COMPLICACIONES CRÓNICAS - HIPERGLICEMIA

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" /></div> <br /> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> </div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <ol start="1" style="margin-top: 0cm;" type="1"> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b style="line-height: 115%;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">MICROANGIOPATIA:</span></b><span lang="ES" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;"> Daño en los pequeños vasos sanguíneos</span></li> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">MACROANGIOPATÍA<u><o:p></o:p></u></span></b></li> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">POLINEUROPATIA:</span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"> Daño de los nervios periféricos<u><o:p></o:p></u></span></li> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">PIE DIABETICO:</span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"> Sumatoria de <b>Poli – Micro – Macro</b><u><o:p></o:p></u></span></li> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">RETINOPATIA:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> Daño en la retina<u><o:p></o:p></u></span></li> <li class="MsoNormal" style="line-height: 115%; text-align: justify; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NEFROPATIA:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> Daño renal<u><o:p></o:p></u></span></li> </ol> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">ANGIOPATIA</span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">: Es un término médico, que se refiere a una enfermedad de los vasos sanguíneos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; mso-list: l3 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><div style="text-align: justify;"> </div> <v:shapetype coordsize="21600,21600" filled="f" id="_x0000_t75" o:preferrelative="t" o:spt="75" path="m@4@5l@4@11@9@11@9@5xe" stroked="f"> <v:stroke joinstyle="miter"> <v:formulas> <v:f eqn="if lineDrawn 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</v:imagedata></v:shape><b><div style="text-align: justify;"> <b style="line-height: 115%;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">MICROANGIOPATÍA: DAÑO EN LOS PEQUEÑOS VASOS SANGUÍNEOS</span></b></div> </b></li> </ul> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El daño en los pequeños vasos sanguíneos producidos por la DM dificulta el flujo de sangre hacia la piel. El alto contenido de glucosa en la sangre ↓ la capacidad del sistema que tiene el cuerpo para combatir las infecciones. En conjunto estos problemas crean un alto riesgo de infecciones a las personas con diabetes.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">DISMINUCION DE LA CAPACIDAD PARA COMBATIR INFECCIONES Y SANAR LESIONES.<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; margin: 0cm 0cm 10pt 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">        </span></span><!--[endif]--><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">MACROANGIOPATÍA: DAÑO A LOS GRANDES VASOS<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Daño de los vasos sanguíneos grandes; trastorno de las grandes arterias. <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El daño ocurre cuando se forman cicatrices en el interior de las arterias, volviéndolas rígidas y duras.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El colesterol en la sangre se adhiere a los lugares donde existen cicatrices y con el tiempo, las arterias se obstruyen. El corazón tiene que trabajar más para bombear la sangre a través de los vasos obstruidos. Pudiendo conducir a infartos cardiacos, accidentes vasculares, hipertensión y circulación sanguínea insuficiente en brazos, piernas y cabeza.             <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; margin-bottom: 10pt; text-align: justify; word-break: normal;"><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">POLINEUROPATIA: DAÑO DE LOS NERVIOS PERIFÉRICOS<u><o:p></o:p></u></span></b></li> </ul> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cuando el nivel de glucosa en sangre es alto, las células del sistema nervioso se inflaman y se forman cicatrices con el tiempo, los nervios pierden la capacidad para enviar señales a través del cuerpo como es debido. Al afectarse los nervios periféricos, se altera la sensibilidad frente a la temperatura y el dolor.