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Tratamiento de

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by

Anselmo Herrera Avila

on 18 April 2014

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Transcript of Tratamiento de

Paciente con DM2 en
tratamiento con dieta,
educacion, ejercicio y
automonitoreo

Alcanza estas metas?
HBA1C <6%
Glicemia en ayunas de
70 a 130.
Glucemia postprandial
2 hrs. 180 mgs dl
SI
NO
Tiene descontrol
grave ?
tiene glicemia
capilar de 240 mgs
indice de masa corporal menor de 23
inicie con glibenclamida
Indice de masa corporal mayor de 23
Inicie Metformina
CONTINUA CON
SULFONILUREAS
MAS METFORMINA
También si desde un principio tuvo glicemia de mas de 240 mgs
Insulina Basal
NPH, Detemir, glargina
en combinacion con
Hipoglucemiantes
orales
Continue
Mismo Manejo
Envielo a Segundo Nivel
no
si
no
si
si no mejora...
Si no hubo control con
hipoglucemiantes unicamente
entonces iniciar:
Full transcript