HIPOGLUCEMIA

HIPOGLUCEMIA DR RUBEN ALBERTO VILLALOBOS MENDEZR1-URGENCIAS MEDICO-QUIRURGICASHOSPITAL REGIONAL DE PEMEXIntroduccin Manual de Medicina de Urgenciass. Dr Alejandro Villatoro Mertinez, ed 2011Definicin Tratado de Medicina de Urgencias. Manuel S.Maya/Pascual Piera/Miguel Marine. Ed 2011Triada de Whipple:

Hypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013Etiologa

Fisiopatologa Respuesta fisiolgica a la hipoglucemia en sujetos normales y pacientes con diabetes mellitus Autor Philip E Cryer, MD Editor de la Seccin David M Nathan, MD Adjunto Editor Jean E Mulder, MD Todos los temas se actualizan a medida que se disponga de nuevas pruebas y nuestro proceso de revisin se ha completado. Actual revisin de la literatura a travs de: . 03 2015 | En este tema se actualiz por ltima vez: 31 de julio2014.Respuesta fisiolgica a la hipoglucemia en sujetos normales y pacientes con diabetes mellitus Autor Philip E Cryer, MD Editor de la Seccin David M Nathan, MD Adjunto Editor Jean E Mulder, MD Todos los temas se actualizan a medida que se disponga de nuevas pruebas y nuestro proceso de revisin se ha completado. Actual revisin de la literatura a travs de: . 03 2015 | En este tema se actualiz por ltima vez: 31 de julio2014.Respuesta fisiolgica a la hipoglucemia en sujetos normales y pacientes con diabetes mellitus Autor Philip E Cryer, MD Editor de la Seccin David M Nathan, MD Adjunto Editor Jean E Mulder, MD Todos los temas se actualizan a medida que se disponga de nuevas pruebas y nuestro proceso de revisin se ha completado. Actual revisin de la literatura a travs de: . 03 2015 | En este tema se actualiz por ltima vez: 31 de julio2014.Fisiopatologa

Principios de Medicina Interna. Harrison Ed 2012

Fisiopatologa

Principios de Medicina Interna. Harrison Ed 2012Fenmeno de SomogyiTratado de Medicina de Urgencias. Manuel S.Maya/Pascual Piera/Miguel Marine. Ed 2011Diagnostico Hypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013.Sntomas y exploracin fsicaSntomas adrenrgicos Inician con adrenalina en cifras sricas de 69 + 2mg/dL, Noradrenalina 51 + 3 mg/dL, Glucagn 68 + 2 mg/dL Cortisol 58 + 3 mg/dL Hormona del crecimiento 66 + 2 mg/dL,

Glucemia de 53 + 3mg/dL, Diabticos glucemia de 78 mg/dL

Glucemia < 36 mg/100 mLSntomas por neuroglucopeniaGlucemia < 36 mg/100 mL

Insuficiencia cardiaca

Congestin heptica

Hypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013.Signos neurolgicos Cortical Somnolencia

Subcortical ChupeteoMuecas espasmos clnicos

Mesencfalo Desviacin ocular Bakinsky

Signos neurolgicos Promecencefalo Espasmo intenso reaccin cruzada

Mielencefalo Coma respiratorio centralBradicardia Miosis, hiporreflexia Hipotermia

Parocardiorespiratorio

Clasificacin clnica Hipoglucemia severa:No se documenta hipoglucemia

Hipoglucemia sintomtica documentadaGlucosa < 70 mg/dl + sntomas

Hipoglucemia asintomticaGlucosa < 70 mg/dl, asintomtico

Hipoglucemia sintomtica probable:Sntomas sin glucosa < 70 mg/dl

Pseudohipoglucemia: Sntomas con glucosa > 70 mg/dlHypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013.Estudios de laboratorioHypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013.Tratamiento Primera lnea 25 a 50 mL de dextrosa al 50% en 3 a 5 min IV. En nios 2 a 4 mL/kg de dextrosa al 25%. Management of hypoglycemia during treatment of diabetes mellitus Author Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: May 15, 2014.Segunda lnea Management of hypoglycemia during treatment of diabetes mellitus Author Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: May 15, 2014.Tercera lnea Management of hypoglycemia during treatment of diabetes mellitus Author Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: May 15, 2014.CRITERIOS DE INTERNAMIENTOMedicina de Urgencias, Judith E. Tintinalli Ed 2013 Gracias Bibliografia Hypoglycemia in adults: Clinical manifestations, definition, and causesAuthors F John Service, MD, PhD Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Apr 26, 2013.

Hypoglycemia in adults without diabetes mellitus: Diagnostic approach Author F John Service, MD, PhD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: Mar 17, 2014.

Management of hypoglycemia during treatment of diabetes mellitus Author Philip E Cryer, MD Section Editor Irl B Hirsch, MD Deputy Editor Jean E Mulder, MD All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Feb 2015. | This topic last updated: May 15, 2014.

Standards of Medical Care in Diabetes2014. Diabetes Care. 2014;376(Supplement 1):S5-S13Manual de Medicina de Urgenciass. Dr Alejandro Villatoro Mertinez, ed 2011

Respuesta fisiolgica a la hipoglucemia en sujetos normales y pacientes con diabetes mellitus Autor Philip E Cryer, MD Editor de la Seccin David M Nathan, MD Adjunto Editor Jean E Mulder, MD Todos los temas se actualizan a medida que se disponga de nuevas pruebas y nuestro proceso de revisin se ha completado. Actual revisin de la literatura a travs de: . 03 2015 | En este tema se actualiz por ltima vez: 31 de julio2014.