{"id":21,"date":"2012-01-23T11:55:42","date_gmt":"2012-01-23T13:55:42","guid":{"rendered":"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/"},"modified":"2023-02-17T16:34:21","modified_gmt":"2023-02-17T19:34:21","slug":"diabetes-e-pre-diabetes","status":"publish","type":"page","link":"https:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/","title":{"rendered":"Diabetes e Pr\u00e9-Diabetes"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:748.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:60%;\" ><iframe title=\"YouTube video player 1\" src=\"https:\/\/www.youtube.com\/embed\/fxSN1QvJUBs?wmode=transparent&autoplay=0\" width=\"600\" height=\"360\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-size: 20px; color: #ff9900;\">Glicemia alterada: \u00e9 preciso investigar?<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:30;line-height:1.25;\">Leia os artigos sobre Diabetes e Pr\u00e9-Diabetes que separamos para voc\u00ea.<\/h3><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/pinch-4590161_960_720-400x267.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/pinch-4590161_960_720-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\">Diabetes<\/h4><\/div><div class=\"fusion-text fusion-text-2\"><p>O <strong>diabetes<\/strong>\u00a0\u00e9 uma doen\u00e7a que resulta do aumento dos n\u00edveis de glicose (a\u00e7\u00facar) no sangue. A glicose \u00e9 a principal fonte de energia do organismo, sendo fundamental para o bom desempenho das atividades das c\u00e9lulas de todo o corpo.<\/p>\n<p>A absor\u00e7\u00e3o da glicose \u00e9 facilitada pela a\u00e7\u00e3o da insulina, horm\u00f4nio produzido pelas c\u00e9lulas beta do p\u00e2ncreas. A insulina funciona como uma \u201cchave que abre a porta das c\u00e9lulas\u201d para a entrada da glicose, levando \u00e0 redu\u00e7\u00e3o de seus n\u00edveis sangu\u00edneos.<\/p>\n<p>Nas c\u00e9lulas musculares e no f\u00edgado, a insulina promove a estocagem de glicose na forma de glicog\u00eanio, energia que ser\u00e1 utilizada nos momentos de necessidade.<\/p>\n<p>Quando ocorre falta de insulina ou um defeito na sua a\u00e7\u00e3o, os n\u00edveis glic\u00eamicos come\u00e7am a subir, o que caracteriza o<strong>\u00a0diabetes<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/diabetes-600x401.jpg-e1655822738831-400x253.webp&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/diabetes-600x401.jpg-e1655822738831-400x253.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Incid\u00eancia<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-3\"><p>Est\u00e1 doen\u00e7a vem aumentando sua incid\u00eancia em todo o mundo. Isso se deve a h\u00e1bitos alimentares inadequados associados ao sedentarismo, \u00e0 obesidade, \u00e0 urbaniza\u00e7\u00e3o e ao envelhecimento da popula\u00e7\u00e3o. Essas altera\u00e7\u00f5es, acompanhadas de predisposi\u00e7\u00e3o gen\u00e9tica e resist\u00eancia insul\u00ednica, resultam no aumento dos n\u00edveis glic\u00eamicos.<\/p>\n<p>No Brasil, cerca de 7% a 15% das pessoas, dependendo da faixa et\u00e1ria, tem\u00a0<strong>diabetes<\/strong>. Este n\u00famero est\u00e1 aumentando, principalmente nos mais jovens.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/10\/diabetico-usando-medidor-de-glicose-para-medir-o-nivel-de-glicose-no-sangue_122732-16-400x267.webp&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/10\/diabetico-usando-medidor-de-glicose-para-medir-o-nivel-de-glicose-no-sangue_122732-16-400x267.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\"><strong>Pr\u00e9-diabetes<\/strong><\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-4\"><p>O\u00a0<strong>pr\u00e9-diabetes<\/strong>\u00a0acontece quando a glicemia tem n\u00edveis intermedi\u00e1rios entre o normal e os considerados\u00a0<strong>diagn\u00f3stico de diabetes<\/strong>\u00a0e atinge parcela semelhante da popula\u00e7\u00e3o, estando tamb\u00e9m associada ao aumento do risco de complica\u00e7\u00f5es.<\/p>\n<p>Os sintomas caracter\u00edsticos do\u00a0<strong>diabetes tipo 2<\/strong>\u00a0s\u00e3o: sede, muita vontade de urinar, aumento do apetite acompanhado de perda de peso e vis\u00e3o turva, por\u00e9m eles s\u00f3 estar\u00e3o presentes numa fase mais avan\u00e7ada, onde j\u00e1 existe descontrole dos n\u00edveis glic\u00eamicos. N\u00e3o devemos esperar o aparecimento dos sintomas para fazer o diagn\u00f3stico da doen\u00e7a.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2019\/05\/Diabetes-640x330-400x206.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2019\/05\/Diabetes-640x330-400x206.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Dados do Minist\u00e9rio da Sa\u00fade.<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-5\"><p>Dados do Minist\u00e9rio da Sa\u00fade mostram que o\u00a0<strong>diabetes<\/strong>\u00a0\u00e9 sub diagnosticado, e acredita-se que apenas cerca de 53,5% dos casos da doen\u00e7a sejam conhecidos, sendo que o restante permanece sem diagn\u00f3stico. Em geral, a demora para o\u00a0<strong>diagn\u00f3stico de diabetes<\/strong>\u00a0<strong>tipo 2<\/strong>\u00a0\u00e9 de cerca de 10 anos.<\/p>\n<p>O aparecimento do\u00a0<strong>diabetes<\/strong>\u00a0pode ser prevenido atrav\u00e9s de medidas simples, como mudan\u00e7as nos h\u00e1bitos alimentares e realiza\u00e7\u00e3o de atividade f\u00edsica regular. Al\u00e9m disso, o diagn\u00f3stico precoce permite tratamento adequado desde o in\u00edcio da doen\u00e7a, o que reduz muito o risco de complica\u00e7\u00f5es a longo prazo e por isso \u00e9 t\u00e3o importante estar atento aos fatores de risco da doen\u00e7a.