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Esta alteración puede provocar PARESTESIA (Hormigueo), entumecimiento, ardor o latidos en los pies y en la parte inferior de las piernas.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Otra consecuencia de la neuropatía es la perdida de la sensibilidad para detectar los síntomas de la Hipoglicemia.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"> </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;"> </span></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; mso-list: l3 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><v:shape alt="retinopatia_diabetica1" id="Imagen_x0020_49" o:spid="_x0000_s1026" style="height: 199.5pt; left: 0px; margin-left: 106.7pt; margin-top: 18.55pt; position: absolute; text-align: justify; visibility: visible; width: 348pt; z-index: -251641856;" type="#_x0000_t75"> <v:imagedata o:title="retinopatia_diabetica1" src="file:///C:\Users\Reyqui\AppData\Local\Temp\msohtmlclip1\01\clip_image003.jpg"> </v:imagedata></v:shape><b><div style="text-align: justify;"> <b style="line-height: 115%;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">RETINOPATIA: DAÑO EN LA RETINA</span></b></div> </b></li> </ul> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="color: red; font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"> </span><span lang="ES" style="font-family: Wingdings; font-size: 11pt; line-height: 115%; text-indent: -18pt;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><span lang="ES" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%; text-indent: -18pt;">Lesión más común en las personas diabéticas.</span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; text-indent: -18pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Afecta a la retina, parte del ojo encargada de recibir y transmitir los estímulos luminosos que permiten la visión.<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; text-indent: -18pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El examen de fondo de ojos permite detectar oportunamente las alteraciones de la retina. <o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; text-indent: -18pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Las personas que padecen DM1 más de 5 años deben examinarse la vista por lo menos 1 vez al año, cuando el resultado es normal y cada 6 meses si aparece una pequeña alteración.<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; text-indent: -18pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Las personas con DM2 deben hacerse este examen tan pronto sean diagnosticadas. Y luego en forma anual.<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; text-indent: -18pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Si las personas ya tienen retinopatía, el buen control metabólico retardara la evolución de la misma.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; margin-bottom: 10pt; text-align: justify; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NEFROPATIA: DAÑO RENAL<u><o:p></o:p></u></span></b></li> </ul> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Los riñones tienen la importante función de filtrar la sangre y eliminar los productos de desecho del cuerpo a través de la orina. Los filtros de los riñones, llamados nefrones, tienen pequeños vasos sanguíneos que pueden ser dañados por la Hiperglicemia, la hipertensión y las infecciones urinarias.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Al comienzo pueden funcionar a pesar del daño, cuando aumenta estos pierden su capacidad de filtrar sangre como deben, reteniendo  desechos dañinos que deberían salir del cuerpo a través de la orina.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El daño al riñón puede reducirse en gran medida controlando la Hiperglicemia y la Hipertensión.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Para detectar el daño inicial se realiza un examen MICROALBUMINURIA, detecta pequeñas cantidades de proteínas en la orina. El deterioro progresivo del riñón puede conducir a la Insuficiencia Renal Crónica.<o:p></o:p></span></div>

