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Samenvatting CVRM 4.1 dieetleer
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Samenvatting CVRM 4.1 deel dieetleer inclusief referentiewaardes en casussen.
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Samenvatting CVRM dieetleer blok 4.1Referentiewaarde;
Parameter Streefwaarde Referentiewaarde man Referentiewaarde vrouw
Chol/HDL ratio - <5,0 mmol/L <5,0 mmol/L
HDL- Cholesterol >1,0 mmol/L 0,9-1,7 mmol/L 1,1-2,0 mmol/L
Cholesterol <5,0 mmol/L 3,7-3,8 mmol/L 3,7-3,8 mmol/L
Triglyceriden nuchter <2,0 mmol/L 0,7-2,1 mmol/L 0,6-1,5 mmol/L
Micro albumine - < 30 mg/L < 30 mg/L
Album/creat - < 3,0 mg/mmol < 3,0 mg/ mmol
HbA1c - <53 mmol/L <53 mmol/L
LDL cholesterol <3,2 mmol/L <2,5 mmol/L <2,5 mmol/L
Nuchter glucose - <6,1 mmol/l <6,1 mmol/l
eGFR (klaring) 100-140 ml/min 90-130 ml/min
Egfr ; onder de 60 = nierfunctieverlies
Micro albumine; bij 30-300 mg/24 uur spreekt men van microalbuminurie
Week 1;
CVRM; cardiovasculair risicomanagement
• “Cardiovasculair risicomanagement behelst de diagnostiek, behandeling en follow-up van
risicofactoren voor HVZ, inclusief leefstijladvisering en begeleiding bij patiënten met een
verhoogd risico op ziekte of sterfte door HVZ.”
(HVZ = hart- en vaatziekten)
CASUS 1;
De persoon gebruikt veel medicatie.
- Simvastatine verminderd aanmaak
cholesterol in de lever
- Metformine diabetes, zorgt ervoor
dat je lever minder glucose aanmaakt, je
bloedglucosespiegel blijft dan lager
- Gliclazide diabetes, stimuleert de
alvleesklier om meer insuline aan te
maken
- Abasaglas diabetes, voor het
langdurig werken van insuline
Bij deze persoon is het LDL-cholesterol van 1,4
goed, de persoon is wel aangekomen en de
1
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