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-8 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/remove-4559346_960_720-400x225.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/remove-4559346_960_720-400x225.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-9 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Como prevenir o Diabetes Mellitus<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-6\"><p>Conhecendo-se as complica\u00e7\u00f5es que podem ser decorrentes do\u00a0<strong>diabetes<\/strong>, devemos voltar todos os nossos esfor\u00e7os para evitar a instala\u00e7\u00e3o da doen\u00e7a.<\/p>\n<p>Para a\u00a0<strong>preven\u00e7\u00e3o do diabetes tipo 2<\/strong>, nossa aten\u00e7\u00e3o deve ser voltada para uma alimenta\u00e7\u00e3o mais saud\u00e1vel associada \u00e0 pr\u00e1tica regular de atividades f\u00edsicas.<\/p>\n<p>Os indiv\u00edduos com maior risco de desenvolver a doen\u00e7a e que, portanto, devem ter mais cuidado s\u00e3o aqueles com mais de 40 anos, excesso de peso, sedentarismo, antecedente de diabetes na fam\u00edlia, mulheres com hist\u00f3ria de diabetes gestacional ou com filhos nascidos com mais de 4 Kg e pessoas com pr\u00e9-diabetes (glicemia de jejum entre 99 e 126mg\/dl; HbA1c acima de 5,7%).<\/p>\n<p>A perda de cerca de 10% do peso corporal em indiv\u00edduos de risco pede reduzir de forma significativa o risco de instala\u00e7\u00e3o do\u00a0<strong>diabetes<\/strong>. Quanto \u00e0 atividade f\u00edsica, cerca de 150 minutos por semana (ou 30 minutos de\u00a0<a href=\"http:\/\/blogpilates.com.br\/doencas-cronicas-nao-transmissiveis\/\" target=\"_blank\" rel=\"noopener\">exerc\u00edcios<\/a>\u00a0leves cinco dias por semana) levam \u00e0 melhora metab\u00f3lica, ou seja, \u00e0 redu\u00e7\u00e3o dos n\u00edveis de glicose e colesterol sangu\u00edneos.<\/p>\n<p>Nos casos em que o paciente j\u00e1 apresenta<strong>\u00a0pr\u00e9-diabetes<\/strong>, o uso de uma medica\u00e7\u00e3o pode ser indicado por um\u00a0<strong>endocrinologista<\/strong>.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-10 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/10\/mao-segurando-um-medidor-de-glicose-no-sangue-medindo-acucar-no-sangue-o-fundo-e-um-estetoscopio-e-um-arquivo-de-grafico_1387-1001-400x267.webp&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/10\/mao-segurando-um-medidor-de-glicose-no-sangue-medindo-acucar-no-sangue-o-fundo-e-um-estetoscopio-e-um-arquivo-de-grafico_1387-1001-400x267.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-11 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Tipos de diabetes.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-7\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">1. Diabetes Mellitus tipo 1<\/h4>\n<p>Corresponde de 5% a 10% dos casos. \u00c9 mais frequente em crian\u00e7as e adultos jovens, mas pode ocorrer em qualquer idade. Em geral est\u00e1 associado a um processo autoimune onde anticorpos, que s\u00e3o formados pelo pr\u00f3prio organismo, levam \u00e0 destrui\u00e7\u00e3o das c\u00e9lulas beta do p\u00e2ncreas, respons\u00e1veis pela produ\u00e7\u00e3o de insulina. Os anticorpos podem ser detectados em cerca de 85% a 90% dos casos de diabetes tipo 1 no momento do diagn\u00f3stico. S\u00e3o eles: ICA, IAAs, GAD e IA-2.<\/p>\n<p>Parece existir uma associa\u00e7\u00e3o de fatores para o seu desenvolvimento, como susceptibilidade gen\u00e9tica, fatores ambientais (infec\u00e7\u00f5es virais), dieta rica em gordura e carboidratos, e defici\u00eancia de vitamina D.<\/p>\n<p>Em geral o\u00a0<strong>diabetes tipo 1<\/strong>\u00a0\u00e9 desencadeado de forma repentina e dram\u00e1tica, e costuma ser acompanhado de sintomas como sede excessiva e muita vontade de urinar, perda r\u00e1pida de peso, fome exagerada, cansa\u00e7o inexplic\u00e1vel, vis\u00e3o emba\u00e7ada, falta de interesse e de concentra\u00e7\u00e3o, v\u00f4mitos e dores abdominais. O tratamento deve ser institu\u00eddo imediatamente evitando-se uma evolu\u00e7\u00e3o mais grave que ocorre nos casos em que h\u00e1 demora para o diagn\u00f3stico, a\u00a0<strong>cetoacidose diab\u00e9tica<\/strong>, que pode levar ao coma.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-12 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-3426247_960_720-400x266.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-3426247_960_720-400x266.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-13 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-8 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Tipos de diabetes.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-8\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">2. Diabetes Mellitus tipo 2<\/h4>\n<p>Representa 90 a 95% dos casos. Pode ocorrer em qualquer idade, mas em geral se manifesta ap\u00f3s os 40-50 anos. Tem havido um aumento do n\u00famero de casos entre crian\u00e7as e adultos jovens, o que est\u00e1 associado ao maior consumo de gorduras e carboidratos, al\u00e9m da inatividade f\u00edsica.