{"id":14660,"date":"2018-03-09T09:01:27","date_gmt":"2018-03-09T09:01:27","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diabetes-gestacional-riesgo-de-desarrollar-diabetes-mellitus-y-factores-de-riesgo-cardiovascular-a-medio-plazo\/"},"modified":"2018-03-09T09:01:27","modified_gmt":"2018-03-09T09:01:27","slug":"diabetes-gestacional-riesgo-de-desarrollar-diabetes-mellitus-y-factores-de-riesgo-cardiovascular-a-medio-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diabetes-gestacional-riesgo-de-desarrollar-diabetes-mellitus-y-factores-de-riesgo-cardiovascular-a-medio-plazo\/","title":{"rendered":"Diabetes gestacional: riesgo de desarrollar diabetes mellitus y factores de riesgo cardiovascular a medio plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Albareda Riera M. Merce <\/strong><\/h2>\n<p>Las mujeres con antecedente de diabetes gestacional (dmg) tienen un mayor riesgo de presentar alteraciones de la tolerancia a la glucosa (atg) y a otros factores de riesgo cardiovascular (fcr) el seguimiento. Adem\u00e1s, se ha descrito alteraciones en la secreci\u00f3n (sec) y la sensibilidad (sens) a la insulina en estas mujeres. Objetivos: 1)elecci\u00f3n de un metodo de estimaci\u00f3n de sec y sens a partir de medidas basales o del ttog. 2) estudio en mujeres con dmg(dmgm) y controles (cm) del riesgo de diabetes mellitus (dm), atg. pacientes y metodos: han participado 696 dmgm y 70 cm (embarazo en el mismo periodo y tolerancia normal a la glucosa -ntg- en el 3\u00c2\u00ba trimestre). A las dmgm se les realiz\u00f3 un ttog-75g-2h posparto y posteriormente cada 5 a\u00f1os, mientras que las cm unicamente han realizado la evaluaci\u00f3n a los 5 a\u00f1os de seguimiento. Adem\u00e1s, se ha valorado el perfil lipidico, tensi\u00f3n arterial y habito tabaquico en el control de los 5 a\u00f1os y posteriores. En la elecci\u00f3n del metodo de estimacion de sec y sens han participado 35 mujeres con ntg, edad &lt;- 35 a\u00f1os en imc &lt;-25 kg\/m2.  resultados: la incidencia acumulada de dm a 11 a\u00f1os de seguimiento es de 13,8% en las dmgm vs 0% en las cm, y las cifras para atg son 42,44 vs 2,85% respectivamente. Los factores predictores de dm son la atg previa, 4 puntos alterados en el ttog diagnostico o triada (npatd), una glucemia 120 min del ttog diagnostico (glu120)&gt;-11,7 mmol\/l, una edad gestacional al diagnostico de la dmg(eg) &lt; 24 semanas y un indice de masa corporal pregestacional (imcp) &gt;-26,4 kg\/m2, que se repiten en el estudio del riesgo de atg, aunque cambia el punto de corte (eg &lt;33 semanas, imcp &gt;-24 kg\/m2), junto con una glucemia basal &lt;- 5,5 mmol\/l. La mejor fracci\u00f3n atribuible para el grupo expuesto la obtiene el naptd (74,5%) y la mejor fracci\u00f3n atribuible en toda la poblaci\u00f3n el imcp(13,27%) y la eg(13,17%). Respecto a los frc, el grupo de dmgm s\u00f3lo presenta may<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diabetes gestacional: riesgo de desarrollar diabetes mellitus y factores de riesgo cardiovascular a medio plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diabetes gestacional: riesgo de desarrollar diabetes mellitus y factores de riesgo cardiovascular a medio plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Albareda Riera M. Merce <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Rosa Corcoy Pla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Santiago Dur\u00e1n Garc\u00eda <\/li>\n<li>Jos\u00e9 m Pou torell\u00f3 (vocal)<\/li>\n<li>Luis felipe Pallardo sanchez (vocal)<\/li>\n<li>Manuel Puig domingo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Albareda Riera M. Merce Las mujeres con antecedente de diabetes gestacional (dmg) tienen un mayor riesgo de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,851,139],"tags":[47093,13647,14834,20186,47094,19602],"class_list":["post-14660","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-endocrinologia","category-medicina-interna","tag-albareda-riera-m-merce","tag-jose-m-pou-torello","tag-luis-felipe-pallardo-sanchez","tag-manuel-puig-domingo","tag-rosa-corcoy-pla","tag-santiago-duran-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=14660"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14660\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=14660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=14660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=14660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}