7/23/2019 Triptico Diabetes Mellitus

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UXML^O HVHL^O NH ELÅ@MRMR

RHLROQME@ NH@ @EAOQE^OQMO

NH AQODE^O@OIÄE HL @E FHR

SEQEIOSE NMQMIMNO E

BOLRXDMNOQHR,

@e mllovebmòl nh hr~h dxffml bolrmr~h hl

uxh hr nh geqmle ml~hiqe` nh ~qmio uxh bol$

~mhlh fmaqe le~xqe`, uxh e}xne e qhix`eq `or

lmvh`hr nh i`xbore hl reliqh, fqhre uxh hr

xle fqx~e uxh e{oq~e `e dhloq bel~mnen

hlhqií~mbe, lxhs uxh e}xne e qhnxbmq `e

qhrmr~hlbme e `e mlrx`mle } enhdår {orhh `e

vhl~ece nh bol~hlhq {oq {oqbmòl `e dhloq bel~mnen nh esóbeq nhamno e h` xro nh xl

hnx`boqel~h eq~mfmbme` Hl bolcxl~o h` dxffml

hr~å nmrhõeno {eqe bol~hlhq `e dhloq bel$

~mnen nh be`oqäer {oq {oqbmòl } `o dår md$

{oq~el~h, `e dhloq bel~mnen nh esóbeq Nh$

amno e ~oner `er beqeb~hqär~mber el~hr dhl$

bmolener hr mnhe` {eqe h` {ebmhl~h nmeaí~m$

bo

XLMVHQRMNEN LEBMOLE@

EX^ÒLODE NH DÍWMBO

FEBX@^EN NH HR^XNMOR

RX[HQMOQHR SEQEIOSE

H@EAOQENO HL3 @eaoqe~oqmo nh Aqode~o`oiäe Ae~e``e 8 nh

de}o r/l hru Fxhq~h nh @oqh~o Bo` Hcíqbm~o nh Oqmhl~h,

Ms~e{e`e{e, B[ ;=12; Díwmbo NF

ERHROQHR3

D hl B Väb~oq E Boqvhqe [m``eno

UFA Deqbh`e Ghqlålnhs Mreår

UE Cxel Beq`or Qocer Qxäs

H@EAOQENO [OQ3

IÒDHS AQEVO B@EXNME [E^QMBME

 CXÅ QHS IÒDHS @XS LE@@H@ ] 

DH@IOSE QELIH@ MVOLLH 

RÅLBGHS DOQE@HR NH@ME CESDÄL 

7/23/2019 Triptico Diabetes Mellitus

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@e Nmeah~hr dh``m~xr hr xle hlfhqdhnen uxh rh

beqeb~hqmse {oq ~hlhq e`~or lmvh`hr nh i`xbore hl `e

reliqh uxh `er bí`x`er nh` bxhq{o lo {xhnh x~m`mseq,

{oq uxh `e goqdole mlrx m̀le lo hr~å fxlbmolelno

enhbxenedhl~h @or räl~oder } e`~hqebmolhr dår

bodxlhr hl h` nmeaí~mbo rol3 exdhl~o nh `e rhlre$

bmòl nh rhn, exdhl~o nh` e{h~m~o, oqmleq bol dxbgefqhbxhlbme, belrelbmo, bol~qehq fqhbxhl~hdhl~h {e$

nhbmdmhl~or mlfhbbmoror, hl~qh o~qor

^M[OR NH NMEAH^HR

Rhiól h` oqmihl nh `e hlfhqdhnen, `e OqielmsebmòlDxlnme` nh `e Re`xn 'ODR- eiqx{e `e nmeah~hr hl 8~m{or3

5, Nmeah~hr dh``m~xr nh{hlnmhl~h nh mlrx`mle o ~m{o M,

1, Nmeah~hr dh``m~xr lo nh{hlnmhl~h nh mlrx`mle o~m{o MM

2, Nmeah~hr dh``m~xr qh`ebmolene bol de` lx~qmbmòl, 

>, Nmeah~hr erobmene bol o~qer rm~xebmolhr o rälnoq$

dhr

8, Nmeah~hr dh``m~xr ihr~ebmole`,

@or ~m{or dår fqhbxhl~hr nh nmeah~hr hr h` ~m{o M } MM,

@e nmeah~hr ~m{o M o mlrx`mlo$nh{hlnmhl~h hr `e dår fqh$

bxhl~h hl lmõor eno`hrbhl~hr } rh qh`ebmole bol feb~oqhr

ghqhnm~eqmor 'fedm`meqhr o {enqhr nmeaí~mbor- E{eqhbh nham$

no e xl nhfhb~o nh `er bí`x`er {elbqhå~mber uxh `hr md{mnh

`e enhbxene {qonxbbmòl nh mlrx`mle, {oq `o ~el~o lhbhrm~el

ml}hbbmolhr nmeqmer nh hr~e goqdole

@e nmeah~hr ~m{o MM o lo nh{hlnmhl~h nh mlrx`mle hr ̀ e foqde

dår fqhbxhl~h nh nmeah~hr uxh e{eqhbh hl `e hnen enx`~e }

rx oqmihl lo rh bolobh bol hweb~m~xn [xhnh rhq {qovobe$ne {oq feb~oqhr ghqhnm~eqmor, oahrmnen, {oq ~hlrmòl } hdo$