COMPLICACIONES CRÓNICAS - HIPERGLICEMIA

MICROANGIOPATIA: Daño en los pequeños vasos sanguíneos MACROANGIOPATÍA POLINEUROPATIA: Daño de los nervios periférico...

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HIPERGLICEMIA

<div class="separator" style="clear: both; text-align: center;"> </div> <div class="separator" style="clear: both; text-align: center;"> <a href="http://www.mednet.cl/medios/congresos/starlix2002/litwak/figura1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="hiperglicemia, salud, enfermería, nutrición" border="0" height="240" src="http://www.mednet.cl/medios/congresos/starlix2002/litwak/figura1.jpg" title="Hiperglicemia" width="320" /></a></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 1em; margin-right: 1em; text-align: left;"> </div> <br /> <div class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: left;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">La glicemia alta se puede deber a comer demasiado, poco ejercicio, estrés, enfermedad.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <v:shapetype coordsize="21600,21600" filled="f" id="_x0000_t32" o:oned="t" o:spt="32" path="m,l21600,21600e"> <v:path arrowok="t" fillok="f" o:connecttype="none"> <o:lock shapetype="t" v:ext="edit"> </o:lock></v:path></v:shapetype><v:shape id="_x0000_s1026" o:connectortype="straight" strokecolor="red" strokeweight="4.5pt" style="height: 133.5pt; left: 0px; margin-left: 323.8pt; margin-top: 3.2pt; position: absolute; width: 0.75pt; z-index: 251703296;" type="#_x0000_t32"> <v:stroke endarrow="block"> </v:stroke></v:shape><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:<o:p></o:p></span></b></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Polidipsia<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Poliuria<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Cansancio<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Visión borrosa<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Aliento cetónico (Olor a manzana)</span></li> </ul> <div class="MsoNormal" style="line-height: 115%;"> <v:shape id="_x0000_s1027" o:connectortype="straight" strokecolor="red" strokeweight="4.5pt" style="height: 0.05pt; left: 0px; margin-left: 59.05pt; margin-top: 6.8pt; position: absolute; width: 265.5pt; z-index: 251704320;" type="#_x0000_t32"> <v:stroke endarrow="block"> </v:stroke></v:shape><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">CORTISOL:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 21.3pt; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> </div> <ul> <li><span lang="ES" style="font-family: Symbol; font-size: 11pt; line-height: 115%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">      </span></span><span lang="ES" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%; text-indent: -18pt;">Considerada la hormona del estrés, el organismo la fabrica ante situaciones de emergencia para ayudarnos a enfrentar los problemas.</span></li> <li><span lang="ES" style="font-family: Symbol; font-size: 11pt; line-height: 115%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">      </span></span><span lang="ES" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%; text-indent: -18pt;">En situaciones normales las células de nuestro cuerpo utilizan el 90% de la energía en actividades metabólicas tales como reparación, renovación y formación de nuevos tejidos. Pero cuando se produce una situación de alarma y estrés nuestro cerebro envía un mensaje a las glándulas adrenales para que liberen cortisol, esta hormona hace que el organismo libere glucosa a la sangre para enviar cantidades masivas de energía a los músculos.</span></li> </ul> <!--[if !supportLists]--><br /> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">GENERALIDADES<o:p></o:p></span></b></div> <div align="left" class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">INTOLERANCIA A LA GLUCOSA:</span></b><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><o:p></o:p></span></b></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l3 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";">•<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">          </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se caracteriza por una respuesta anormal a una sobrecarga de glucosa suministrada por vía oral.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l3 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";">•<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">          </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Este estado se asocia a mayor prevalencia de patología cardiovascular y a riesgo de desarrollar diabetes clínica (5-15% por año).<o:p></o:p></span></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="left" class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">GLICEMIA DE AYUNO ALTERADA</span></b><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><o:p></o:p></span></b></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";">•<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">          </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se caracteriza por el hallazgo de una glicemia de ayuno entre 100 y 125 mg/dl. <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";">•<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">          </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Su identificación sugiere el realizar una prueba de sobrecarga de glucosa oral, para la clasificación definitiva.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Por: Wendolyn Catalán</span></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div>

HIPERGLICEMIA

La glicemia alta se puede deber a comer demasiado, poco ejercicio, estrés, enfermedad. SINTOMAS: Polidipsia Poliu...

