{"id":20784,"date":"2018-11-01T00:26:56","date_gmt":"2018-11-01T03:26:56","guid":{"rendered":"https:\/\/www.tiabeth.com.br\/?p=20784"},"modified":"2019-09-23T23:52:34","modified_gmt":"2019-09-24T02:52:34","slug":"exames-laboratoriais-em-jejum-apresentam-risco-para-hipoglicemias","status":"publish","type":"post","link":"https:\/\/www.tiabeth.com.br\/index.php\/2018\/11\/01\/exames-laboratoriais-em-jejum-apresentam-risco-para-hipoglicemias\/","title":{"rendered":"Exames laboratoriais em jejum apresentam risco para hipoglicemias"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"aligncenter size-full wp-image-20785\" src=\"https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/11\/exame-de-sangue.jpg\" alt=\"\" width=\"1000\" height=\"667\" srcset=\"https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/11\/exame-de-sangue.jpg 1000w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/11\/exame-de-sangue-300x200.jpg 300w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/11\/exame-de-sangue-768x512.jpg 768w, https:\/\/www.tiabeth.com.br\/wp-content\/uploads\/2018\/11\/exame-de-sangue-177x118.jpg 177w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p>O jejum solicitado para a realiza\u00e7\u00e3o de exames laboratoriais lip\u00eddicos por pacientes com diabetes pode levar a um aumento do risco para o que os pesquisadores est\u00e3o chamando de <em>hipoglicemia em jejum evocada no diabetes (<strong>HJED<\/strong>)<\/em>, de acordo com resultados publicados no\u00a0<em>International Journal of Endocrinology<\/em>.<\/p>\n<p>Al\u00e9m disso, o estudo revelou uma falta de instru\u00e7\u00e3o generalizada sobre a preven\u00e7\u00e3o de HJED.<\/p>\n<p>&#8220;Uma causa concebivelmente negligenciada de hipoglicemia \u00e9 a realiza\u00e7\u00e3o de exames laboratoriais em jejum, dos quais o painel lip\u00eddico \u00e9 o teste de laborat\u00f3rio de jejum mais comumente encomendado&#8221;, escreveu\u00a0<strong>Saleh Aldasouqi,\u00a0<\/strong><strong>MD, FACE, ECNU<\/strong>, professor de medicina e chefe da divis\u00e3o de endocrinologia no Centro Universit\u00e1rio de Medicina Humana do Estado de Michigan, e seus colegas.\u00a0&#8220;Ao solicitar exames em jejum, podemos n\u00e3o apenas incomodar os pacientes, mas tamb\u00e9m podemos inadvertidamente coloc\u00e1-los em risco de hipoglicemia&#8221;.<\/p>\n<p>Aldasouqi e colegas analisaram dados de 363 adultos com diabetes (idade m\u00e9dia de 60,6 anos; 194 mulheres; 81,6% com diabetes tipo 2; m\u00e9dia de dura\u00e7\u00e3o do diabetes de 16 anos) matriculados em um estudo prospectivo n\u00e3o randomizado de mar\u00e7o a setembro de 2016. A cada participante foi pedido para preencher um question\u00e1rio sobre o tipo de diabetes e dura\u00e7\u00e3o, medica\u00e7\u00e3o e eventos HJED nos \u00faltimos 12 meses.<\/p>\n<p>Entre a amostragem, 17,1% (n = 62) dos entrevistados relataram pelo menos um epis\u00f3dio de hipoglicemia em jejum (HJED) no ano anterior, 11% dos quais relataram epis\u00f3dios m\u00faltiplos.\u00a0Os participantes considerados \u201cem risco\u201d (n = 269) tiveram uma taxa de ocorr\u00eancia de HJED mais alta do que a popula\u00e7\u00e3o total do estudo (21,9%; n = 59).\u00a0Em toda a amostra, 53% (n = 33) entraram em contato com um profissional de sa\u00fade ap\u00f3s um epis\u00f3dio da HJED.\u00a0Al\u00e9m disso, 35% (n = 22) recebeu educa\u00e7\u00e3o sobre como prevenir o HJED.\u00a0Os pesquisadores tamb\u00e9m encontraram uma correla\u00e7\u00e3o significativa entre eventos FEEHD e sintomas hipoglic\u00eamicos (\u00a0<em>P<\/em>\u00a0&lt;0,001),\u00a0<a id=\"rId6\" href=\"https:\/\/www.healio.com\/endocrinology\/diabetes\/news\/online\/%7b9dee1cc7-de3e-41ca-9200-fc07fc2a5962%7d\/dementia-increases-risk-for-death-from-hypoglycemia-in-older-adults-with-diabetes\" target=\"_blank\" rel=\"noopener noreferrer\">frequ\u00eancia de quaisquer eventos hipoglic\u00eamicos<\/a>\u00a0no ano anterior (\u00a0<em>P<\/em>\u00a0&lt;0,001), insulinoterapia (\u00a0<em>P<\/em>\u00a0= 0,014) e o\u00a0<a id=\"rId7\" href=\"https:\/\/www.healio.com\/endocrinology\/physicians-life\/news\/blogs\/%7b2afd510a-11a1-4745-b020-10b8dedee69f%7d\/saleh-aldasouqi-md-face-ecnu\/blog-as-daylight-savings-time-ends-caution-for-users-of-insulin-pumps\" target=\"_blank\" rel=\"noopener noreferrer\">uso de bomba de insulina <\/a>(\u00a0<em>P<\/em>\u00a0&lt;.001).