<\/p>\n<p>O\u00a0<strong>diabetes tipo 2<\/strong>\u00a0est\u00e1 associado a defeitos na a\u00e7\u00e3o e\/ou na secre\u00e7\u00e3o da insulina pelo p\u00e2ncreas. A maioria dos pacientes apresenta sobrepeso ou obesidade, o que est\u00e1 associado \u00e0 resist\u00eancia \u00e0 insulina \u2013 esses pacientes mant\u00e9m a secre\u00e7\u00e3o de insulina pelo p\u00e2ncreas, que pode estar at\u00e9 aumentada, por\u00e9m a a\u00e7\u00e3o da insulina est\u00e1 prejudicada.<\/p>\n<p>Em geral os sintomas s\u00e3o tardios e est\u00e3o associados ao descontrole da doen\u00e7a, podendo levar anos para aparecer. Casos que n\u00e3o s\u00e3o reconhecidos e tratados podem evoluir para desidrata\u00e7\u00e3o e coma.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-14 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-776999_960_720-400x267.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-776999_960_720-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-15 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-9 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Tipos de diabetes.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-9\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">3. Outros tipos espec\u00edficos de diabetes<\/h4>\n<p>S\u00e3o mais raros. O\u00a0<strong>diabetes<\/strong>\u00a0pode estar associado ao uso de alguns medicamentos, a doen\u00e7as do p\u00e2ncreas (pancreatite, hemocromatose), infec\u00e7\u00f5es, s\u00edndromes gen\u00e9ticas e dist\u00farbios hormonais (hipertireoidismo, acromegalia, s\u00edndrome de Cushing). Podem ocorrer ainda defeitos gen\u00e9ticos da fun\u00e7\u00e3o da c\u00e9lula beta (MODY 1, 2 e 3) e defeitos gen\u00e9ticos na a\u00e7\u00e3o da insulina.<\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-16 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/gestation-1815209_960_720-300x400.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/gestation-1815209_960_720-300x400.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-17 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-10 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Tipos de diabetes.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-10\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">4. Diabetes Gestacional<\/h4>\n<p>Trata-se dos casos em que a altera\u00e7\u00e3o glic\u00eamica (mesmo que discreta) \u00e9 identificada durante a gesta\u00e7\u00e3o. Ocorre em at\u00e9 14% das gesta\u00e7\u00f5es e pode estar associada ao aumento da morbidade e mortalidade perinatais. As mulheres que foram diagnosticadas com\u00a0<strong>diabetes gestacional<\/strong>\u00a0devem ser reavaliadas quatro a seis semanas ap\u00f3s o parto.<\/p>\n<p>Na maioria dos casos h\u00e1 normaliza\u00e7\u00e3o da glicemia ap\u00f3s a gravidez, por\u00e9m essas mulheres tem um risco aumentado de desenvolver\u00a0<strong>diabetes<\/strong>\u00a0ao longo da vida, sendo necess\u00e1ria uma reavalia\u00e7\u00e3o anual.<\/p>\n<p>Em geral o diagn\u00f3stico \u00e9 feito atrav\u00e9s da curva glic\u00eamica, que faz parte dos exames de pr\u00e9-natal realizados no terceiro trimestre da gesta\u00e7\u00e3o. Pacientes consideradas de maior risco para desenvolver o\u00a0<strong>diabetes<\/strong>\u00a0n\u00e3o devem esperar at\u00e9 o terceiro trimestre para realizar esta investiga\u00e7\u00e3o. S\u00e3o elas: gestantes que j\u00e1 tiveram\u00a0<strong>diabetes gestacional<\/strong>\u00a0pr\u00e9vio, al\u00e9m de perdas fetais, m\u00e1 forma\u00e7\u00e3o fetal, hipertens\u00e3o arterial, obesidade ou hist\u00f3ria familiar de\u00a0<strong>diabetes<\/strong>.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-18 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/09\/2-400x267.jpg&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/09\/2-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-19 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-11 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">GRUPOS DE RISCOS<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-11\"><ul>\n<li>Idade acima de 45 anos;<\/li>\n<li>Parentes de primeiro grau (pais, irm\u00e3os) com diabetes;<\/li>\n<li>Sobrepeso ou obesidade, ou ainda circunfer\u00eancia de cintura maior que 80 cm em mulheres e maior que 94 cm em homens;<\/li>\n<li>Sedentarismo;<\/li>\n<li>Portadores de hipertens\u00e3o arterial ou altera\u00e7\u00f5es dos n\u00edveis de colesterol e triglicer\u00eddeos;<\/li>\n<li>Hist\u00f3rico de infarto do mioc\u00e1rdio ou derrame (AVC);<\/li>\n<li>Mulheres com s\u00edndrome dos ov\u00e1rios polic\u00edsticos;<\/li>\n<li>Mulheres que tiveram diabetes gestacional ou filhos nascidos com mais de 4 kg;<\/li>\n<li>Portadores de doen\u00e7as mentais graves em uso de medica\u00e7\u00e3o (esquizofrenia, depress\u00e3o, transtorno bipolar);<\/li>\n<li>Exames pr\u00e9vios mostrando glicemia de jejum alterada ou intoler\u00e2ncia \u00e0 glicose.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-20 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/diabetes-600x401.jpg-e1655822738831-400x253.webp&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/diabetes-600x401.jpg-e1655822738831-400x253.