Insulinización en adultos mayores con diabetes mellitus tipo 2
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Publicado:
Oct 5, 2023
Palabras clave:
Diabetes mellitus tipo 2, glucemia, insulina, resistencia a la insulina, complicaciones, adultos mayores.
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Resumen
Introducción. La insulinización es un tratamiento destinado a pacientes con diabetes mellitus (DM). En especial, en edades tempranas y a pacientes con DM tipo 1. Sin embargo, su uso también se ha probado en pacientes con DM tipo 2, en cualquier grupo etario incluyendo adultos mayores. Objetivo. Detallar la insulinización en adultos mayores con diabetes mellitus tipo 2. Metodología. Se realizó una revisión bibliográfica tipo narrativa basada en el uso de artículos científicos como fuentes bibliográficas. La búsqueda de dichos artículos se realizó en plataformas digitales y bases de datos exclusivamente de áreas de salud: Springer, Elsevier, Pubmed Central, entre otros. Para perfeccionar las búsquedas, se utilizaron palabras clave a modo de descriptores, tanto en idioma inglés como español. Para mejorar los resultados, se apoyó la búsqueda con operadores booleanos como AND Y OR. Se utilizó el modelo PRISMA para el cribado de los artículos. Resultados. De un total de 80 artículos revisados, 15 cumplieron con los requisitos de la presente revisión. Las indicaciones para iniciar la insulinización en adultos mayores es el fracaso a tratamientos con antidiabéticos orales, enfermedades cardiovasculares con falta de control, enfermedad renal o hepática crónicas, y en aquellos pacientes hospitalizados bajo vigilancia médica. Conclusión. Las ventajas de la insulinización tienen que ver con la facilidad de autoadministración, incluso en edades avanzadas. Las complicaciones más importantes son hipoglucemia, aumento de peso y en menor porcentaje hematomas locales. Área de estudio general: medicina. Área de estudio específica: medicina general.
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Sanjines Herrera, K. R., & Chunchi Ayala, L. M. (2023). Insulinización en adultos mayores con diabetes mellitus tipo 2. ConcienciaDigital, 6(4), 33-65. https://doi.org/10.33262/concienciadigital.v6i4.2696
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Artículos
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