Artículos de revistas
Analogos en el regimen basal/ bolo. Insulinización oportuna en diabetes tipo 2
Timely insulinization in type 2 diabetes: analogues in the basal/bolus regimen
Registration in:
1690-3110
Author
Frontado Ortiz, Freddy J.
Institutions
Abstract
La diabetes es una patología difícil de tratar. Actualmente la insulina sigue siendo el pilar fundamental, y las estrategias de tratamiento de reemplazo tienen por finalidad reproducir el perfil de secreción normal de insulina, para lograr así el control efectivo en los niveles de glucemia basal y postprandial. Con una combinación adecuada de análogos de insulina, se puede lograr ése control óptimo de la glucemia, recomendado por las diferentes asociaciones y organizaciones mundiales, dedicadas al estudio y control de la diabetes. En este artículo se realiza una revisión sobre la fisiopatología de la diabetes mellitus Tipo 1 y Tipo 2, como base para dirigir el tratamiento usando las nuevas insulinas (análogos), en cada una de éllas. Pero necesitamos superar los mitos y las barreras, que tienen los médicos y sus pacientes, a los regímenes de tratamiento con insulina. 14-25 Sociedad Venezolana de Endocrinología y Metabolismo Diabetes is a difficult disease to treat. Currently, insulin is still the mainstay. Treatment strategies are aimed to reproduce the normal secretory profile of insulin to achieve the effective control in the fasting and postprandial plasma glucose levels. Mostly, with an appropriate combination of insulin analogues, an optimal control of blood sugar could be achieved, such as recommended by the different worldwide associations and organizations, dedicated to the study and control care of diabetes. This article is a review of the pathophysiology of Type 1 and Type 2 diabetes mellitus as the support for treatment in each one of its, but we still need to dispel myth and removing barriers of acceptance about these insulin regimens treatments in physicians and patients.
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