Diabetes Flashcards

1
Q

Diagnóstico DMPG

A

Si glicemia ayuno 1T ≥126 mg/dL en 2 ocasiones

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2
Q

Manejo preconcepcional DMPG

A

Acido fólico 4 mg/d -12m hasta +12
Objetivo HbA1c ≤7%

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3
Q

Objetivo metabólico DMPG

A

Glic ay/pp (a las 2h) <90/120
HbA1c ≤7%

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4
Q

Criterios interrupción embarazo DMPG

A

Sin patología y buen control 38s
Sin patología pero mal control 36s
White F y H (nefro o coronario) 34-36s

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5
Q

Diagnóstico DMG

A

1T glicemia ayuna 100-125 (2 tomas)
2T PTGO medición ay/pp (a las 2 horas) ≥100/140

Repetir PTGO en 3T si PHA + macrosomía fetal o >pc90

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6
Q

Manejo dietario DMG

A

Dieta 200 g HdC
Control con TTOG tras 1 semana de tto:
- Glic ay/pp <90/120 –> rango óptimo, mantener control con TTGO c/2-3sem hasta el parto
- Glic ay/pp ≥90/120 = hospitalizar para optimización dieta

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6
Q

Manejo dietario DMG

A

Dieta 200 g HdC
Control con glic ay/pp tras 1 semana de tto:
- Glic ay/pp <90/120 –> rango óptimo, mantener control con TTGO c/2-3sem hasta el parto
- Glic ay/pp ≥90/120 = hospitalizar para optimización dieta
- Persiste alterado = fcos
- (N) = TTGO c/2-3sem hasta parto
-Gli pp >200 = fcos

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7
Q

Objetivos metabólicos DMG

A

Ay/pp = 90/120
Preprandial = 105
Cetonuria (-)
Glucosuria (-)

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8
Q

Manejo farmacológico DMG

A

A) Hipoglicemiantes orales
-MTF 500-2000 mg/d VO
-Glibenclamida 5-20 mg/d VO

B) Insulina esquema basal correccional con DDT 2/3 AM y 1/3 PM
- Dosis 0,3-0,4 UI/kg si IMC <30
-Dosis 0,5 UI/kg si IMC >30

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9
Q

Criterios interrupción embarazo DMG

A

Dieta y buen control = 40-41s
Dieta pero mal control o feto grande = 38s
Farmacos y buen control 38s
Fármacos y mal control 37s

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