870 resultados para Diabetes Mellitus-Aspectos nutricionales


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[Tesis] ( Maestría en Ciencias de Enfermería con Enfasis en Salud Comunitaria) U.A.N.L.

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[Tesis] ( Maestría en Ciencias de Enfermería con Énfasis en Administración de Servicios ) U.A.N.L.Facultad de Enfermería.

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Tesis (Maestría en Ciencias con opción en Psicología de la Salud) U.A.N.L., Facultad de Psicología.

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Tesis (Maestría en Ciencias en Nutrición) UANL, 2012.

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Tesis (Maestría en Ciencias de Enfermería) UANL, 2012.

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Tesis (Maestría en Ciencias de Enfermería) UANL, 2014.

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Tesis (Maestría en Ciencias con orientación en Psicología de la Salud) UANL, 2014.

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Tesis (Maestría en Ciencias en Salud Pública) UANL, 2014.

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Tesis (Doctorado en Medicina) UANL

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Tesis ( Doctor en Ciencias de Enfermería) U.A.N.L. Facultad de Enfermería.

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Diabetes mellitus is a disease where the glucosis-content of the blood does not automatically decrease to a ”normal” value between 70 mg/dl and 120 mg/dl (3,89 mmol/l and 6,67 mmol/l) between perhaps one hour (or two hours) after eating. Several instruments can be used to arrive at a relative low increase of the glucosis-content. Besides drugs (oral antidiabetica, insulin) the blood-sugar content can mainly be influenced by (i) eating, i.e., consumption of the right amount of food at the right time (ii) physical training (walking, cycling, swimming). In a recent paper the author has performed a regression analysis on the influence of eating during the night. The result was that one ”bread-unit” (12g carbon-hydrats) increases the blood-sugar by about 50 mg/dl, while one hour after eating the blood-sugar decreases by about 10 mg/dl per hour. By applying this result-assuming its correctness - it is easy to eat the right amount during the night and to arrive at a fastening blood-sugar (glucosis-content) in the morning of about 100 mg/dl (5,56 mmol/l). In this paper we try to incorporate some physical exercise into the model.

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Considering the difficulty in the insulin dosage selection and the problem of hyper- and hypoglycaemia episodes in type 1 diabetes, dosage-aid systems appear as tremendously helpful for these patients. A model-based approach to this problem must unavoidably consider uncertainty sources such as the large intra-patient variability and food intake. This work addresses the prediction of glycaemia for a given insulin therapy face to parametric and input uncertainty, by means of modal interval analysis. As result, a band containing all possible glucose excursions suffered by the patient for the given uncertainty is obtained. From it, a safer prediction of possible hyper- and hypoglycaemia episodes can be calculated