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TRATAMIENTO NO
FARMACOLOGICO DE LADIABETES MELLITUS 2
JOSE CARLOS ORDOSGOITIA MORA
ALBERTO ALVAREZ RAMOS
KELYS PATRICIA RIVERA PADILLAVIANH CARLOS ESPITIA MUÑOZ
CAROLINA BARRIOS USTA
ANDRES PENICHE MADERA
LUIS ELY NORIEGA
HUGO COGOLLO PEREZ
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Tratami!t" !" #arma$"%&'i$" (DM2
EL tratami!t" !" #arma$"%&'i$" ) ! *arti$+%ar %a r(+$$i&% "-,"
SIGUE SIENDO EL
TRATAMIENTO INTEGRAL DE CONTSIMULTANEMENTE LA M
DE LOS PROB
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ADEMAS CONTROLA.
LA HIPERGLUCEMIA
LA RESISTENCIA A LA INSULINA
LA HIPERTRIGLICERIDEMIA
Y LA HIPERTENSION ARTERIAL
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SE PUEDE LOGRUNA REDUCCIÓN
UN 5 A 10% DPESO
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EL TRATAMIENTO NOFARMACOL/GICO COMPRENDE
01P%a! ( a%im!ta$i&!
21Er$i$i" #3,i$"
41H5-it", ,a%+(a-%,
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PLAN DE ALIMENTACI/N
N" , *",i-% $"!tr"%ar %", ,i'!",6 ,3!t"ma,$"!,$+!$ia, ( %a !#rm(a( ,i! +!a a(a%im!ta$i&!
Es el pil!"#$&e$'l '!'&ie$'( e
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D- ,r *r,"!a%i7a(" ) a(a*%a, $"!(i$i"!, ( 8i(a (% *a$ C i$i*i#( e)e !e+i)i! i$s'!#++i($e
ie','i+s e +#e!( +($-1. E
2. Se/(
. Es'( &e')li+(
. Si'#+i$ )i(l3i+
5. A+'i*i "4si+
. E$"e!&ees i$'e!+#!!e$'es
6. 78)i'(s s(+i(+#l'#!les
9. Si'#+i$ e+($&i+(
:. Disp($i)ili e li&e$'(s
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DEBE SER FRACCIONADO
L(s li&e$'( se is'!i)#i!8$ e$ 5 p(
i!is1. DESAYUNO
2. MERIENDA
. ALMUERZO
. MERIENDA
5. CENA
. MERIENDA NOCTURNA (SOLO SI SE APLINSULINA POR LA NOCHE)
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8/17/2019 Tratamiento No Farmacologico de La Diabetes Mellitus 2
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SODIOLa r$"m!(a$i&! *ara %a *"-%a$i&!'!ra% , ( r(+$ir % SODIO a m!",( 214::m';(3a6 ,ta tam-i
Para i!(i8i(+", $"! (ia-t, ) "tra,$"m"r-i%i(a(, %a r(+$$i&! ( ,"(i" ,(- i!(i8i(+a%i7ar
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8/17/2019 Tratamiento No Farmacologico de La Diabetes Mellitus 2
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ALCOHOL
N( es !e+(&e$)le l i$3es'
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ALCO7OLL", a(+%t", =+ ($i(a! --r a%$">"%*ara %%", , a$"!,a-% >a$r%" $"!m"(ra$i&! ?0 --i(a *"r (3a *ara
m+r, a(+%ta, ) !" ma, ( 2 --i(a,*"r 2 *ara +! >"m-r a(+%t"@
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8/17/2019 Tratamiento No Farmacologico de La Diabetes Mellitus 2
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Ls i$"#si($es +(&
+",? ',? !(&8'i+@ &'e $( 'ie$e*l(! +l!ii$'!4$se+( @ p#ee+($s#&i!se
li)!e&e$'e
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L", +'", ti!! +! 8a%"r $a%&r$"!,i(ra-% ,+ $"!,+m" , (- t!r ! $+!ta *ara !"
