Control de la glucemia

El control de los niveles de glucosa en sangre es fundamental para tratar de evitar, minimizar y/o retrasar las complicaciones que pueden provocar de forma aguda pérdida de consciencia y de forma crónica daño, en los ojos, los riñones, los pies y el corazón.

Objetivos de control

Hemoglobina glicosilada

La hemoglobina glicosilada es un parámetro que nos ofrece información de cómo ha sido su nivel medio de glucosa en la sangre en los últimos 2-3 meses.

Normalmente la hemoglobina glicosilada se realiza mediante una extracción de sangre venosa aunque también existen dispositivos que muestran el valor de hemoglobina glicosilada mediante sangre capilar.

Mantener la hemoglobina glicosilada en valores normales reduce significativamente la posibilidad de desarrollar complicaciones crónicas.
 

  El valor ideal de hemoglobina glicosilada en adultos con diabetes debe mantenerse por debajo o alrededor de 7%*

 

 

Glucemias capilares

El control de la glucemia capilar constituye una parte fundamental del tratamiento de la diabetes. Mediante la glucemia capilar podemos obtener información puntual del valor de glucosa en sangre.

El control de glucemia capilar se realiza mediante unos dispositivos electrónicos que analizan la sangre capilar depositada en una tira de medición de glucemia.

 

 

Los datos aportados por la glucemia capilar permiten al paciente y al equipo sanitario conocer el grado de control de la diabetes y tomar decisiones sobre las comidas, actividad física y medicación.

 

 

Los rangos de glucemia ideales para una persona con diabetes son los siguientes:

 

 

  * Los objetivos de control pueden cambiar en función de la edad u otros problemas asociados. Consulte con su equipo médico asistencial cuáles son sus objetivos sus objetivos de hemoglobina glicosilada y glucemia capilar.

Consejos para una correcta realización de las glucemias capilares:

- Lavarse las manos con agua templada.
- Elegir la zona del dedo, preferentemente lateral.
- Mantener la mano hacia abajo y masajear la yema del dedo.
- Puncionar la zona elegida. Desechar la primera gota con un algodón seco.
- Extraer una nueva gota y poner la sangre en la tira reactiva hasta el llenado completo.

Autogestión


Los valores de glucemia capilar aportan una información de gran utilidad al equipo médico (necesaria para ajustar el tratamiento) y también al paciente (permite conocer el grado de control y ayuda a tomar decisiones). En la diabetes es muy importante la interacción del paciente para el control de su enfermedad.

El control de glucemia se debe realizar en diferentes momentos del día y en diferentes situaciones (actividad física, estrés, enfermedad…) tanto para conocer el grado de control de su diabetes como para tomar decisiones.

Los momentos del día en los cuales resulta de utilidad conocer el valor de glucemia capilar son los siguientes:
 


Existen una serie de situaciones en las cuales también es necesario realizar un control de glucemia:
 


 

El número de controles que debe realizar depende de:

- El tipo de diabetes.
- El tipo de tratamiento de la diabetes.
- El grado de control necesario de la enfermedad.
- Situaciones especiales como:
    - Periodos de estrés, enfermedad o cirugía.
    - Periodos de inestabilidad glucémica.
    - Cambios en el tratamiento de la diabetes.
    - Otros tratamientos.
    - Embarazo.
    - Sospecha de bajo nivel de glucosa en la sangre.


La forma más eficaz de gestionar las glucemias capilares es realizarlas de forma estructurada y tratando de obtener información de diferentes situaciones y momentos del día. La mejor herramienta para conseguirlo es a través del análisis estructurado.

El análisis estructurado debe realizarse teniendo en cuenta el número de controles que le haya recomendado su equipo médico asistencial.  

Ejemplo de análisis estructurado de glucemia capilar

Si le recomendaron realizar 4 controles al día podría repartirlos de la siguiente manera:

 

Si le recomendaron realizar 2 controles al día podría repartirlos de la siguiente manera:

 

Conéctate

FreeStyle, FreeStyle Libre y las marcas relacionadas son marcas comerciales de Abbott Diabetes Care Inc. en varios países. Otras marcas comerciales son propiedad de sus respectivos dueños. No se puede hacer uso de ninguna marca comercial, nombre comercial o imágenes comerciales de Abbott de este sitio sin la previa autorización por escrito de Abbott Laboratories, excepto para identificar el producto o los servicios de la compañía. Las imágenes de producto se utilizan únicamente con fines ilustrativos.

ADC-10440 V1 12/18

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