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COMPLICACIÓN AGUDA: CETOACIDOSIS DIABETICA

<br /> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">              </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%; text-indent: 35.4pt;">Ocurre en personas con DM y se presenta cuando el cuerpo no puede usar la GLUCOSA como fuente de energía debido a que no hay insulina o esta es insuficiente. En lugar de esto, se utiliza la grasa para obtener energía.</span></div> <div class="MsoNormal" style="line-height: 115%; text-indent: 35.4pt;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                Síndrome  donde existe una deficienc</span><span lang="ES-CL" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-CL; mso-bidi-font-family: Arial;">ia </span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">  de Insulina y un exceso de glucagón. Que combinados producen una HIPERGLICEMIA, deshidratación, desequilibrio electrolítico y acidosis metabólica.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                Las personas con DM1 no tienen suficiente Insulina, una hormona que el cuerpo utiliza para descomponer la glucosa en el cuerpo para obtener energía. Cuando la glucosa no está disponible, se metaboliza la grasa en su lugar.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                A medida que las grasas se descomponen, los ácidos llamados cetonas se acumulan en la sangre y en la orina. En niveles altos, las cetonas son toxicas. Denominándose <b>CETOACIDOSIS.<span style="color: red;"> </span></b>Los niveles de glicemia se elevan generalmente por encima de los 300 mm/dL, debido a que el hígado produce glucosa para tratar de combatir el problema, sin embargo las células no pueden absorber esa glucosa sin la insulina.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                La CETOACIDOSIS DIABETICA con frecuencia es el primer signo de DM1.  En pacientes con DM2, es poco frecuente la cetoacidosis, generalmente se desencadena por una enfermedad grave.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Respiración de KUSSMAUL: Respiración acelerada y profunda.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dificultad respiratoria al estar acostado<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Resequedad boca y piel<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Enrojecimiento de la cara<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Aliento a fruta<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Nauseas y vómitos<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dolor de estómago<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; line-height: 115%;"><span style="font-size: 11pt;">§</span><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span><span style="font-family: 'Times New Roman'; line-height: normal;">Perdida </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> del apetito<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; line-height: 115%;"><span style="font-size: 11pt;">§</span><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span><span style="font-family: 'Times New Roman'; line-height: normal;">Perdida </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> del estado de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Fatiga<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Poliuria<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Polidipsia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dolor de cabeza<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Rigidez Muscular<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Puede llegar a coma<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">HIPERGLICEMIA oscila entre 250-750 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">OBJETIVO DEL TRATAMIENTO: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">CORREGIR EL ALTO NIVEL DE GLUCOSA EN LA SANGRE CON INSULINA.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">EN URGENCIA SE REALIZARA:<o:p></o:p></span></b></div> <ul style="margin-top: 0cm;" type="square"> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Administración de Insulina<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Reposición de líquidos y electrólitos<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">EXAMEN DE CETONAS: Se puede usar para detectar CETOACIDOSIS. Este examen se hace utilizando una muestra de orina y por lo regular se lleva a cabo cuando el azúcar en sangre es superior a 240 mg/dL.<o:p></o:p></span></li> </ul> <div class="MsoNormal"> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;">Por:  Wendolyn Catalán</span></span></div>

COMPLICACIÓN AGUDA: CETOACIDOSIS DIABETICA

               Ocurre en personas con DM y se presenta cuando el cuerpo no puede usar la GLUCOSA como fuente de energía debido a que no ...

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COMPLICACIÓN AGUDA: HIPOGLICEMIA

<br /> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">Síndrome causado por una reducción crítica del aporte de glucosa al encéfalo y caracterizado por alteración de conciencia y/o sinología focal neurológica. </span><b style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">COMPLICACIÓN FRECUENTE DEL TRATAMIENTO HIPOGLICEMIANTE DEL DIABÉTICO 1, ESPECIALMENTE.</b></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Glicemias ↓ a 50 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Con o Sin compromiso de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">ATETOSIS: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se da en un 25% de los casos de Parálisis cerebral. Son lesiones en el Sistema Extrapiramidal, que se manifiesta en movimientos lentos, involuntarios e incontrolados.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Rigidez y parálisis muscular<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Convulsiones<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">TRATAMIENTO: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cambio en el estilo de vida: Ejercicio, Autocontrol, Régimen con restricción de hidratos de carbono. </span><b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">VIDA SANA!!!</span></b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">      </span></span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">La alimentación es el factor de mayor importancia para equilibrar con la insulina. Debe ser variada, equilibrada y balanceada. <b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Hay alimentos que <b>NO </b>deben consumir porque contienen azúcar que elevan bruscamente la glicemia: Pasteles, caramelos, postres y bebidas de fantasía. <b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Alimentos <b>SIN </b>azúcar, con endulcorantes.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cuidado con los alimentos ligth que significa que tienen menos calorías o grasas, deben ser DIET sin azúcar.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Las fibras hacen subir más lento la glicemia ya que la digestión es más pausada, por eso preferir alimentos integrales.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se debe ser prudente con la ingesta de grasas por su riesgo cardiovascular. Preferencia de alimentos de origen vegetal.<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">EJERCICIOS: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Ayuda a bajar la glicemia, mejorar la circulación y evitar la obesidad - Frecuencia de 3-5 sesiones semanales de 20 a 30 minutos según edad y estado físico. <o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Manejo del estrés<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">HGO (Hipoglicemiantes) o Antihiperglicemiante<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Insulina y control de glicemia periódica<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Control con especialidades: Diabetologo – Oftalmólogo<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cuidado de la piel y especialmente de los pies (EDUCACIÓN)<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; word-break: normal;"> <br /></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; word-break: normal;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Por: Wendolyn Catalán</span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div>

COMPLICACIÓN AGUDA: HIPOGLICEMIA

Síndrome causado por una reducción crítica del aporte de glucosa al encéfalo y caracterizado por alteración de conciencia y/o sinología fo...

