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Metabolismul Glucidic Si Lipidic

Metabolismul Glucidic Si Lipidic

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Published by StrippedDude

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categoriesTopics, Art & Design
Published by: StrippedDude on Apr 02, 2009
Copyright:Attribution Non-commercial

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08/01/2013

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 metabolismul glucidic silipidic
2008-2009
 
DIABETUL ZAHARAT
Cea mai frecventa suferinta endocrinologica
DZ tip II – 90% din cazurile totale
Apare la subiecti cu predispozitie genetica, expusianumitor factori de mediu; mult mai frecvent lafemei, la persoane in varsta
 Totusi 8 - 45% din copiii cu DZ au forme non-imunede boala (DZ tip II sau alte forme, idiopatice)CRITERII DE DIAGNOSTIC:
Nivel glicemie– fasting plasma glucose = FPG
(glicemie a jeun)
( impaired fasting glucose = IFG )- 2 hour plasma glucose = 2-hr PG
 
normoglicemieIFGDZ
FPG< 110 mg/dlFPG=110-126 mg/dlFPG>126 mg/dl2-hr PG<140 mg/dl2-hr PG 140-200 (IGT)2-hr PG> 200 mg/dl(Simpt DZ, glicemie>200)
 
FPG>126 , 2-hr PG> 140 mg/dl asociate cu risccrescut de afectare macrovasculara, bolicardiovasculare
Pt a stabili diagnosticul de precizie este necesararepetarea unui test modificat – reproductibilitateaeste obligatorie
 Testul de provocare orala cu glucoza(OGTT)nu serecomanda de rutina pt dg
In majoritatea cazurilor dg se face pe seamavalorilor matinale
(FPG) crescute 
sau o valoare incursul zilei crescuta, in prezenta
simptomelor 
deDZ
Nivelul seric HbA1c glicozilata 
– nu foloseste pt dg, este cea mai utila metoda de monitorizare atratamentului DZ

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