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-21 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-12 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Diagn\u00f3stico do diabetes<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-12\"><ul>\n<li>\n<p>O\u00a0<strong>diagn\u00f3stico do diabetes<\/strong>\u00a0deve ser realizado atrav\u00e9s de exames laboratoriais. S\u00e3o considerados positivos os seguintes resultados:<\/p>\n<ol>\n<li>Glicemia de jejum &gt; 126 mg\/dl (jejum de 8 horas);<\/li>\n<li>Glicemia casual (colhida em qualquer hor\u00e1rio do dia, independente da \u00faltima refei\u00e7\u00e3o realizada) &gt; 200 mg\/dl em paciente com sintomas caracter\u00edsticos da doen\u00e7a;<\/li>\n<li>Glicemia &gt; 200 mg\/dl duas horas ap\u00f3s sobrecarga oral de 75 gramas de glicose (teste oral de toler\u00e2ncia \u00e0 glicose).<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-22 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/ada_2021-600x403.jpg-e1655843218108-400x277.webp&#039;);--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/ada_2021-600x403.jpg-e1655843218108-400x277.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-23 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-13 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Diagn\u00f3stico do Pr\u00e9-Diabetes<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-13\"><ul>\n<li>\n<p>Aplica-se o termo\u00a0<strong>pr\u00e9-diabetes<\/strong>\u00a0\u00e0queles indiv\u00edduos com uma glicemia de jejum que apresenta valores mais elevados do que o valor de refer\u00eancia normal, por\u00e9m inferiores aos n\u00edveis de\u00a0<strong>diagn\u00f3stico do diabetes<\/strong>, e\/ou toler\u00e2ncia \u00e0 glicose diminu\u00edda, como demonstrado abaixo:<\/p>\n<ol>\n<li>Glicemia de jejum &gt; 100mg\/dl e &lt; 126 mg\/dl;<\/li>\n<li>Glicemia 2 horas ap\u00f3s sobrecarga de 75 g de glicose oral entre 140 mg\/dl e 200 mg\/dl.<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-24 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/vitamina_d-2-600x401.jpg-e1655826981588-400x256.webp&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/vitamina_d-2-600x401.jpg-e1655826981588-400x256.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-25 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-14 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Tratamento do diabetes<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-14\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">\n<h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">\u00a0Dietas e mudan\u00e7a no estilo de vida<\/h4>\n<p>Um bom controle das glicemias \u00e9 a chave para se evitar os sintomas da doen\u00e7a que, quando mal controlada, provoca diurese excessiva, desidrata\u00e7\u00e3o e sede, aumento do apetite associado a perda de peso, altera\u00e7\u00f5es visuais, fadiga, entre outros. Al\u00e9m disso, o tratamento adequado pode prevenir as complica\u00e7\u00f5es cr\u00f4nicas da doen\u00e7a.<\/p>\n<p>A dieta e as mudan\u00e7as no estilo de vida s\u00e3o fundamentais no tratamento do DM2, que tem como defeitos b\u00e1sicos a altera\u00e7\u00e3o na secre\u00e7\u00e3o da insulina e a insulino-resist\u00eancia. A perda de peso, mesmo que discreta (em torno de 5 a 10% do peso corporal), melhora a sensibilidade hep\u00e1tica \u00e0 insulina e tamb\u00e9m a fun\u00e7\u00e3o das c\u00e9lulas beta-pancre\u00e1ticas, ou seja, a insulina passa a ser secretada com maior efici\u00eancia e tem sua a\u00e7\u00e3o perif\u00e9rica melhorada. Dieta e exerc\u00edcios reduzem a hemoglobina glicada em 1% a 2%.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<p>&nbsp;<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" 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href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-26 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/meal-932985_960_720-400x289.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/meal-932985_960_720-400x289.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-27 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-15 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h5 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"16\" data-lineheight=\"20px\">Qual a melhor dieta<\/h5><\/h4><\/div><div class=\"fusion-text fusion-text-15\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">\n<p>A EASD (European Association for the Study of Diabetes ) e a ADA (American Diabetes Association) t\u00eam sido mais flex\u00edveis quanto \u00e0 composi\u00e7\u00e3o da dieta, embora mantenham o foco na redu\u00e7\u00e3o do conte\u00fado energ\u00e9tico, redu\u00e7\u00e3o no conte\u00fado de gordura saturada e no aumento do consumo de fibra. Veja a seguir os\u00a0 principais tipos de dieta com mais estudos.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" 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href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-28 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/meatballs-2023247_960_720-400x300.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/meatballs-2023247_960_720-400x300.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-29 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-16 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h5 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"16\" data-lineheight=\"20px\">Qual a melhor dieta<\/h5><\/h4><\/div><div class=\"fusion-text fusion-text-16\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">\n<p>(&gt;25% do consume cal\u00f3rico total): facilita a perda de peso por ser considerada saciet\u00f3gena, termog\u00eanica e manter massa magra preferencialmente \u00e0 massa gorda durante a perda de peso. \u00c9 ben\u00e9fica para a glicemia p\u00f3s-prandial quando comparada a dietas ricas em carboidratos.