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COMPLICACIÓN AGUDA: COMA HIPEROSMOLAR NO CETOSICO

<br /> <div align="left" class="MsoNormal" style="line-height: 115%;"> <br /></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Su causa es una insuficiencia insulinica y/o desenfreno de hormonas catabólicas.</span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Para la ausencia de cetoacidosis, es la persistencia de niveles significativos de insulina que ha nivel hepático son suficientes para inhibir la cetogenesis pero no para mantener la utilización periférica de la glucosa.<o:p></o:p></span></li> </ul> <div> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><br /></span></span></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></li> </ul> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Hiperglicemia Severa 700-1700 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Hiperosmolaridad Plasmática<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Compromiso de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">AUN NO PRESENTA ACIDOSIS – CETOACIDOSIS</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Mayor incidencia en DM2<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Mortalidad 40-50% a causa de shock o Embolia Pulmonar<o:p></o:p></span></div>

COMPLICACIÓN AGUDA: COMA HIPEROSMOLAR NO CETOSICO

Su causa es una insuficiencia insulinica y/o desenfreno de hormonas catabólicas. Para la ausencia de cetoacidosis, es la persisten...

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DIABETES MELLITUS 2

<br /> <div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"> <img alt="Resultado de imagen para DIABETES MELLITUS 2 blogspot" src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcQdRIjZDR9sTzf65ygNjumcRClfLgzvsTAGjk9MDJ1EuJoNwbgK" /></div> <br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 115%; margin-bottom: 1em; margin-right: 1em; text-align: center;"> </div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El 90% de los diabéticos pertenecen al tipo 2.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">La Insulina no trabaja adecuadamente.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Caracterizada por insulinoresistencia y deficiencia <b>NO ABSOLUTA </b>de Insulina.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Generalmente obesos y/o con distribución de grasa predominante abdominal.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Sin tendencia a la ACIDOSIS.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Responden a dieta e hipoglicemiantes orales.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Muchos con el tiempo requieren de insulina, pero ello no es indispensable para preservara la vida.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Con niveles de insulina plasmática normal o elevada.<o:p></o:p></span></li> </ul> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><u><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">GENERALIDADES DM1 Y DM2<o:p></o:p></span></u></b></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><u><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><br /></span></u></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"> <tbody> <tr> <td colspan="2" style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 258.65pt;" valign="top" width="345"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">DIABETES MELLITUS 1<o:p></o:p></span></b></div> </td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 271.25pt;" valign="top" width="362"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">DIABETES MELLITUS 2<o:p></o:p></span></b></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Generalmente ante de los 30 años.<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">EDAD INICIO<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Generalmente < 40 años.<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Normal o Bajo Peso<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">ESTADO NUTRICIONAL<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Obeso o Normal<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Inicio Agudo<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>SÍNTOMAS</b></span></span><b style="line-height: 115%;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> <o:p></o:p></span></b><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>CLÍNICOS</b></span></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <span lang="EN-US" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">Inicio <o:p></o:p></span><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;">Insidioso</span></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">ALTA<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">TENDENCIA A ACIDOSIS<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">En situación de estrés.<o:p></o:p></span></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Mala adhesión al tratamiento.<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">BAJA<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NIVEL INSULINEMIA<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NORMAL O ALTA<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">INSULINO DEPENDIENTE<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <b style="line-height: 115%;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">RESPUESTA <o:p></o:p></span></b><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>TERAPÉUTICA</b></span></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">DIETA – HGO – INSULINA POR FRACASO AL TRATAMIENTO<o:p></o:p></span></div> </td> </tr> <!--[if !supportMisalignedColumns]--> <tr height="0"> <td style="border: none;" width="230"></td> <td style="border: none;" width="115"></td> <td style="border: none;" width="115"></td> <td style="border: none;" width="247"></td> </tr> <!--[endif]--> </tbody></table> <div class="MsoNormal" style="line-height: 115%;"> <br /></div>

