{"id":9689,"date":"2019-08-23T13:56:37","date_gmt":"2019-08-23T18:56:37","guid":{"rendered":"http:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/?p=9689"},"modified":"2025-09-26T17:48:24","modified_gmt":"2025-09-26T23:48:24","slug":"diabetes-tipo-2","status":"publish","type":"post","link":"https:\/\/massalud.facmed.unam.mx\/index.php\/diabetes-tipo-2\/","title":{"rendered":"Diabetes Tipo 2"},"content":{"rendered":"

[et_pb_section fb_built=\u00bb1″ _builder_version=\u00bb3.24″ custom_padding=\u00bb44px|||||\u00bb][et_pb_row _builder_version=\u00bb3.24″ custom_padding=\u00bb||0px|||\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb3.24″][et_pb_image src=\u00bbhttp:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/wp-content\/uploads\/2019\/08\/DiabetesTipo2_Mesa-de-trabajo-1.jpg\u00bb _builder_version=\u00bb3.24″ custom_margin=\u00bb-51px|||||\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb3.24″]<\/p>\n

 <\/p>\n

La diabetes tipo 2<\/strong>, o tambi\u00e9n conocida como \u00abNo insulinodependiente\u00bb, es la m\u00e1s frecuente en adultos mayores, pero tambi\u00e9n es un hecho que cada vez se observa m\u00e1s en ni\u00f1os, adolescentes y adultos j\u00f3venes por el incremento en los niveles de obesidad, sedentarismo y una dieta inadecuada. Este tipo representa del 90 al 95% de todos los casos de diabetes.<\/p>\n

 <\/p>\n

\u00bfC\u00f3mo se desarrolla?<\/strong><\/p>\n

La insulina es una hormona producida por el p\u00e1ncreas que regula el nivel de az\u00facar o glucosa en la sangre.<\/p>\n

La Diabetes se trata de una grave enfermedad cr\u00f3nica que se desencadena cuando el p\u00e1ncreas presenta deficiencia en la producci\u00f3n de esta hormona o no puede utilizar con eficacia la insulina que produce.<\/p>\n

Son diversos los factores que influyen el desarrollo de esta enfermedad, como la herencia polig\u00e9nica (o intervenci\u00f3n de varios genes).\u00a0Del 80 al 90% de las personas tienen c\u00e9lulas beta sanas con capacidad de adaptarse a altas demandas de insulina (como en la obesidad, el embarazo y en casos de estr\u00e9s) mediante el incremento en su funci\u00f3n secretora y en la masa celular. Sin embargo el 10 al 20% de las personas se presenta una deficiencia de las c\u00e9lulas beta en adaptarse, lo cual produce un agotamiento celular, con reducci\u00f3n en la liberaci\u00f3n y almacenamiento de insulina.<\/p>\n

\u00a0Se asocia con una falta de adaptaci\u00f3n al incremento en la demanda de insulina y a una p\u00e9rdida de la masa celular por glucotoxicidad, es decir, las altas cantidades de az\u00facar se vuelven t\u00f3xicas para las c\u00e9lulas.<\/span><\/p>\n

Los principales factores de riesgo son, la presencia de diabetes tipo 2 en familiares de primer grado, padecer hipertensi\u00f3n arterial, sedentarismo, \u00edndice de masa corporal superior a 25, una circunferencia de cintura de mas de 102 cm en hombres y 88 cm en mujeres.<\/p>\n

Esta enfermedad aumenta el riesgo de presentar cardiopat\u00edas, accidente vascular cerebral, neuropat\u00edas que se combinan con la reducci\u00f3n de los flujos sangu\u00edneos, generando mayor probabilidad de padecer \u00falceras en los pies y la amputaci\u00f3n de las extremidades inferiores en sus \u00faltimas instancias, retinopat\u00eda diab\u00e9tica que ocasiona deterioro, disminuci\u00f3n visual y ceguera, e insuficiencia renal.<\/p>\n

Los s\u00edntomas son polidipsia o sed excesiva, poliuria o necesidad excesiva de orinar, polifagia o sensaci\u00f3n excesiva de hambre, p\u00e9rdida de peso, infecciones urinarias, vaginales o dentales de repetici\u00f3n. Otros signos son dolores en miembros inferiores, mareo, disminuci\u00f3n de la agudeza visual y dolor precordial.<\/p>\n

Los est\u00e1ndares se\u00f1alan un nivel ideal de glucosa pl\u00e1smatica no superior a 126 mg\/dL en ayuno.<\/p>\n

Para su prevenci\u00f3n es importante modificar el estilo de vida a uno m\u00e1s sano que incluya dieta baja en calor\u00edas, az\u00facares, grasas saturadas y que sea alta en fibra, realizar actividad f\u00edsica durante 30 minutos al d\u00eda de intensidad moderada 5 veces a la semana, mantener un peso equilibrado y evitar el consumo de alcohol, tabaco o de otras sustancias nocivas.<\/p>\n

 <\/p>\n

Con informaci\u00f3n de Cristian Joshua Hern\u00e1ndez Gonz\u00e1lez, M\u00e9dico Pasante de Servicio Social de la Facultad de Medicina, UNAM. <\/strong><\/p>\n

 <\/p>\n

Fuentes:<\/strong><\/p>\n

http:\/\/www.imss.gob.mx\/sites\/all\/statics\/guiasclinicas\/718GER.pdf<\/a><\/strong><\/p>\n

http:\/\/www.cenetec.salud.gob.mx\/descargas\/gpc\/CatalogoMaestro\/718_GPC_Tratamiento_de_diabetes_mellitus_tipo_2_\/718GER.pdf<\/a><\/strong><\/p>\n

http:\/\/fmdiabetes.org\/wp-content\/uploads\/2019\/01\/ada-2019.pdf<\/a><\/strong><\/p>\n

https:\/\/apps.who.int\/medicinedocs\/documents\/s18852es\/s18852es.pdf<\/a><\/strong><\/p>\n

 <\/p>\n

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