Diabetes mellitus
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Transcript of Diabetes mellitus
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DEFINICION
Desorden metabólico de múltiples etiologías caracterizado por hiperglucemia crónica con disturbios en el metabolismo de los carbohidratos, grasas y proteínas y que resulta de defectos en la secreción o en la acción de la insulina.
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EPIDEMIOLOGIA
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CASOS0
5000
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30000
MUJERESVARONES
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ETIOLOGIA
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FISIOPATOLOGIA
Hiperglucemia
Producción excesiva de glucosa
Resistencia a la insulina (menor captación de glucosa)
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CLASIFICACION
TIPO 1 TIPO 2
Prevalencia 0. 2-0.4 2-4
Edad de inicio < 30 > 40
Cetosis común rara
Producción de insulina nula relativa
Tratamiento: dependencia insulina
si No (si a largo plazo)
Resistencia a insulina no si
DIABETES MELLITUS: DIFERENCIAS TIPO 1 Y TIPO 2
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CUADRO CLINICOTIPO 1 TIPO 2
POLIUREA y POLIDIPSIA ++ +DEBILIDAD o FATIGA ++ +POLIFAGIA c/Pérdida de peso
++ -VISION BORROSA + ++VULVOVAGINITIS O PRURITO + ++NEUROPATIA PERIFÉRICA + ++ENEURESIS ++ -ASINTOMÁTICA - ++
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DIAGNOSTICO
1 .HbA1C 6.5%. El test debe ser realizado en un laboratorio que cumpla estandares internacionales de calidad. 2 .Glucosa Basal 126 mg/dl. Basal se define como glucosa en ayunas sin ingesta de mínimo 8 horas. 3 .Glicemia de 2-hora plasmática 200 mg/dl durante el test de tolerancia a la glucosa. Este test debe cumplir los standares que plantea la OMS con 75 gr de glucosa anhidra disuelta en agua. 4 .Paciente con síntomas clásicos de descompensación o crisis hiperglicémica con glicemia aleatoria de 200 mg/dl
CRITERIOS DX DE DIABETES SEGÚN LA ADA
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TRATAMIENTO
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NUTRICION
CHO: 60% PROTEINAS: 10% GRASAS: 30% En pacientes con hiperlipidemia 7% SATURADAS 13% MONOINSATURADAS 10% POLIINSATURADAS
SODIO: <2400mg/día
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COMPLICACION
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GRACIAS