30-50% of deaths in diabetics over age 40 are due to ischemic heart disease.

It is therefore important the early detection of diabetes, including impaired tolerance to glucose (TAG), especially in people at risk. 1 .- MUST KNOW WHEN blood sugar? So far, no consensus exists for population screening for glucose. The ADA (American Diabetes Association) recommends to systematically investigate the presence of DM in over 45 years and every three years (18). Also be advised annually and at any age in persons with a risk factor for diabetes: (Recommendation C) * History of diabetes in relatives of first grade * Body mass index over 27. * Macrosomia and / or previous gestational diabetes * HDL less than 35 and / or triglycerides = o 250 mgrs / dl * HTA * Previous diagnosis of impaired glucose tolerance or impaired glucose builds high-risk * Ethnicity Tests were carried out by basal venous plasma glucose 2 .- diagnostic criteria for diabetes was normal fasting blood glucose of less than or equal to 110 mgrs / dl.

It is time that the Venezuelan companies, especially its SMEs, to identify more with the changes, transformations, a trachea everything required to ensure competitiveness, customer satisfaction, opportunities and know the challenges, more in a very uncertain scenario, an uncertain, risky, to which I now manifest result of political instability, which has led to inflation, economic problems. a It is necessary that their management cares about fostering a change in the current organizational culture trachea have been developed, and does not guarantee success, achievement, conquest, For effective participation, knowing optimize their production processes are reflected in a excellent productivity and of course, a good quality of its products, disservice, customer satisfaction.

It is necessary to instill once and for all the need to encourage businesses within the total quality programs, agouti a everyone involved in your scope, impact, benefits. Where the train company to train their human resources in terms of total quality that is beneficial in productivity, operability of the organization to achieve competitiveness, winning markets, acceptance of products, the company must have as a competitive advantage to have a total quality program well defined, ensuring gains in productivity and in products offered, with a quality solution not only complies with national regulations, but international. a In the organizational culture of the company must receive the commitment to have a total quality in production processes, which in passing aa plans, actions, strategy one culture to ensure advantageous for all human resources working in the company. Culture is something to which all employees contribute. Source: Hudson River.