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Sumario Tratamiento de la diabetes mellitus tipo 2

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Tratamiento de la diabetes mellitus tipo 2 Guia AACE

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  • November 7, 2021
  • 12
  • 2021/2022
  • Summary
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TRATAMIENTO DE LA DIABETES MELLITUS TIPO 2
La diabetes es una afección crónica asociada con complicaciones serias
clasificadas en microvasculares y macrovasculares

Macrovascular

 Compromiso cerebrovascular (la diabetes aumenta el riesgo de 2 a 4
veces de accidente de cerebrovascular)
 Demencia
 Enfermedad cardiovascular
El 50% de paciente diabéticos fallecen por un evento cardiovascular

Microvascular

 Retinopatía diabética
Principal causa de ceguera en adultos
 Nefropatía diabética
Los lleva a enfermedad renal terminal
 Neuropatía diabética
Causa amputaciones de miembros inferiores

*La reducción del 1% de hemoglobina glicosilada evita estas
complicaciones

Cuando se reduce el 1% de la hemoglobina glicosilada hay reducción de:
 14% de riesgo de infarto de miocardio,
 21% en mortalidad relacionada con diabetes
 37% de complicaciones microvasculares

*Valores de 10, 11 y 12, de hemoglobina glicosilada se asocian a un riesgo
mucho mayor de complicaciones microvasculares

, Si se logra reducir el valor a 7 o menos de 7, el riesgo relativo disminuye
considerablemente




*El 50% de los paciente tienen algún grado de complicación cuando ya son
diagnosticados

Octeto ominoso:

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