{"id":34713,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fracaso-secundario-a-hipoglucemiantes-orales-en-pacientes-diabeticos-tipo-ii-no-obesos\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"fracaso-secundario-a-hipoglucemiantes-orales-en-pacientes-diabeticos-tipo-ii-no-obesos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fracaso-secundario-a-hipoglucemiantes-orales-en-pacientes-diabeticos-tipo-ii-no-obesos\/","title":{"rendered":"Fracaso secundario a hipoglucemiantes orales en pacientes diabeticos tipo ii no obesos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Toledo Gomez Juan  Ramon <\/strong><\/h2>\n<p>La decisi\u00f3n de inicar tratamiento con insulina en pacientes diab\u00e9ticos tipo ii se adopta habitualmente por criterios cl\u00ednicos que no est\u00e1n bien definidos. En esta tesis, estudiamos la funci\u00f3n insular beta pancre\u00e1tica de pacientes diab\u00e9ticos tipo ii no obesos, mediante la determinaci\u00f3n de niveles basales y tras est\u00edmulo de p\u00e9ptido c en dos grupos de pacientes: uno con buen control metab\u00f3lico con hipoglucemiantes orales (rho), y otro con mal control metab\u00f3lico con hipoglucemiantes orales (fsho), que ingresan para iniciar insulinoterapia.  encontramos que los par\u00e1metros de funci\u00f3n beta pancre\u00e1tica no guardan ninguna relaci\u00f3n con el grado de control metab\u00f3lico de nuestros pacientes y adem\u00e1s carecen de valor predictivo como indicador de insulinoterapia, por lo que establecimos unos \u00edndices muy pr\u00e1cticos en la cl\u00ednica para que de esta forma nos sirvieran a la hora de decidir insulinoterapia en estos enfermos. De esta forma determinamos la sensibilidad de la c\u00e9lula beta a la glucosa mediante el \u00edndice p\u00e9ptido c\/glucosa y la resistencia a la insulina mediante el \u00edndice glucemia\/\u00edndice de masa corporal, objetivando que el aumento de la resistencia a la insulina incrementaba 4 veces el riesgo relativo de insulinoterapia, mientras que la sensibilidad de la c\u00e9lula beta pancre\u00e1tica a la glucosa disminu\u00eda dicho riesgo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fracaso secundario a hipoglucemiantes orales en pacientes diabeticos tipo ii no obesos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fracaso secundario a hipoglucemiantes orales en pacientes diabeticos tipo ii no obesos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Toledo Gomez Juan  Ramon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>tresguerres Hern\u00e1ndez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carmen Arizanavarreta Ruiz <\/li>\n<li>Antonio G\u00f3mez Pan (vocal)<\/li>\n<li>Aniceto Luis Charro Salgado (vocal)<\/li>\n<li>Alfonso Leal Cerro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Toledo Gomez Juan Ramon La decisi\u00f3n de inicar tratamiento con insulina en pacientes diab\u00e9ticos tipo ii se [&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 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