r=+rimi!t", !+tri$i"!a%, (iari",1
La ,( i!(i$a '!ra%m!t (,>i(rata$i&! $+)a *r! +!a *r,"!a $"! (ia-t, , >i*r'%+$mia1 E! ,(- *r#rir % a'+a1
La, --i(a, !r'
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FIBRA
Die's +($ l'( +($'ee ;)! espe+il&es(l#)le 5034 &e(!+($s#&( 3l#+,&
!e#+e$
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ELABORACI/N
E% 8a%"r $a%&ri$" t"ta% ?VCT@ (*!(r5 (% !+tri$i"!a% ( %a *r,"!a ) ( ,+ a$ti8i(a( #
01 La *r,"!a $"! ,"-r*,"?IMC 2@ , ma(ita >i*"$a%&ri$a ?RECOMENDACION D@1 E%(- ,r !tr 0::: ) 0:: $a% (iaria,1
S (- ,+,tit+ir %a, >ari!a, *"r 8r(+
Limitar % $"!,+m" ( a$it 8'ta%
C9LCULO DEL VALOR CAL/RICO
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La *r,"!a $"! *," !"rma% ?IM!tr 0 ) 2@
(- r$i-ir +!a (ita !"rm"$a%&ri$a ( 2*"r ';(3a
Si !" ti! >i,t"ria ( (,!+tri$i&!6 %a *
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Pr"*"r$i&! ( %", !+tri!t p!('e4$s- 1 3!3 e pes( +(!p(!l p(! 4
C!)(+!J
G!ss- 0% el CT.
10% s'#!s- e (!i3e$ $i&l? l8+'e(s?
10% &($(i$s'#!s- +ei'e e (li*? 3#se+(s
10% p(li$s'#!(s- 3!s e pes+*e3e'les
F +(les'e!(l- 00 &3 4
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U," ( a%im!t", (it'iles ps#ple&e$'!is +($ "!#'s p(! s# &e$(! *l(!+($'e$i( e 3!ss s'#!s
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,+*%m!t", N( se !e+(&ie$ el s#ple&e$'( sis'e&8'i+( e $'i(
*i'&i$s E? C @ +!('e$(J e)i( l "l' e e*ie$
e;++i @ l p!e(+#p+i$ p(! s# se3#!i l!3( pl
N(
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7ipe!+(les'e!(le&i- R,tri!'ir % $"!,+m" ( 'ra,a, ( "ri'! a
I!$rm!tar % $"!,+m" ( *,$a("1
Uti%i7ar a$it, 8'ta%, ri$", ! 5$i(
m"!"i!,at+ra(", " *"%ii!,at+ra(",1 E8itar a%im!t", $"! a%t" $"!t!i(" (
?r$"m!(a$i&! A@1
MODIICACIONES EN PRESENCIADE COMORBILIDADES
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7ipe!'!i3li+e!ie&i- r$"m!(a$i"!,imi%ar, *ara *r,"!a, "-,a, !#"$a(a, r(+$$i&! ( *," ) %imitar % $"!,+m" $ar-">i(rat", r!a(", a+m!ta!(" %", ri$",
-ra ,"%+-% ) ,+*rimir % a%$">"% ?r$"m!(a$iA@1
7ipe!'e$s(s- r,tri!'ir %a i!',ta ( ,a% a
(iari",1 La m(i(a m5, ,!$i%%a , %a ( a'r'ar ,a% a %a, $"mi(a,6 ,+,tit+)
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I$s#;+ie$+i !e$l- (ita, $"! r,tri$$i*r"ti$a ( :14 a :1 ';' >a! (m",tra(" ,-!
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A $"rt" *%a7"6 $am-iar % >5-it" ,(!tam(ia!t $ami!ata, (iaria, a% ritm" (% *a$i?r$"m!(a$i&! D@1
A m(ia!" *%a7"6 %a #r$+!$ia m3!ima (-r5 tr, 8$, *"r ,ma!a ! (3a, a%tr!",6 $"! +(+ra$i&! m3!ima ( 4: mi!+t", $a(a 8?r$"m!(a$i&! C@1
A %ar'" *%a7"6 a+m!t" ! #r$+!$ia i!t!,i(a(6 $"!,r8a!(" %a, ta*a, $a%!tami!t"6 ma!t!imi!t" ) !#riami!t"1 r$"mi!(a % r$i$i" ar&-i$" ?$ami!ar6 tr"t!a(ar6 $i$%i,m"6 t$
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E, i!(i,*!,a-% =+ t"(a *r,"!a $"! (ia-t8it " ,+*rima % >5-it" ( #+m
?r$"m!(a$i&! D@1
E% ri,'" ( (,arr"%%ar $"m*%i$a$i"!ma$r"8a,$+%ar, a+m!ta ,i'!i$ati8am!t ) a+! ,+*ri"r a% ( %a >i*r'%+$mia1
7BITOS SALUDABLES