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Programa de Educao Mdica Continuada em Diabetes

Programa de Educao Continuada

5
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco
preveno das complicaes crnicas

Bases para insulinizao plena no


paciente com Diabetes Mellitus

Dr. Balduino Tschiedel


CRM-RS 7.953
Esta uma publicao Direo executiva e comercial: Silvio Araujo | Andr Araujo
Coordenao editorial: Roberta Monteiro
Contatos: acfarmaceutica@grupogen.com.br | www.acfarmaceutica.com.br
So Paulo (11) 5641-1870 | Rio de Janeiro (21) 3543-0770

proibida a duplicao ou reproduo deste volume, no todo ou em parte, sob quaisquer formas ou por quaisquer meios
(eletrnicos, mecnico, gravao, fotocpia, distribuio na internet e outros), sem permisso expressa da editora.

Todo o desenvolvimento, fotos e imagens utilizadas nesta publicao so de responsabilidade dos seus autores, no refletindo
necessariamente a posio da editora nem do laboratrio Sanofi Aventis, que apenas patrocina sua distribuio classe mdica.

Esta publicao contm publicidade de medicamentos sujeitos a prescrio, sendo destinada exclusivamente a profissionais
habilitados a prescrever, nos termos da Resoluo RDC Anvisa n 96/08.

2011 AC Farmacutica LTDA. Todos os direitos reservados.


Programa de Educao Mdica Continuada em Diabetes

5
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco
preveno das complicaes crnicas

Dr. Balduino Tschiedel


CRM-RS 7.953

t .EJDP FOEPDSJOPMPHJTUB  %JSFUPS1SFTJEFOUF EP


*OTUJUVUP EB $SJBOB DPN %JBCFUFT  (SVQP )PTQJUBMBS
$PODFJP 1PSUP"MFHSF 34
t .FTUSF FN (FOUJDB QFMB 6OJWFSTJEBEF 'FEFSBM EP
3JP(SBOEFEP4VM

O Programa de Educao Continuada em Diabetes Mellitus na Clnica Diria: do controle dos fatores de risco preveno
das complicaes crnicas, uma publicao cadastrada na Comisso Nacional de Acreditao (CNA), sob o nmero
23062 nas especialidades de Endocrinologia, Clnica Geral e Cardiologia, pontuadas com 7,5 pontos. Os mdicos que
acertarem 70% ou mais nos testes apresentados, somando-se todos os fascculos, estaro aptos a receber os crditos
anunciados. Aps o estudo do contedo deste fascculo, voc dever realizar a avaliao de desempenho online disponvel
no site www.acfarmaceutica.com.br.
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

Bases para insulinizao plena no paciente com Diabetes Mellitus

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4
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

Bases para insulinizao Dr. Balduino Tschiedel


CRM-RS 7.953

plena no paciente com t .EJDP FOEPDSJOPMP-


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5
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

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QFMBHMJDFNJBEFKFKVN

6
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

Esquemas de insulinizao no diabetes mellitus


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Insulinas basais disponveis: discutindo os diferentes agentes


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7
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

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F Q 
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MJOB CJGTJDB /FTTFT &NSFDFOUFDPNQBSBPEPVTPEFJOTVMJOBHMBSHJOBDPNJOTVMJOBEFUFNJS VTBOEP
DBTPT TFSJBNBJTBQSP- VN SFHJNF basal-bolus FN  QBDJFOUFT DPN %.  GPJ FODPOUSBEP RVF BNCBT
QSJBEPTVTQFOEFSFNTF BT JOTVMJOBT  EFUFNJS F HMBSHJOB  GPSBN FDB[FT F TFHVSBT  PDPSSFOEP SFEVFT
PT TFDSFUBHPHPT PSBJT DMJOJDBNFOUFTJHOJDBUJWBTEB"DFNBNCPTPTHSVQPT NBTVNONFSPNBJPSEF
EF JOTVMJOB  NBOUFOEP QBDJFOUFTBUJOHJV"DTFNIJQPHMJDFNJBDPNBJOTVMJOBHMBSHJOB vs