DIABETES MELLITUS 2

El 90% de los diabéticos pertenecen al tipo 2. La Insulina no trabaja adecuadamente. Caracterizada por insulinoresistencia y defici...

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INSULINA

<div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <a href="http://lh5.ggpht.com/-0cGCrhb1iF8/UY64ztE0OKI/AAAAAAAAB5Y/3zux45xdl58/s1600-h/image%25255B7%25255D.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img alt="image" border="0" height="215" src="http://lh6.ggpht.com/-rf6B4Z4ngn0/UY641iX9EoI/AAAAAAAAB5g/Yb3H8hbBPYo/image_thumb%25255B3%25255D.png?imgmax=800" style="background-image: none; border: 0px; display: inline; padding-left: 0px; padding-right: 0px; padding-top: 0px;" title="image" width="240" /></span></a></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"> </span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">La INSULINA es secretada por las células </span></span><span style="font-size: 11pt; line-height: 12pt;"><span lang="EN-US" style="line-height: 13pt; mso-bidi-font-family: arial;">β</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"> del páncreas. Una hormona que controla el nivel    de glucosa en la sangre.</span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"><br /></span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">La síntesis de la Insulina se lle</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">va a cabo en los Islotes de Langerhans.</span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"><br /></span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">Es la principal hormona anabólica del organismo. Su función es almacenar los sustratos           metabólicos. Así disminuye los niveles plasmáticos de glucosa, ácidos grasos y aminoácidos.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">Lógicamente el estímulo para la secreción de insulina es la Hiperglicemia; mientras que una  hipoglicemia tiene el efecto contrario.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;"><br /></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;">La Insulina es la llave que el azúcar entre en las células del cuerpo.</span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;"><br /></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">En la <b style="mso-bidi-font-weight: normal;">DM1 </b><span style="mso-spacerun: yes;"> </span>el sistema inmunológico<span style="mso-spacerun: yes;">  </span>destruye por error las células </span></span><span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;"><span lang="EN-US" style="line-height: 13pt; mso-bidi-font-family: arial;">β</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">, sin estas células el páncreas no puede producir INSULINA. Sin insulina, la glucosa no puede entrar en la célula. La oxidación de la glucosa es la forma principal para obtener energía, los ácidos grasos y aminoácidos constituyen medios secundarios. Las grasas (Triglicéridos y colesterol) son capaces de entregar grana cantidad de energía, ya que contienen ácidos grasos.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <b style="mso-bidi-font-weight: normal;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">POR LO TANTO LA INSULINA PRODUCE ALMACENAMIENTO DE LAS GRASAS, SÍNTESIS DE           ÉSTAS, DISMINUYE SUS NIVELES PLASMÁTICOS Y FAVORECE EL AUMENTO DE PESO.</span></span></b></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; text-indent: 35.4pt; word-break: break-all;"> <br /></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; text-indent: 35.4pt; word-break: break-all;"> <span lang="ES" style="font-family: Verdana, sans-serif; line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">Las células metabolizan la glucosa para convertirla en una forma de energía útil, por ello el organismo necesita recibir glucosa, a través de los alimentos, absorberla para que circule en la sangre y se distribuya a todo el cuerpo y que finalmente la sangre entre al interior de las células para que pueda ser utilizada. </span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt;"><span style="mso-spacerun: yes;"> </span>ESTO ULTIMO SOLO OCURRE BAJO LOS EFECTOS DE LA INSULINA.</span></b></span></div>

INSULINA

  La INSULINA es secretada por las células β del páncreas. Una hormona que controla el nivel    de glucosa en la sangre. La síntesis...

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