DM2 Flashcards

1
Q

DM2
definición

A

enfermedad crónica que se desencadena por no poder usar la insulina.

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2
Q

tamizaje

A

tamizaje FINDRISC

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3
Q

DX
ayunas
CTOG 75 gr
al azar
HbA1c

A

DX
ayunas 126
CTOG 75 gr 200 gr
al azar 200 gr
HbA1c >6.5

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4
Q

cuando no es fiable el HbA1c

A

alto recambio GR: embarazo, hemodialisis, tx eritropoyetina

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5
Q

dieta que nos ayuda a disminuir HbA1c y el peso

A

dieta meditarranea

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6
Q

tx si HbA1C <7.5

A

metformina

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7
Q

tx HbA1c 8-8.5

A

metformina+ sitagliptina

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8
Q

tx HbA1C >9 o sintx+ glucosa >300

A

metformina + insulina NPH .2 UI/kg o 10 UI

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9
Q

tx insulina 8.6-8.9

A

metformina+ pioglitazona + sitagliptina

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10
Q

HIPOGLUCEMIA
valor dx:
tx
-si puede tragar:
-no puede tragar:

A

HIPOGLUCEMIA
valor dx: <70
tx
-si puede tragar: 6-8 oz de jugo
-no puede tragar: sol glu 50% dar 25 ml IV

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11
Q

metas
revisión cada cuanto:
HbA1C:
glucosa postpandrial:

A

metas
revisión cada cuanto: 3 mes
HbA1C:<7
glucosa postpandrial: <180

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