<\/p>\n<p>\u201cNos Estados Unidos, a tradi\u00e7\u00e3o dos exames laboratoriais em jejum est\u00e1 profundamente arraigada na psiqu\u00ea dos pacientes e dos m\u00e9dicos.\u00a0Em nossa pr\u00e1tica cl\u00ednica, percebeu-se que, assim que um paciente \u00e9 informado de que os exames laboratoriais podem ser necess\u00e1rios, uma de suas primeiras respostas \u00e9: &#8220;Mas hoje n\u00e3o estou jejuando&#8221;, escreveram os pesquisadores.\u00a0&#8220;Solicitar perfis lip\u00eddicos em jejum n\u00e3o apenas colocar\u00e1 pacientes com diabetes em risco de hipoglicemia, mas com mudan\u00e7as nas diretrizes dos testes lip\u00eddicos, o jejum para testes lip\u00eddicos pode n\u00e3o ser necess\u00e1rio, afinal&#8221;, escreveram eles.<\/p>\n<p><a href=\"https:\/\/www.healio.com\/endocrinology\/diabetes\/news\/in-the-journals\/%7Bc39f58eb-8cc7-4966-a273-30d13b4d85ae%7D\/fasting-laboratory-tests-pose-risk-for-hypoglycemia\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.healio.com\/<\/a><\/p>\n<p>PS do Editor TiaBeth: No Brasil o direito de &#8220;furar a fila&#8221; no laborat\u00f3rio depende de legisla\u00e7\u00e3o estadual. Possivelmente todos os estados j\u00e1 possuem lei pr\u00f3pria. No Rio eu vi esta aqui.<\/p>\n<p><a href=\"https:\/\/www.biabetica.com\/single-post\/2016\/09\/30\/%C3%89-lei-Diab%C3%A9ticos-t%C3%AAm-prioridade-em-exames-de-sangue-em-jejum?fbclid=IwAR2V4eJFx134BfgHTdYl6eeA5XYBhuDb7KNmUEXzx3iiUj0NjuqZUI6EpHk\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" data-lynx-mode=\"asynclazy\" data-lynx-uri=\"https:\/\/l.facebook.com\/l.php?u=https%3A%2F%2Fwww.biabetica.com%2Fsingle-post%2F2016%2F09%2F30%2F%25C3%2589-lei-Diab%25C3%25A9ticos-t%25C3%25AAm-prioridade-em-exames-de-sangue-em-jejum%3Ffbclid%3DIwAR2V4eJFx134BfgHTdYl6eeA5XYBhuDb7KNmUEXzx3iiUj0NjuqZUI6EpHk&amp;h=AT38IoSMpPkOoSO8FceQewKnKE8WsFpokh6uMX-ErcGaEMCaftTJ22RJrM-nWyreiJ7l8TAMW-0CBC3yIKFWOImcWGth1TlDPfs9vr1cTo7n9F40hCyHQeDqVA00THPRJQ\">https:\/\/www.biabetica.com\/&#8230;\/%C3%89-lei-Diab%C3%A9ticos&#8230;<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>O jejum solicitado para a realiza\u00e7\u00e3o de exames laboratoriais lip\u00eddicos por pacientes com diabetes pode levar a um aumento do risco para o que os pesquisadores est\u00e3o chamando de hipoglicemia em jejum evocada no diabetes (HJED), de acordo com resultados publicados no\u00a0International Journal of Endocrinology. Al\u00e9m disso, o estudo revelou uma falta de instru\u00e7\u00e3o generalizada [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":20785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[19,199],"tags":[28,874,586,4145,133,934],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Exames laboratoriais em jejum apresentam risco para hipoglicemias - TiaBeth.com<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.tiabeth.com.br\/index.php\/2018\/11\/01\/exames-laboratoriais-em-jejum-apresentam-risco-para-hipoglicemias\/\" \/>\r\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Exames laboratoriais em jejum apresentam risco para hipoglicemias - TiaBeth.com\" \/>\r\n<meta property=\"og:description\" content=\"O jejum solicitado para a realiza\u00e7\u00e3o de exames laboratoriais lip\u00eddicos por pacientes com diabetes pode levar a um aumento do risco para o que os pesquisadores est\u00e3o chamando de hipoglicemia em jejum evocada no diabetes (HJED), de acordo com resultados publicados no\u00a0International Journal of Endocrinology. 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