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Glucose alterations (Hyperglisemia (Diabetes 2 (Is related with obesity…
Glucose alterations
Hyperglisemia
Diabetes 1
Before we send treatment we have to do some tests, the most important test is A1C(this is the gold standard) (it have to be less than 6.5%, if it is high in two or more tests we can infer that the patient is diabetic) If the patient can not do this test we can do "glucosa en ayunas" and the normal value is less than 100mg/dL, if it is more than 100 and less than 125mg/dL is considered prediabetic, if it is more than 125 is considered diabetic.
The patient can lost weight , they have to use insulin (Regular, acción rápida, intermedia y prolongada) In 2016 FDA approved "páncreas artificial" it is like a bomb and it can controlled the glucose shooting insulin every 5 min, only +14 years old.
Insulin types
Fast: start 15-30 min, pico: 30- 2.5 hrs duración: 3-6.5hrs
Regular inhalada: start 1-5 min, pico 12-15, total: 3-4 horas.
Regular: starts: 30-60 min, pico 1.5- 5 horas, total: 6-8 horas.
Intermedia y prolongada: starts: 1-2 horas, pico 4-12 total: 14- 24 horas.
Treatment: we need to modify the diet low carbs and have an interconsult with the nutrítionist, doctor and odontological, in this case the dose of insulin have to be andmistrated individually due to every patient is different but the universal dose is: 0.5 a 1.0 U.I. por kg de peso
Ketosis, ppp (poliuria, polifagia, polidipsia)
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References: Facmed unam.
Ajala O, English P, Pinkney J. Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am J Clin Nutr. 2013 Mar;97(3):505- 16. Rs con MA
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In the body we have a lot of process one of them and i think is the most important is the metabolism, in this process we have the glycogenesis (anabolism and catabolism) we need energy and we lost energy. In pancreas we have
islets of langerhans where we can find a cells (alfa) and b cells (betas), alfa going to be the glucagón and beta the insulina, these ones will regulate the glucose in blood, due to if the body needs alfa going start new formation of glucosa, if the body do not need it beta will degrade glucosa. In México the GPC (guía de la práctica clínica) says that the normal values of serif glucose are "60-100 mg/dl"