<\/p>\n<p><strong>Dieta com muito baixo carboidrato e rica em gordura:<\/strong>\u00a0um exemplo \u00e9 a dieta de Atkins onde a redu\u00e7\u00e3o do consumo de carboidratos para menos de 20g por dia induz cetose, o que leva ao uso preferencial de gordura como fonte de energia, ao inv\u00e9s da glicose. A literatura \u00e9 complexa no que diz respeito aos resultados deste tipo de dieta por que as defini\u00e7\u00f5es (composi\u00e7\u00e3o alimentar) n\u00e3o s\u00e3o padronizadas, al\u00e9m do que os estudos s\u00e3o muito curtos. Leva \u00e0 melhora do controle glic\u00eamico reduzindo as concentra\u00e7\u00f5es de glicose e insulina.<\/p>\n<p><strong>Dieta do mediterr\u00e2neo:<\/strong>\u00a0substitui a carne vermelha por peixe ou frango na maior parte das refei\u00e7\u00f5es, inclui vinho com modera\u00e7\u00e3o, al\u00e9m de legumes em abund\u00e2ncia, gr\u00e3os, frutas, nozes e \u00f3leo de oliva. Est\u00e1 associada \u00e0 redu\u00e7\u00e3o dos n\u00edveis de hemoglobina glicada e das glicemias p\u00f3s-prandiais.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-8\">\u00a0<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-30 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/survey-1594962_960_720-400x267.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/survey-1594962_960_720-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-31 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-17 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h5 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"16\" data-lineheight=\"20px\">Qual a melhor dieta<\/h5><\/h4><\/div><div class=\"fusion-text fusion-text-17\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">A perda de peso ocorre e se mant\u00e9m sempre que a ingest\u00e3o cal\u00f3rica for menor que o gasto energ\u00e9tico por um per\u00edodo prolongado de tempo;<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-8\">\n<p>A perda de peso obtida com qualquer uma das dietas \u00e9 modesta a longo prazo, por\u00e9m leva a melhora cl\u00ednica significativa;<\/p>\n<p>O estudo abaixo foi publicado recentemente em uma importante revista cient\u00edfica e traz um resumo dos dados mais importantes da literatura quanto aos tr\u00eas tipos de dieta listadas acima, principalmente quanto a seus efeitos no peso corporal, no controle glic\u00eamico e no risco cardiovascular de pacientes com DM2.<\/p>\n<p>1 – Nenhuma das dietas \u00e9 melhor que a outra em rela\u00e7\u00e3o \u00e0 perda de peso, controle glic\u00eamico ou risco cardiovascular. As evid\u00eancias mostram que a ades\u00e3o a qualquer um dos tipos de dieta \u00e9 mais importante do que a composi\u00e7\u00e3o dos macronutrientes.<\/p>\n<p>Ent\u00e3o, a melhor dieta para os pacientes com DM2 \u00e9 aquela que funciona para cada indiv\u00edduo, e que possa ser mantida a longo prazo.<\/p>\n<p><em>Fonte do estudo acima: Is There an Optimal Diet for Patients With Type 2 Diabetes? Yes, the One That Works for Them!\u00a0<\/em><em>Jeremy D Krebs, Amber Parry-Strong. British Journal of Diabetes and Vascular Disease. 2013;13(2):60-66.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" 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href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-32 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/headache-1540220_960_720-400x267.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/headache-1540220_960_720-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-33 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-18 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Tratamento medicamentoso.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-18\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">Ao diagnosticar o <strong>diabetes tipo 2<\/strong>, a maioria dos m\u00e9dicos ir\u00e1 prescrever medicamentos antidiab\u00e9ticos orais, al\u00e9m de realizar as orienta\u00e7\u00f5es para mudan\u00e7as nos h\u00e1bitos de vida (alimenta\u00e7\u00e3o e atividade f\u00edsica). Hoje dispomos de medica\u00e7\u00f5es cuja a\u00e7\u00e3o vai al\u00e9m da melhora dos n\u00edveis glic\u00eamicos, podendo prevenir ou retardar a progress\u00e3o da doen\u00e7a para est\u00e1gios mais avan\u00e7ados.<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<p>\u00c9 muito importante evitar o atraso do in\u00edcio do tratamento, pois pequenas altera\u00e7\u00f5es nos n\u00edveis glic\u00eamicos a longo prazo s\u00e3o suficientes para aumentar o risco das complica\u00e7\u00f5es cr\u00f4nicas da doen\u00e7a, por isso \u00e9 t\u00e3o importante instituir tratamento precoce.<\/p>\n<p>Hoje se reconhece a import\u00e2ncia de um bom controle desde o in\u00edcio da doen\u00e7a \u2013 \u00e9 o conceito da \u201cmem\u00f3ria metab\u00f3lica\u201d evidenciando que o controle que se obt\u00e9m desde o in\u00edcio do\u00a0<strong>diabetes<\/strong>\u00a0ter\u00e1 implica\u00e7\u00f5es em todo o curso da doen\u00e7a.