Falla autonómica asociada a hipoglucemia

Autores/as

  • Solange Leda Houssay Hospital José María Ramos Mejía, Ciudad Autónoma de Buenos Aires, Argentina
  • Maricel Recalde Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
  • Marcela Giménez Rey Comité de Neuropatía Diabética de la Sociedad Argentina de Diabetes (SAD), Ciudad Autónoma de Buenos Aires, Argentina
  • Concepción García Hospital Carlos G. Durand, Ciudad Autónoma de Buenos Aires, Argentina
  • Raquel Urdaneta Hospital Carlos G. Durand, Ciudad Autónoma de Buenos Aires, Argentina
  • Fernanda Huber Sociedad Argentina de Diabetes (SAD), Ciudad Autónoma de Buenos Aires, Argentina
  • Claudia Flores Hospital Interzonal Dr. José Penna, Bahía Blanca, Provincia de Buenos Aires, Argentina
  • Carolina Domínguez Sanatorio Franchín, Ciudad Autónoma de Buenos Aires, Argentina
  • Emilio Nader Hospital "Zenón J Santillán", San Miguel de Tucumán, Argentina

DOI:

https://doi.org/10.47196/diab.v55i2.473

Palabras clave:

hipoglucemia inadvertida, falla autonómica asociada a la hipoglucemia, hipoglucemia severa, diagnóstico, tratamiento

Resumen

La hipoglucemia inadvertida (HI) es una complicación del tratamiento de la diabetes mellitus tipo 1 (DM1) y DM2 tratada con insulina o sulfonilureas, que se caracteriza por una capacidad reducida para percibir el inicio de los episodios de hipoglucemia. En general, coexiste con una insuficiente respuesta hormonal contrarreguladora a la hipoglucemia denominada falla autonómica asociada a la hipoglucemia (FAAH). El desarrollo de HI y de falla contrarreguladora a la hipoglucemia aumentan significativamente el riesgo de hipoglucemias severas. Se han desarrollado escalas de puntuación para identificar, en la consulta clínica, a este grupo de personas con elevado riesgo de hipoglucemias severas. La piedra angular del tratamiento consiste en evitar las hipoglucemias mediante una intervención multifactorial de cuidados clínicos y educación estructurada.

Biografía del autor/a

Solange Leda Houssay, Hospital José María Ramos Mejía, Ciudad Autónoma de Buenos Aires, Argentina

Médica de Planta; Coordinadora del Comité de Neuropatía Diabética

Maricel Recalde, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina

Médica de Planta; Secretaria del Comité de Neuropatía Diabética

Marcela Giménez Rey, Comité de Neuropatía Diabética de la Sociedad Argentina de Diabetes (SAD), Ciudad Autónoma de Buenos Aires, Argentina

Médica especialista en Nutrición; Miembro del Comité de Neuropatía Diabética

Concepción García, Hospital Carlos G. Durand, Ciudad Autónoma de Buenos Aires, Argentina

Médica de Planta; Miembro del Comité de Neuropatía Diabética

Raquel Urdaneta, Hospital Carlos G. Durand, Ciudad Autónoma de Buenos Aires, Argentina

Médica de Planta; Miembro del Comité de Neuropatía Diabética

Fernanda Huber, Sociedad Argentina de Diabetes (SAD), Ciudad Autónoma de Buenos Aires, Argentina

Médica especialista en Medicina Interna, Miembro del Comité de Neuropatía Diabética

Claudia Flores, Hospital Interzonal Dr. José Penna, Bahía Blanca, Provincia de Buenos Aires, Argentina

Médica de Planta; Miembro del Comité de Neuropatía Diabética

Carolina Domínguez, Sanatorio Franchín, Ciudad Autónoma de Buenos Aires, Argentina

Médica especialista en Nutrición; Miembro del Comité de Neuropatía Diabética

Emilio Nader, Hospital "Zenón J Santillán", San Miguel de Tucumán, Argentina

Médico endocrinólogo; Médico de Planta; Miembro del Comité de Neuropatía Diabética

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Publicado

02-08-2021

Cómo citar

Houssay, S. L., Recalde, M., Giménez Rey, M., García, C., Urdaneta, R., Huber, F., Flores, C., Domínguez, C., & Nader, E. (2021). Falla autonómica asociada a hipoglucemia. Revista De La Sociedad Argentina De Diabetes, 55(2), 37–51. https://doi.org/10.47196/diab.v55i2.473

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