bmolhr fxhq~hr , h~b

Nmeah~hr dh``m~xr [`el lx~qmbmole`

@e {eq~h fxlnedhl~e` nh` ~qe~edmhl~o nh `e nmeah~hr

hr `e e`mdhl~ebmòl, {xhr nh e``ä {qovmhlh `e hlhqiäe

uxh x~m`mse rx oqielmrdo

[eqe bolrxdmq `e bel~mnen enhbxene } h` ~m{o nh

e`mdhl~or e{qo{menor hr nh iqel x~m`mnen e{qhlnhq e

bodhq } {eqe h``o hr lhbhreqmo bolobhq `e bod{orm$bmòl nh `or e`mdhl~or {eqe gebhq xle axhle h`hb$

bmòl,

Lxhr~qo oqielmrdo oa~mhlh i`xbore nh `or nmfhqhl~hr

~m{or nh e`mdhl~or Rh qhbodmhlne mlbqhdhl~eq h`

bolrxdo nh beqaogmnqe~or bod{`hcor roaqh `or rmd$

{`hr 'lo hwbhnmhlno h` 8;( nh `e mlihr~e nmeqme-,

exdhl~eq h` bolrxdo nh vhih~e`hr, fqx~er, iqelor

hl~hqor } {oqbmolhr {huxhõer nh oqmihl elmde` o nh

aeco bol~hlmno iqero, bodo beqlhr } {qonxb~or

`åb~hor bol aeco bol~hlmno nh iqere Hr~h ~m{o nh

nmh~e hr {oq le~xqe`hse qmbe hl lx~qmhl~hr } aece hl

iqerer } be`oqäer, uxh e}xne e bol~qo`eq nh delhqe

md{oq~el~h `e bel~mnen nh i`xbore hl reliqh uxh hl

bolcxl~o bol `e oqmhl~ebmòl, hchqbmbmo } `e qhe`msebmòl

{hqmònmbe nh {qxhaer nh `eaoqe~oqmo foqdel {eq~h nh`

~qe~edmhl~o ml~hiqe` nh` {ebmhl~h {eqe dhcoqeq `e

be`mnen nh vmne

@e {oa`ebmòl e uxmhl ve nmqmimno hr~h {qonxb~o hr e

{hqroler bol nmeah~hr dh`̀ m~xr ~m{o MM uxh nhrhel

bolrxdmq {el nx`bh rml uxh e`~hqh rxr lmvh`hr nh i`x$

bore hl reliqh Bol~mhlh mliqhnmhl~hr uxh {qo{oqbmo$lel lx~qmhl~hr lhbhreqmor {eqe eaer~hbhq ̀ e fxlbmolhr

nh` oqielmrdo, bxmnelno hl ~ono dodhl~o {qovhhq `e

dhloq bel~mnen nh esóbeq } bol~hlmno hlhqií~mbo {oq 

{oqbmòl

H` dxffml bol~mhlh3

Beqaogmnqe~or3 Rh hlbxhl~qe {qmlbm{e`dhl~h hl

h` hnx`boqel~h rxbqe`ore, uxh {orhh ̀ e {eq~mbx$

`eqmnen nh lo {qo{oqbmoleq be`oqäer } ~hlhq 6;;

vhbhr dår {onhq hlnx`sel~h uxh `e rebeqore

^edamíl rh hd{`hò dhqdh`ene nh fqhre rmlesóbeq eõenmne, hr~o uxmhqh nhbmq uxh rh rxr~m$

~x}ò h` esóbeq bolvhlbmole` hl rx {qh{eqebmòl }

rh rxr~m~x}ò {oq hnx`boqel~hr eq~mfmbme`hr ofqh$

bmhlno nh hr~e delhqe dhloq bel~mnen nh esó$

beq hl `e dhqdh`ene

[qo~häler3 Rh hlbxhl~qe {qmlbm{e`dhl~h hl ̀ e

`hbgh `mig~ , hl `e deqieqmle `mig~ } hl h` gxhvo

hd{`henor

@ä{mnor3 Rh hlbxhl~qel {qmlbm{e`dhl~h hl ̀ e

`hbgh `mig~ } hl `e deqieqmle ̀ mig~ xrener, ~ed$amíl hl `e lxhs uxh rh beqeb~hqmse {oq {orhhq 

ebhm~hr vhih~e`hr {o`mmlre~xqenor

Fmaqe3 Rh hlbxhl~qe {qmlbm{e`dhl~h hl ̀ e geqmle

nh ~qmio ml~hiqe` xrene, uxh hr `e aerh fxlne$

dhl~e` nh` dxffml

 Enhdår nh `or mliqhnmhl~hr el~hr dhlbmolenor ~ed$

amíl rh hd{`heqol {eqe rx qhe`msebmòl {o`vo {eqe goq$

lheq, re` } vemlm``e uxh rol enm~mvor uxh e}xneq e neq 

bolrmr~hlbme } o`oq e` dxffml

Dxffmlr nh fqhre {eqe

nmeaí~mbor