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16 de abril de 2008

NO!!!¿Qué es la hipoglucemia?

Tras visitar el Blog El Café de Rafa (muy recomendable, y no sólo por los temas de diabetes) llegué a la página de Glucosport donde he leido:

La hipoglucemia es sin duda la complicación más importante y más temida del tratamiento de la diabetes especialmente para los pacientes tratados con insulina. La hipoglucemia se define como un valor de glucosa en sangre (azúcar) inferior a 50 mg/dL (algunos autores hablan de hipoglucemia cuando los niveles de glucosa son inferiores a 60 mg/dL).

¿Qué causa la hipoglucemia?

Las causas pueden ser variadas, dependiendo muchas veces de factores externos y diferentes de un diabético a otro. Las más frecuentes son:

- Por la Medicación:

* Exceso de Insulina (errores al medir la cantidad, confusión en el tipo)
* Dosis más elevadas que las habituales de los Antidiabéticos Orales.

- Por el Alimento:

* No haber tomado suficiente alimento (o insuficiente hidratos de carbono: pan, patatas, pasta legumbres, fruta, ...).
* No coincidir el efecto de la insulina con el máximo nivel de azúcar en sangre.
* Omisión de alguna de las comidas (olvido, enfermedad, ...)

- Exceso de Ejercicio Físico:

* Exceso de ejercicio, no realizado habitualmente.
* No cobertura con el alimento de las necesidades cotidianas por el tipo de actividad.

¿Cuáles son sus síntomas?

* Hambre brusca
* Sudor frío
* Cambio de carácter brusco. Nerviosismo e Irritabilidad.
* Cansancio y debilidad súbita

* Temblor
* Mareos
* Palpitaciones
* Dificultad en la concentración
* Hormigueos en extremidades
* Palidez
* Somnolencia
* Dolor de cabeza
* Dificultad para hablar e incoherencia
* Agresividad
* Visión borrosa o doble
* Convulsiones
* Pérdida de conocimiento
* Coma

¿Qué hacer en caso de hipoglucemia?


Ante la sospecha de hipoglucemia se tratará aunque no tengamos la certeza. En el tratamiento se incluyen dos partes, el tratamiento de la fase aguda y el de la causa que ha producido la hipoglucemia si fuese necesario.
El tratamiento de la fase aguda de la hipoglucemia depende de la severidad del cuadro. Si el estado de conciencia lo permite se debe de administrar tratamiento por vía oral con alimentos ricos en carbohidratos de absorción rápida en una dosis de 15 gramos.

Ejemplos de alimentos con 15 gramos de carbohidratos:

Glucosport 3 Pastillas
Naranja 180 gr
Manzana 125 gr
Pera 140 gr
Platano 75 gr
Jugo 160 cc
Coca Cola 150 cc
Fanta 140 cc
Tonica 160 cc
Azucar 1 bolsa



Hipoglucemias en la Diabetes Infantil


Los cerebros de los niños menores de 6 años son muy sensibles a las hipoglucemias. Las hipoglucemias leves y moderadas no tienen efectos a largo plazo en los niños aunque por desgracia los cuidadores de algunos niños permiten que estén muy altos para tratar de evitarlas.

Las hipoglucemias leves o moderadas se trataran con 15 gr. de glucosa preferentemente en comprimidos de glucosa tipo Glucosport o con una bebida de tipo cola azucarada, en general deberán de evitarse dulces, golosinas o chocolatinas como tratamiento, si el niño no estuviese muy colaborador puede utilizarse Glucosport Complet 2 o 3 ampolletas que se puede poner en un lado de la boca y es rápidamente absorbido.


Ventajas de la utilizacion de Glucosport

La principal ventaja en la utilización de Glucosport en la prevención de las Hipoglucemias graves es la facilidad para la dosificación de la cantidad requerida de glucosa, así como la pronta absorcion de la glucosa por el organismo. Además de venir en una presentación fácil de transportar y conservar. (p.e la cantidad de hidratos de una fruta dependera de su tamaño, además de la dificultad para traerla siempre consigo). Por lo que es altamente recomendable que el paciente traiga siempre consigo tabletas de Glucosport.

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The moment you figured out you won, you must immediately yell BINGO, and it should be loud enough for the floor walker to hear. The pot money shall be given to the winner once their winning card is confirmed. Well, in winning or once you know you just won, the most important thing is that you shout the winning word BEFORE the time elapses. If the game proceeds and the next number is mentioned and you failed to shout "Bingo", your winning card is disqualified. Therefore, this is the rule you must know.

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