Glucose

Alterations

polyphagia polydipsia, yes Signs

polyphagia polydipsia, polidipsya,
yes polidipsya, polyuria, thirst, recurrent yes
absolute polyuria, thirst and weigh Not
blurred vision,
insulin
loss paraesthesia and fatigue
deficiency Symptoms
insidious of
hyperglycemia,
not glucosuria or osmotic
yes
diuresis

Not
No pathological
pathological yes data
data infections, trauma, surgeries, Type 2 diabetes
Type 1 diabetes acute myocardial infarction, yes mellitus
yes dietary and pharmacological
Signs mellitus
transgression

yes

Acute
alterations

Glucose glucose Controlled

Signs yes below 60 more than 180 no patient w/
mg/dL mg/dL diabetes

Excess insulin dose,

sweating, hot no yes
Overdose of oral
hypoglycemic agents, feeling, tremor,
omission-reduction and tachycardia,
delay in intake anxiety
Controlled
schedules. nervousness diabetes nausea,
foods patient vomiting
yes
and pain

Pharmacogical
Prevention Sí Hypoglucemia
Trt

Pharmacological Non
Treatmente Hyperglicemia yes pharmacogical Prevention
trt.
-Any treatment can be yes
done if they are Non yes
controlled. pharmacological
Prophylactic antibiotic Trt.
therapy for surgical yes
treatments or those that
involve a lot of bleeding. -Avoid use ephineprine
Treatments that -Treatments that
work with scheduled KTA work with scheduled
-Capillary glucose
appointments, of short appointments, of short duration
-Glucagon 1mg IM monitoring
duration and, preferably, and, preferably, in morning hours.
-240 mL of skim milk
in morning hours. -Intake of 10 - 20 grams of CHO -Prophylactic antibiotic therapy for
- EV hypertonic Sulfonilureas: Clorpropanomina -Capillary glucose
-Capillary glucose (Gel ventro) surgical treatments elimination of
dextrose: 20% dextrose monitoring
Diabetes type 1: 125mg/día
monitoring (20 mL amp) -lifestyle modification septic foci in the mouth
-Tolazamida 50mg/día
If the condition is mild -eliminate the cause, the
and tolerates the oral -Glibenclamida: 2-5mg/per day o 2 p/day
septic focus of the oral
route: administer -Glipentida: 2,5 - 5 mg/day cavity
carbohydrates by mouth -Nateglinidina 30-60mg/day Replenish the loss of
(glucose, sucrose, Metformina 850mg/2 per day water and electrolytes.
liquids or sugary drinks pioglitazona 15mg/per day
Acarbosa 25 mg/4 times a day

-P lorenzo, Moreno A., Lizasoain I., Leza J.C., Moro M.A., Portóles A. Fármacos antidiabéticos. Insulinas y antidiabéticos orales.
M. J. García-Barrado, M.C. Iglesias y J. Moratinos, editores. Velázquez Farmacología Básica y Clínica. Madrid: Editorial Médica
Panamericana; 2009. p. 621-641.

-Edelmiro Menéndez Torrea, Francisco Javier Lafita Tejedor a, Sara Artola Menéndez a, Jesús Millán Núnez-Cortés , Ángeles
Alonso Garcíac, Manuel Puig Domingo d, José Ramón García Solans e, Fernando Álvarez Guisasolaf , Javier García Alegríag, et
al. Recomendaciones para el tratamiento farmacológico de la hiperglucemia en la diabetes tipo 2. Aten Primaria. 2011;43(4): p.
202.? 202.

-Lecturio Medical Education. Hypo- and Hyperglycemia: Glucose Metabolism & Diabetic States ? Emergency Medicine | Lecturio.
[Video] Estados Unidos: USA, 2018.

-Departamento de Odontología, Hospital General Ticomán, Servicios de Salud Pública del Gobierno del Distrito Federal.
Cuidados odontológicos del paciente diabético. CLÍNICA. 2014; 1(3): p. 112-114.