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dc.contributor.advisorCórdova Soria, Luis Miguel
dc.contributor.authorGuiracocha Paredes, María Dolores
dc.date.accessioned2020-10-19T17:41:59Z
dc.date.available2020-10-19T17:41:59Z
dc.date.issued2020
dc.identifier.urihttp://dspace.utb.edu.ec/handle/49000/8889
dc.descriptionThe present clinical case is based on a 62-year-old female patient. This patient was diagnosed with type 2 diabetes mellitus 12 years ago and arterial hypertension 5 months ago, Her blood pressure is 135 / 90mm / Hg, in which the current endocrinologist requested a dietary assessment for which she was referred to the nutritionist for her intervention. According to the nutritional evaluation that was carried out, the patient is normal according to the body mass index (BMI), on the other hand, biochemical tests and her high fasting glycemia, normal HDL, high LDL were also performed. It is important to take into account that diabetes can cause damage to the heart, blood vessels, eyes, kidneys and nerves, as well as increase the risk of heart disease and stroke. This damage can cause blood flow to decrease, which, added to damage to the nerves (neuropathy) in the feet, increases the risk of ulcers and infections in the feet and that sooner or later the limb will have to be amputated. Diabetic retinopathy is a major cause of blindness and the result of long-term and cumulative damage to the small vessels of the retina. The dietary treatment that the patient underwent according to her presenting pathology is the DASH (Dietary Approach Stop Hypertension) model, a dietary pattern that, according to studies carried out, is ranked as one of the main ones in helping with the treatment of hypertension and diabetes, the patient will begin to notice changes in her health.es_ES
dc.descriptionThe present clinical case is based on a 62-year-old female patient. This patient was diagnosed with type 2 diabetes mellitus 12 years ago and arterial hypertension 5 months ago, Her blood pressure is 135 / 90mm / Hg, in which the current endocrinologist requested a dietary assessment for which she was referred to the nutritionist for her intervention. According to the nutritional evaluation that was carried out, the patient is normal according to the body mass index (BMI), on the other hand, biochemical tests and her high fasting glycemia, normal HDL, high LDL were also performed. It is important to take into account that diabetes can cause damage to the heart, blood vessels, eyes, kidneys and nerves, as well as increase the risk of heart disease and stroke. This damage can cause blood flow to decrease, which, added to damage to the nerves (neuropathy) in the feet, increases the risk of ulcers and infections in the feet and that sooner or later the limb will have to be amputated. Diabetic retinopathy is a major cause of blindness and the result of long-term and cumulative damage to the small vessels of the retina. The dietary treatment that the patient underwent according to her presenting pathology is the DASH (Dietary Approach Stop Hypertension) model, a dietary pattern that, according to studies carried out, is ranked as one of the main ones in helping with the treatment of hypertension and diabetes, the patient will begin to notice changes in her health.es_ES
dc.description.abstractEl presente caso clínico está basado en una paciente de sexo femenino de 62 años de edad. Esta paciente fue diagnosticada con diabetes mellitus tipo 2, hace 12 años e hipertensión arterial hace 5 meses, Su presión arterial está en 135/90mm/Hg, en la cual el endocrinólogo actual le solicitó valoración dietética por lo fue remitida a la nutricionista para su intervención. De acuerdo a la evaluación nutricional que se le realizó a la paciente se encuentra normal de acuerdo al índice de masa corporal (IMC) por otra parte, también se practicaron exámenes bioquímicos y su glicemia en ayunas alta, HDL normal, LDL alto. Es importante tener en cuenta, que la diabetes puede causar daño al corazón, los vasos sanguíneos, los ojos, los riñones y los nervios, así como aumentar el riesgo de cardiopatía y accidentes cerebrovasculares. Este daño puede hacer que el flujo sanguíneo disminuya, lo cual, sumado a la lesión de los nervios (neuropatía) de los pies, aumenta el riesgo de que se produzcan úlceras e infecciones en ellos y de que tarde o temprano haya que amputar el miembro. La retinopatía diabética es una causa importante de ceguera y el resultado de un daño prolongado y acumulativo a los pequeños vasos de la retina. (OMS, 2016). El tratamiento dietético que fue intervenido a la paciente según su patología que presenta, es el modelo DASH (Dietary Approach Stop Hypertension), un patrón dietético que de acuerdo a estudios realizados se lo ubica como uno de los principales en ayudar con el tratamiento de la hipertensión arterial y diabetes, la paciente comenzará a notar cambios en su estado de salud.es_ES
dc.format.extent35 p.es_ES
dc.language.isoeses_ES
dc.publisherBabahoyo: UTB-FCS, 2020es_ES
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Ecuador*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/ec/*
dc.subjectPresión arteriales_ES
dc.subjectDiabetes mellitus tipo 2es_ES
dc.subjectValoración antropométricaes_ES
dc.subjectComplicaciones de la diabeteses_ES
dc.subjectTratamiento dietéticoes_ES
dc.titlePaciente femenino de 62 años de edad con diabetes mellitus tipo 2 e hipertensión.es_ES
dc.typebachelorThesises_ES


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