TFBNFUGPSNJOB &N PVUSP FTUVEP   QBDJFOUFT DPN DPOUSPMF JOBEFRVBEP EP %. VUJMJ[BOEP
BQFOBTESPHBTPSBJT JODMVJOEPNFUGPSNJOB GPSBNSBOEPNJ[BEPTQBSBJOTVMJOBHMBSHJOB
6N FTRVFNB JOUFSFT- VNBWF[BPEJBPVJOTVMJOBEFUFNJSEVBTWF[FTBPEJB DPNEPTFTTJTUFNBUJDBNFOUF
TBOUFFQSUJDPJOJDJBS UJUVMBEBT&N EPTQBDJFOUFTDPNJOTVMJOBHMBSHJOBFFN EPTDPNJOTVMJOB
DPN JOTVMJOB EF BP EFUFNJS OWFJTEF"DGPSBNBUJOHJEPT QPSNBTEPTFTEFJOTVMJOBVUJMJ[BEBT
VMUSBSSQJEB BQFOBT OB GPSBN NFOPSFT DPN JOTVMJOB HMBSHJOB EP RVF DPN B JOTVMJOB EFUFNJS    vs
SFGFJP QSJODJQBM  F   6EJB Q 

DPOUJOVBSDPNBJOTVMJ-
OBCBTBMFNFUGPSNJOB Benefcio da insulina ultrarrpida versus regular
&N SFWJTP TJTUFNUJDB EB $PDISBOF  QVCMJDBEB FN   JOTFSJOEP P UFSNP
iBOMPHPTEFJOTVMJOBw QPTTWFMEFUFDUBSWSJPTFTUVEPTDPNQBSBOEPPUSBUBNFOUP
JOUFOTJWP DPN P VTP EF JOTVMJOB /1) F SFHVMBS PV BOMPHPT EF BP VMUSBSSQJEB
F QSPMPOHBEB F B PDPSSODJB EF IJQPHMJDFNJB UBOUP FN QBDJFOUFT DPN %. PV
%. "QFTBS EB IFUFSPHFOFJEBEF ONFSP EF QBSUJDJQBOUFT  UFNQP EF EVSBP EP
BDPNQBOIBNFOUP F DSJUSJPT EF EFOJP EF IJQPHMJDFNJB  NHEM PV  NH
EM  Q 
 FOUSF PT FTUVEPT DPN QBDJFOUFT DPN %.  B EJGFSFOB NEJB EPT
FWFOUPT IJQPHMJDNJDPT UPUBJT GPJ EF   FQJTEJPTQBDJFOUFNT *$    B
 
 B IFUFSPHFOFJEBEF FOUSF PT FTUVEPT OP TJHOJDBUJWB Q 
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EPT FQJTEJPT EF IJQPHMJDFNJB HSBWF GPJ EF  B   NFEJBOB  
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DPNQBSPV P VTP EB JOTVMJOB /1) BP EFJUBS BTTPDJBEB  JOTVMJOB SFHVMBS BOUFT EBT
SFGFJFT DPN /1) F MJTQSP OPT NFTNPT IPSSJPT  P VTP EP BOMPHP VMUSBSSQJEP
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EFNPOTUSBEP RVF BNCBT TP JHVBMNFOUF FDB[FT OP DPOUSPMF EBT FYDVSTFT
HMJDNJDBTQTQSBOEJBJT"BENJOJTUSBPEPTBOMPHPTVMUSBSSQJEPT MJTQSP BTQBSUF


Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

F HMVMJTJOB
 BU  NJOVUPT BQT B SFGFJP  UP PV NBJT FDB[ OP DPOUSPMF EB
IJQFSHMJDFNJB QTQSBOEJBM RVF B BQMJDBP EF JOTVMJOB SFHVMBS BOUFT EBT SFGFJFT Pontos-chave
6NB NBJPS QSFWJTJCJMJEBEF EF BP F NFOPS WBSJBP HMJDNJDB DPN P VTP EFTTFT
BOMPHPTUBNCNUNTJEPEFTDSJUBTFNQBDJFOUFTDPN%. /P#SBTJM FYJTUFNEPJT
0VTPEBTJOTVMJOBTCJGTJDBT QSNJTUVSBT
QPEFTFSSFDPNFOEBEPQBSBBRVFMFT BOMPHPTEFBPQSP-
QBDJFOUFTDPN%.DPNNBJPSEJDVMEBEFFNBTTJNJMBSPFTRVFNBbasal-bolus"MHVOT MPOHBEB CBTBJT
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FTUVEPT UN EFNPOTUSBEP RVF BT QSNJTUVSBT EF BOMPHPT EF JOTVMJOB TP NBJT QPOWFJT OP NFSDBEP
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JOTVMJOB /1) F SFHVMBS  FNCPSB OP QSPNPWBN VNB EJNJOVJP TJHOJDBUJWBNFOUF -BOUVT
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EJGFSFOUFEPTOWFJTEF"D EFUFNJS -FWFNJS

&TTFT BOMPHPT BQSF-
Minimizando as complicaes da insulinoterapia TFOUBN VNB BP
"T DPNQMJDBFT EB JOTVMJOPUFSBQJB TP QSJODJQBMNFOUF P HBOIP EF QFTP F BT QSPMPOHBEB EF BU 
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%.  QPEFN TFS EJNJOVEBT FN JOEJWEVPT DPN %.  QSJODJQBMNFOUF PT FQJTEJPT HJOBFEFBUIPSBT
OPUVSOPT  BUSBWT EP VTP EF BOMPHPT EF BP VMUSBSSQJEB F QSPMPOHBEB &N VN OB JOTVMJOB EFUFNJS

FTUVEPSFBMJ[BEPFNQBTFTMBUJOPBNFSJDBOPTDPNQBDJFOUFTDPN%. QBSB QSBUJDBNFOUFTFNQJDP
BWBMJBSBFDDJBFTFHVSBOBEBJOTVMJOBHMBSHJOBBPEFJUBS FNDPNQBSBPDPNB EF BP  F TJNVMBN B
/1)OPNFTNPIPSSJP DPNCJOBEBBVNBEPTFYBEFNHEFHMJNFQJSJEBBPEJB  TFDSFPCBTBMOPSNBM
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 vs Q 
CFNDPNPNBJPSQFSDFOUVBMEFQBDJFOUFTDPNOWFJTEF"D VNBNBJPSnFYJCJMJEBEF
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0VTPEFDBOFUBTEFBQMJDBPEFJOTVMJOB FNCPSBBJOEBVUJMJ[FNBHVMIBT UFN NFOUP EP JOEJWEVP
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QPDBEPEJBHOTUJDP PCFTB DPN*.$ JOJDJPVUSBUBNFOUPDPNEJFUB BUJWJEBEF UFN TJEP B PDPSSO-
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9
Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

NBOUJEBEVSBOUFUPEPPUSBUBNFOUP
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GDFJTEFNBOVTFBS


Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

Referncias bibliogrficas TUVEZ%JBCFUPMPHJB.BS 



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1SPTQFDUJWF %JBCFUFT 4UVEZ 6,1%4
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UP PSBM UIFSBQZ PG UZQF  EJBCFUJD QBUJFOUT %JBCFUFT $BSF &MJBTDIFXJU['( $BMWP$ 7BMCVFOB) 3VJ[. "TDIOFS
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Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes

Como responder as perguntas:

&TUFGBTDDVMPFTUWJODVMBEPBVNBQSPWBonlineDPNRVFTUFTEFNMUJQMBFTDPMIB
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 PV NBJT OPT UFTUFT BQSFTFOUBEPT  TPNBOEPTF UPEPT PT GBTDDVMPT EP 1SPHSBNB EF
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Anotaes


Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes


Diabetes Mellitus na Clnica Diria:
do controle dos fatores de risco preveno das complicaes crnicas

Programa de Educao Mdica Continuada em Diabetes


Produzido Ago|11
520053 - BR-GLA-11.08.02 Material Produzido Setembro/2011

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