{"id":38163,"date":"2018-03-09T09:37:37","date_gmt":"2018-03-09T09:37:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diabetes-mellitus-tipo-1-y-enfermedad-tiroidea-autoinmune-relacion-durante-el-embarazo-y-postparto\/"},"modified":"2018-03-09T09:37:37","modified_gmt":"2018-03-09T09:37:37","slug":"diabetes-mellitus-tipo-1-y-enfermedad-tiroidea-autoinmune-relacion-durante-el-embarazo-y-postparto","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diabetes-mellitus-tipo-1-y-enfermedad-tiroidea-autoinmune-relacion-durante-el-embarazo-y-postparto\/","title":{"rendered":"Diabetes mellitus tipo 1 y enfermedad tiroidea autoinmune: relacion durante el embarazo y postparto."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Antonio Lopez Medina <\/strong><\/h2>\n<p>En pacientes con diabetes mellitus tipo 1 la incidencia de enfermedad tiroidea autoinmune es alta. Esta asociaci\u00f3n es poco conocida durante la gestaci\u00f3n.  como objetivos hemos estudiado en primer lugar la presencia de autoinmunidad y disfunci\u00f3n tiroidea durante el embarazo y postparto en gestantes con diabetes mellitus tipo 1 y las repercusiones maternas y fetales que representa. En segundo lugar hemos investigado si en gestantes con enfermedad tiroidea autoinmune existe un metabolismo hidrocarbonado deficiente y\/o una mayor presencia de autoinmunidad pancre\u00e1tica.  estudiamos para ello 4 grupos: 20 gestantes con dm tipo 1, 21 gestantes con enfermedad de graves, 21 gestantes con tiroiditis de hashimoto y 15 mujeres embarazadas con hipotiroidismo post-ablaci\u00f3n.  observamos como la enfermedad tiroidea autoinmune es muy frecuente en mujeres con dm tipo 1, y esta asociaci\u00f3n tiene importantes repercusiones maternas. En primer lugar hemos obtenido un peor control metab\u00f3lico y m\u00e1s requerimientos de insulina en aquellas gestantes diab\u00e9ticas con autoinmunidad tiroidea. En segundo lugar las mujeres diab\u00e9ticas con anticuerpos anti-peroxidasa tiroidea positivos tienen mayor riesgo de disfunci\u00f3n tiroidea. No hemos obtenido diferencias en los reci\u00e9n nacidos de madres diab\u00e9ticas con autoinmunidad tiroidea.  al analizar el metabolismo hidrocarbonado y autoinmunidad pancre\u00e1tica en gestantes con enfermedad tiroidea autoinmune hemos obtenido un porcentaje positivo de anticuerpos anti-decarboxilasa del \u00e1cido glut\u00e1mico (anti-gad) del 3.5%. Sin embargo no se aprecia en las gestantes con anti-gad positivos una mayor presencia de alteraciones en el metabolismo hidrocarbonado.  en base a estos resultados concluimos que existe una clara asociaci\u00f3n entre diabetes mellitus tipo 1 y enfermedad tiroidea autoinmune. Las mujeres con dm tipo 1 presentan una preValencia muy elevada de enfermedad tiroidea autoinmune y de disfunci\u00f3n tiroidea. P<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diabetes mellitus tipo 1 y enfermedad tiroidea autoinmune: relacion durante el embarazo y postparto.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diabetes mellitus tipo 1 y enfermedad tiroidea autoinmune: relacion durante el embarazo y postparto. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Antonio Lopez Medina <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/05\/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>M\u00aa Luisa Fern\u00e1ndez Soto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Navarrete lopez-cozar <\/li>\n<li>pablo Jos\u00e9 Lopez ibarra (vocal)<\/li>\n<li>felipe Pallardo s\u00e1nchez (vocal)<\/li>\n<li>anna Sanmart\u00ed  sala (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Antonio Lopez Medina En pacientes con diabetes mellitus tipo 1 la incidencia de enfermedad tiroidea autoinmune 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