Diabetes y embarazo
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Transcript of Diabetes y embarazo
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CARLOS OSORIO ALARCÓN
MEDICINA
VIII SEMESTRE
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Desorden metabólico, caracterizado por hiperglucemia crónica con disturbios en el metabolismo de los carbohidratos, grasas y proteínas y que resulta de defectos en la secreción y/o en la acción de la insulina.
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Patogenia generalmente autoinmune (puede asociarse a otras enfermedades autoinmunes).
Reserva pancreática insulínica ausente o muy disminuida.
Diagnóstico preferente en edad juvenil (< 30 años).
Hábito magro y tendencia a la cetosis.
Tratamiento insulínico imprescindible.
Patogenia no autoinmune. Reserva pancreática
insulínica conservada. Diagnóstico preferente en
edad adulta (> 30 años). Asociación a obesidad y no
tendencia a cetosis (puede asociarse a otros trastornos como el síndrome de ovario poliquístico).
Tratamiento con dieta y ejercicio, acompañada o no deantidiabéticos orales y/o insulina.
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Test de O´Sullivan y Mahan debe realizarse entre la semana 24-28.
Debe realizarse PTOG, en caso tal el tamizaje haya resultado anormal.
PTOG (75g) Valores normales
Ayuna Menor de 105 mg/dl
1 hr Menor de 190 mg/dl
2hr Menor de 165 mg/dl
3 hr Menor de 145 mg/dl
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PTOG (75g) Valores anormales
Ayuna ≥ 92 mg/dl
1 hr ≥ 180 mg/dl
2hr ≥ 153 mg/dl
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