{"id":5696,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/valoracion-de-los-parametros-de-control-metabolico-en-la-diabetes-gestacional\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"valoracion-de-los-parametros-de-control-metabolico-en-la-diabetes-gestacional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-de-los-parametros-de-control-metabolico-en-la-diabetes-gestacional\/","title":{"rendered":"Valoracion de los parametros de control metabolico en la diabetes gestacional."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sebastian Manzanares Gal\u00e1n <\/strong><\/h2>\n<p>De los parametros utilizados para la valoracion del control metabolico en la diabetes gestacional el mas ampliamente utilizado es el perfil glucemico, compuesto por seis determinaciones de glucemia, media hora antes y dos horas despues de las tres principales comidas del dia. Sin embargo se consideran otros, como los valores de hemoglobina glicosilada, de fructosamina y de insulina y peptido c en sangre materna. Se trata en todos los casos de parametros indirectos que nos indican el grado de control metabolico materno y a traves de el indirectamente se infiere al grado de alteracion metabolica del feto.  el grado de hiperinsulinismo fetal puede determinarse directamente antes del nacimiento mediante la realizacion de amniocentesis y determinacion de los valores de insulina y peptido c en liquido amniotico. Asi el valor de peptido c en liquido amniotico fue el mejor parametro predictor de la aparicion de complicaciones perinatales relacionadas con la diabetes gestacional. Los niveles de fructosamina en liquido amniotico son superiores en gestantes diabeticas pero su utilidad ha de ser evaluada posteriormente.  dado que la amniocentesis es una tecnica cruenta, invasiva y no exenta de riesgos se hace necesario determinar aquel o aquellos parametros que mejor se correlacionan con el valor de peptido c en liquido amniotico. Dicho parametro es el perfil glucemico, que ademas se comporta tambien, junto al valor de hemoglobina glicosilada, como predictores de la aparicion de complicaciones. De las seis determinaciones que componen el perfil glucemico la que mayor valor predictivo presento fue la que se realiza dos horas tras el desayuno.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion de los parametros de control metabolico en la diabetes gestacional.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion de los parametros de control metabolico en la diabetes gestacional. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sebastian Manzanares Gal\u00e1n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Alfonso Herruzo Nalda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Fernando Escobar Jimenez <\/li>\n<li>Luis Navarrete Lopez-cozar (vocal)<\/li>\n<li>Francisco Pallardo Sanchez (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sebastian Manzanares Gal\u00e1n De los parametros utilizados para la valoracion del control metabolico en la diabetes gestacional [&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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