<\/p>\n<p>A escolha da medica\u00e7\u00e3o ser\u00e1 baseada na an\u00e1lise de um conjunto de fatores cl\u00ednicos e laboratoriais como, por exemplo, o peso e a idade do paciente, a presen\u00e7a de resist\u00eancia \u00e0 insulina, o n\u00edvel de descontrole do\u00a0<strong>diabetes<\/strong>\u00a0e a presen\u00e7a de outras condi\u00e7\u00f5es cl\u00ednicas associadas. O objetivo do tratamento ser\u00e1 baixar a glicemia e mant\u00ea-la em n\u00edveis normais.<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-34 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/syringe-1884784_960_720-400x240.webp&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/syringe-1884784_960_720-400x240.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-35 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-19 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Medica\u00e7\u00f5es orais possuem diferentes mecanismos de a\u00e7\u00e3o, veja os seguintes grupos:<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-19\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<ol>\n<li>Aumentam a secre\u00e7\u00e3o pancre\u00e1tica de insulina;<\/li>\n<li>Reduzem a velocidade de absor\u00e7\u00e3o da glicose;<\/li>\n<li>Diminuem a produ\u00e7\u00e3o de glicose pelo f\u00edgado;<\/li>\n<li>Aumentam a utiliza\u00e7\u00e3o da glicose pelos tecidos perif\u00e9ricos;<\/li>\n<li>Aumentam a libera\u00e7\u00e3o de insulina em resposta ao aumento dos n\u00edveis sangu\u00edneos de glicose + redu\u00e7\u00e3o da velocidade do esvaziamento g\u00e1strico + redu\u00e7\u00e3o da secre\u00e7\u00e3o de glucagon (horm\u00f4nio que aumenta a glicemia);<\/li>\n<li>An\u00e1logos do GLP-1, subst\u00e2ncias que agem no p\u00e2ncreas melhorando a secre\u00e7\u00e3o de insulina e controlando a secre\u00e7\u00e3o do glucagon (uso injet\u00e1vel).<\/li>\n<\/ol>\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-36 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/sugar-2493338_960_720-400x268.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/sugar-2493338_960_720-400x268.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-37 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-20 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Controle do <strong>diabetes.<\/strong><\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-20\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-9\">\n<p>O controle do\u00a0<strong>diabetes<\/strong>\u00a0muitas vezes s\u00f3 \u00e9 conseguido com a associa\u00e7\u00e3o de v\u00e1rios medicamentos cujas a\u00e7\u00f5es no organismo se complementam.<\/p>\n<p>Quando o tratamento oral n\u00e3o \u00e9 efetivo, o uso da insulina pode ser indicado. Hoje existe no mercado insulinas com diferentes caracter\u00edsticas, o que tem facilitado muito o seu emprego no tratamento atual do\u00a0<strong>diabetes<\/strong>. \u00c9 importante que o uso da insulina n\u00e3o seja adiado e que se inicie precocemente quando o controle do\u00a0<strong>diabetes<\/strong>\u00a0n\u00e3o estiver adequado com os hipoglicemiantes orais apenas. Seu uso se faz necess\u00e1rio em torno de 60% dos diab\u00e9ticos em algum momento da evolu\u00e7\u00e3o da doen\u00e7a.<\/p>\n<p>\u00c9 importante lembrar que a insulina funciona como um tratamento de reposi\u00e7\u00e3o de um horm\u00f4nio que n\u00e3o est\u00e1 sendo produzido em quantidades adequadas pelo p\u00e2ncreas, e seu uso pode prevenir muitas das complica\u00e7\u00f5es cr\u00f4nicas do\u00a0<strong>diabetes<\/strong>. Sua aplica\u00e7\u00e3o tem se tornado cada vez mais pr\u00e1tica e confort\u00e1vel com a evolu\u00e7\u00e3o dos sistemas de aplica\u00e7\u00e3o<\/p>\n<p>Recomenda-se o acompanhamento m\u00e9dico com o\u00a0<strong>endocrinologista<\/strong>\u00a0a cada tr\u00eas meses para avalia\u00e7\u00e3o dos sintomas e dos exames laboratoriais.<\/p>\n<p>Os pacientes com\u00a0<strong>diabetes tipo 1<\/strong>\u00a0precisam usar insulina desde o seu diagn\u00f3stico, j\u00e1 que a doen\u00e7a se caracteriza por fal\u00eancia das c\u00e9lulas beta-pancre\u00e1ticas, produtoras de insulina.<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">\u00a0<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-38 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/covid-19_em_criancas_com_diabetes-600x401.jpg-e1655826112674-400x240.webp&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2022\/06\/covid-19_em_criancas_com_diabetes-600x401.jpg-e1655826112674-400x240.webp\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-39 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-21 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h3 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"30\" data-lineheight=\"37.5px\">Complica\u00e7\u00f5es do diabetes<\/h3><\/h4><\/div><div class=\"fusion-text fusion-text-21\"><ul>\n<li>\n<div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">\n<p>As principais\u00a0<strong>complica\u00e7\u00f5es do diabetes<\/strong>\u00a0podem ser divididas em dois grupos:<\/p>\n<p><strong>Microvasculares<\/strong>\u00a0(que afetam pequenos vasos e capilares): podem levar a altera\u00e7\u00f5es nos rins (nefropatia), nos olhos (retinopatia), e nos nervos perif\u00e9ricos (neuropatia).