USO HEMOGLOBINA GLICOSILADA Y MICROALBUMINURIA EN DM

HEMOGLOBINA GLICOSILADA

PROGRAMA DE ESTANDARIZACION DE HbA1c

http://www.ngsp.org/index.asp

DIABETES CARE 2010

SUPLEMENTOS 6 Y 11 DIABEST CARE 2010
DIAGNOSTICO DE DIABETES NUEVOS CRITERIOS SEGUN ADA

MANEJO DIABETES MELLITUS

http://www.4shared.com/document/cIJv6do6/Diabetes_Care_suplemento_6_201.html

http://www.4shared.com/document/o1xh_CAl/Diabetes_Care_suplemento_11_20.html

APRENDIZAJE BASADO EN UN CASO

A 29-year-old male presents to the emergency department with complaints ofdark-colored urine, generalized fatigue, myalgias, and weakness after completinga marathon. The patient states that this was his first marathon. He hasno significant medical history and denies any medications or drug use. Onexamination, he appears moderately ill and is afebrile with normal vital signs.Physical exam reveals diffuse musculoskeletal tenderness. Urinalysis revealedlarge amounts of blood (hemoglobin and myoglobin), and serum creatinephosphokinase (CPK) was significantly elevated, as well as the potassiumlevel on his electrolytes. The serum lactate level was markedly elevated.
What is the most likely diagnosis?
What is the most appropriate treatment?
What is the biochemical basis for the markedly elevated serumlactate level?

Lea el caso y responda las preguntas