Article information
Se revisa la hiperglucemia pospandrial como factor de riesgo cardiovascular. Se han encontrado suficientes datos fisiopatológicos y de asociación, lo que ha permitido a los estudios de intervención catalogarla con un nivel de evidencia IIb, con un grado de recomendación B. Se recomienda su determinación a las 2 h postingesta y con la frecuencia de la que se deriven modificaciones terapéuticas. Se hace una revisión de diversos fármacos útiles, para lo que se propone un esquema general terapéutico.
Palabras clave:
Hiperglucemia postprandial
Factor de riesgo macrovascular
Tratamiento
Postprandial hyperglycemia as a cardiovascular risk factor is reviewed. Sufficient physiological and associated data were found to allow intervention studies to classify it with level IIb evidence and grade B recommendation. Determinations should be performed 2 hours after food intake and when therapy is modified. Several useful drugs are reviewed and a general therapeutic protocol is proposed.
Key words:
Postprandial hyperglycemia
Macrovascular risk factor
Treatment
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