<\/p>\n<p>As consequ\u00eancias podem se constituir em graus vari\u00e1veis de disfun\u00e7\u00e3o renal, podendo chegar \u00e0 necessidade de di\u00e1lise em alguns casos. Perda visual pode ocorrer. A neuropatia pode levar a sintomas como dor e formigamento nas m\u00e3os e p\u00e9s, taquicardia, hipotens\u00e3o postural, sintomas digestivos, entre outros. O p\u00e9 diab\u00e9tico pode levar a ulcera\u00e7\u00f5es e at\u00e9 \u00e0 necessidade de amputa\u00e7\u00e3o parcial ou total de um membro<\/p>\n<p>Monitoramento destas complica\u00e7\u00f5es deve ser realizado periodicamente. Estas complica\u00e7\u00f5es podem ser evitadas, ou pelo menos minimizadas, com um bom controle dos n\u00edveis glic\u00eamicos.<\/p>\n<p><strong>Macrovasculares<\/strong>\u00a0(que afetam as art\u00e9rias mais calibrosas): s\u00e3o as doen\u00e7as cardiovasculares, como o infarto do mioc\u00e1rdio (IAM), o acidente vascular cerebral (AVC) e as gangrenas perif\u00e9ricas.<\/p>\n<p>Atitudes como deixar de fumar, alimentar-se de forma saud\u00e1vel e praticar exerc\u00edcios f\u00edsicos regularmente podem prevenir estas complica\u00e7\u00f5es.<\/p>\n<p>\u00c9 muito importante tratar os outros fatores de risco, como hipertens\u00e3o arterial e altera\u00e7\u00f5es do colesterol, para a preven\u00e7\u00e3o das\u00a0<strong>complica\u00e7\u00f5es do diabetes<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_4 1_4 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-40 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-inner-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-592006_960_720-400x285.jpg&#039;);--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2023\/01\/diabetes-592006_960_720-400x285.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-41 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-column-inner-bg-wrapper\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-inner-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-none\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/areas-de-atuacao\/diabetes-e-pre-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-22 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\"><h4 class=\"fusion-responsive-typography-calculated\" data-fontsize=\"20\" data-lineheight=\"25px\">Outras implica\u00e7\u00f5es do Diabetes.<\/h4><\/h4><\/div><div class=\"fusion-text fusion-text-22\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\">\n<div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"fusion-text fusion-text-7\">\n<p>Al\u00e9m das complica\u00e7\u00f5es j\u00e1 bem estabelecidas do\u00a0<strong>diabetes<\/strong>, muito tem sido discutido a respeito do aumento do risco de fraturas nesses pacientes. Pacientes com controle inadequado do diabetes tem maior risco de fraturas mesmo com densitometria \u00f3ssea normal (sem acusar osteopenia ou osteoporose).<\/p>\n<p>Um estudo publicado no Diabetes Care (2013) explica por que isso acontece: a fragilidade de ossos \u201caparentemente\u201d fortes pode resultar da presen\u00e7a de microfraturas e\/ou porosidade cortical, refletindo remodela\u00e7\u00e3o \u00f3ssea prejudicada nesses pacientes.<\/p>\n<p>Estudos recentes t\u00eam demonstrado que pacientes diab\u00e9ticos est\u00e3o sujeitos a um risco aumentado de desenvolver altera\u00e7\u00f5es cognitivas e at\u00e9 mesmo Doen\u00e7a de Alzheimer. O mecanismo b\u00e1sico que parece interligar as duas doen\u00e7as \u00e9 a resist\u00eancia \u00e0 insulina.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-margin-top:30px;--awb-background-image:linear-gradient(180deg, #efefef 0%,#ffffff 100%);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"max-width:748.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border-radius:50%;\"><img decoding=\"async\" width=\"400\" height=\"400\" src=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/perfil-daniele-zaninello-400x400.jpg\" alt class=\"img-responsive wp-image-1361\" srcset=\"https:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/perfil-daniele-zaninello-200x200.jpg 200w, https:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/perfil-daniele-zaninello-400x400.jpg 400w, https:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/perfil-daniele-zaninello-600x600.jpg 600w, https:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/perfil-daniele-zaninello.jpg 1023w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-23 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-font-size:15px;\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:15;--minFontSize:15;line-height:1.25;\">Escrito por<\/h3><\/div><div class=\"fusion-title title fusion-title-24 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-bottom:20px;--awb-margin-bottom-medium:20px;--awb-font-size:25px;\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:1.25;\"><a href=\"http:\/\/endocrinologiacuritiba.com.br\/quem-sou\/\">Dra. Daniele C. Tokars Zaninelli <\/a><\/h3><\/div><div class=\"fusion-text fusion-text-23\"><p>Especialista em Endocrinologia e Metabologia e mestre pela Universidade Federal do Paran\u00e1 (UFPR) e atua na \u00e1rea h\u00e1 mais de 20 anos. \u00c9 membro da Sociedade Brasileira de Endocrinologia e Metabologia (SBEM),\u00a0 e da Sociedade Brasileira para o Estudo da Obesidade (ABESO). Faz parte da diretoria da SBEM-PR.<\/p>\n<\/div><div class=\"fusion-social-links fusion-social-links-1\" style=\"--awb-margin-top:0px;--awb-margin-right:0px;--awb-margin-bottom:0px;--awb-margin-left:0px;--awb-alignment:left;--awb-box-border-top:0px;--awb-box-border-right:0px;--awb-box-border-bottom:0px;--awb-box-border-left:0px;--awb-icon-colors-hover:rgba(51,51,51,0.8);--awb-box-colors-hover:rgba(255,255,255,0.8);--awb-box-border-color:var(--awb-color3);--awb-box-border-color-hover:var(--awb-color4);\"><div class=\"fusion-social-networks color-type-custom\"><div class=\"fusion-social-networks-wrapper\"><a class=\"fusion-social-network-icon fusion-tooltip fusion-facebook awb-icon-facebook\" style=\"color:#7E8890;font-size:16px;\" data-placement=\"top\" data-title=\"Facebook\" data-toggle=\"tooltip\" title=\"Facebook\" aria-label=\"facebook\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.facebook.com\/dradaniele.zaninelli\/\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-instagram awb-icon-instagram\" style=\"color:#7E8890;font-size:16px;\" data-placement=\"top\" data-title=\"Instagram\" data-toggle=\"tooltip\" title=\"Instagram\" aria-label=\"instagram\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.instagram.com\/dradanielezaninelli\/\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-youtube awb-icon-youtube\" style=\"color:#7E8890;font-size:16px;\" data-placement=\"top\" data-title=\"YouTube\" data-toggle=\"tooltip\" title=\"YouTube\" aria-label=\"youtube\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.youtube.com\/channel\/UCn8M3-95Pc4qy0B-Yrwgu0g\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-whatsapp awb-icon-whatsapp\" style=\"color:#7E8890;font-size:16px;\" data-placement=\"top\" data-title=\"WhatsApp\" data-toggle=\"tooltip\" title=\"WhatsApp\" aria-label=\"whatsapp\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/api.whatsapp.com\/send?phone=5541991211001\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:30px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"max-width:748.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-has-icon fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:30px;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-25 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:30;line-height:1.25;\">Leia tamb\u00e9m<\/h3><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/blog\/noticias\/diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-42 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/close-up-of-asian-man-s-hands-using-lancet-on-finger-to-check-blood-sugar-level-by-glucose-meter-400x267.jpg&#039;);--awb-bg-position:center center;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/close-up-of-asian-man-s-hands-using-lancet-on-finger-to-check-blood-sugar-level-by-glucose-meter-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-43 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-26 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\">Diabetes – O que \u00e9 e como prevenir?<\/h4><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/blog\/perguntas-frequentes\/diabetes-10-fatos-sobre-prevencao-causas-e-consequencias\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-44 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/diabetes-set-healthy-food-blue-wall-400x267.jpg&#039;);--awb-bg-position:center center;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" data-bg-url=\"http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/diabetes-set-healthy-food-blue-wall-400x267.jpg\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-45 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-27 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\">Diabetes: 10 fatos sobre preven\u00e7\u00e3o, causas e consequ\u00eancias<\/h4><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-28 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-overflow:hidden;--awb-inner-bg-position:center center;--awb-inner-bg-size:cover;--awb-border-color:#e5e5e5;--awb-inner-border-color:#e5e5e5;--awb-border-top:1px;--awb-inner-border-top:1px;--awb-border-right:1px;--awb-inner-border-right:1px;--awb-border-bottom:1px;--awb-inner-border-bottom:1px;--awb-border-left:1px;--awb-inner-border-left:1px;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-liftup-border-radius:10px 10px 10px 10px;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"http:\/\/endocrinologiacuritiba.com.br\/blog\/perguntas-frequentes\/quando-devo-comecar-a-fazer-exames-para-a-pesquisa-de-diabetes\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-46 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-image:url(&#039;http:\/\/endocrinologiacuritiba.com.br\/wp-content\/uploads\/2021\/02\/nurse-measuring-blood-sugar-elderly-woman-home-doctor-checking-elderly-woman-s-blood-sugar-400x267.jpg&#039;);--awb-bg-position:center center;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column fusion-column-has-bg-image\" 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style=\"--awb-padding-right:15px;--awb-padding-left:15px;--awb-padding-right-medium:15px;--awb-padding-left-medium:15px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-28 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-four\" style=\"--awb-text-color:#e48b1c;\"><h4 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:1.25;\">Quando devo come\u00e7ar a fazer exames para a pesquisa de diabetes?<\/h4><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":3357,"parent":1021,"menu_order":8,"comment_status":"open","ping_status":"open","template":"100-width.php","meta":{"_joinchat":[]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diabetes e Pr\u00e9-Diabetes - Dra. 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