Guia de diabetes

1. Estándares de atención
en DIABETES
GUÍA 2023
para atención primaria
Asociación Americana de Diabetes

2. 1
l;ub1-m b-0;|;vvvo1b-ঞomƑƏƑƒ
Estándares de atención en diabetes:
†झ-ƑƏƑƒr-u--|;m1bॕmrubl-ub-
Nivel de evidencia ;v1ubr1bॕm
A
B
C
Evidencia clara de ensayos controlados aleatorios generalizables y
0b;mu;-ѴbŒ-7ovt†;ঞ;m;m;Ѵro7;u;v|-7झvঞ1o-7;1†-7o
ˆb7;m1b-7;-ro‹o7;;v|†7bov7;1o_ou|;v0b;mu;-ѴbŒ-7ovĺ
ˆb7;m1b-7;-ro‹o7;;v|†7bovl-Ѵ1om|uoѴ-7ovomo1om|uoѴ-7ovĺ
E omv;mvo7;;Šr;u|ovo;Šr;ub;m1b-1Ѵझmb1-ĺ
1. Mejorar la atención y promover la
salud en las poblaciones
b-0;|;v‹v-Ѵ†77;Ѵ-ro0Ѵ-1bॕm
--|;m1bॕm1;m|u-7-;mѴ-r;uvom-1omvb7;u-Ѵ-v
1olou0bѴb7-7;v ‹ Ѵov ruomॕvঞ1ov 7; Ѵov r-1b;m-
|;v bm7bˆb7†-Ѵ;vĸ ;v u;vr;|†ov- ‹ v;mvb0Ѵ; - Ѵ-v
ru;=;u;m1b-vķ m;1;vb7-7;v ‹ ˆ-Ѵou;v 7;Ѵ r-1b;m|;ĸ
‹-v;]†u-t†;;v|-v1omvb7;u-1bom;v]†झ;m|o7-v
Ѵ-v7;1bvbom;v1Ѵझmb1-vĺ7;l࢙vķѴov7;|;ulbm-m|;v
vo1b-Ѵ;v7;Ѵ-v-Ѵ†7Ő őķ-l;m†7o=†;u-7;Ѵ
1om|uoѴ7bu;1|o7;Ѵbm7bˆb7†o‹t†;ro|;m1b-Ѵl;m|;
u;ru;v;m|-m†mub;v]o7;rouˆb7-ķ1om|ub0†‹;m-
Ѵovu;v†Ѵ|-7ovrvb1ovo1b-Ѵ;v‹7;-|;m1bॕml࣐7b1-‹
7;0;m-0ou7-uv;r-u-l;fou-u|o7ovѴovu;v†Ѵ|-7ov
7;v-Ѵ†7ĺ
Recomendaciones
1.1v;]িu;v;7;t†;Ѵ-v7;1bvbom;v7;|u-|-lb;m-
|ov;-morou|†m-vķv;0-v;m;mr-†|-v0-v-7-v;m
;ˆb7;m1b-ķbm1Ѵ†‹-m;Ѵ-ro‹o7;Ѵ-1ol†mb7-7vo1b-Ѵ
‹v;|ol;m;m1oѴ-0ou-1bॕm1omѴovr-1b;m|;v;m
=†m1bॕm 7; Ѵ-v ru;=;u;m1b-v bm7bˆb7†-Ѵ;vķ Ѵov ruo-
mॕvঞ1ovķѴ-v1olou0bѴb7-7;v‹Ѵ-v1omvb7;u-1bom;v
Cm-m1b;u-vbm=oul-7-vĺŐőĺ
†;m|;Ĺ|-m7-u7vo=-u;bm b-0;|;vŌƑƏƑƒ0ub7];7=ouubl-u‹-u;uoˆb7;uvĺl;ub1-m b-0;|;vvvo1b-ঞomĺѴbm b-0;|;v
ƑƏƑƒĸƓƐŐƐőĹƓŋƒƐĺ_‚rvĹņ
ņ7obĺou]ņƐƏĺƑƒƒƕņ17ƑƒŊ-vƏƐ
ov v|࢙m7-u;v7;|;m1bॕm7;Ѵ- b-0;|;v7;Ѵ-vo1b-1bॕm v|-7o†mb7;mv;7; b-0;|;vŐ őv;-1|†-ѴbŒ-m
‹r†0Ѵb1-m-m†-Ѵl;m|;‹vom7;v-uuoѴѴ-7ovrou;Ѵolb|࣐7;u࢙1ঞ1-uo=;vbom-Ѵl†Ѵঞ7bv1brѴbm-ubo7;Ѵ- ķ
t†;;v|࢙1olr†;v|orouruo=;vbom-Ѵ;v;Šr;u|ov;m-|;m1bॕml࣐7b1-Őķrouv†vvb]Ѵ-v;mbm]Ѵ࣐vő;m7b-0;|;vĺ
m1Ѵ†‹;Ѵ-vu;1ol;m7-1bom;v0-v-7-v;m;ˆb7;m1b-l࢙v-1|†-Ѵ;vr-u-7b-]movঞ1-u‹|u-|-u-7†Ѵ|ov‹mbोov
1om|o7-vѴ-v=oul-v7;7b-0;|;vĺ Ѵvbv|;l-7;1-ѴbC1-1bॕm7;Ѵ- †v-ķķo r-u-lov|u-u;Ѵmbˆ;Ѵ7;
;ˆb7;m1b-t†;u;vr-Ѵ7-1-7-u;1ol;m7-1bॕmĺ

3. Ƒ
1.2Ѵbm;-uѴov;m=ot†;vr-u-;Ѵ1om|uoѴ7;Ѵ-7b--
0;|;v1om;Ѵo7;Ѵo7;|;m1bॕmuॕmb1-ĺ v|;lo-
7;Ѵo;m=-ঞŒ-Ѵ--|;m1bॕm;m;t†bro1;m|u-7-;mѴ-
r;uvom-ķѴov;m=ot†;v7;|u-|-lb;m|obm|;]u-7ov-
Ѵ-u]orѴ-Œor-u-Ѵ-7b-0;|;v‹Ѵ-v1olou0bѴb7-7;vķ
‹Ѵ-1ol†mb1-1bॕm1oѴ-0ou-ঞˆ-1omঞm†-‹;Ѵ;v|--
0Ѵ;1blb;m|o7;o0f;ঞˆov;m|u;|o7ovѴovlb;l0uov
7;Ѵ;t†broĺŐő
1.3 ov vbv|;l-v 7; -|;m1bॕm 7;0;m =-1bѴb|-u Ѵ-
-|;m1bॕmru;v;m1b-Ѵ‹ˆbu|†-Ѵ;m;t†broķbm1Ѵ†b7ov
-t†;ѴѴov 1om 1omo1blb;m|ov ‹ ;Šr;ub;m1b- ;m ;Ѵ
1om|uoѴ7;Ѵ-7b-0;|;v1olor-u|;7;Ѵ;t†bro‹Ѵ-
†ঞѴbŒ-1bॕm7;u;]bv|uov7;r-1b;m|;vķ_;uu-lb;m|-v
7;-ro‹o-Ѵ-|ol-7;7;1bvbom;v‹r-uঞ1br-1bॕm
7;Ѵ-1ol†mb7-7r-u-v-ঞv=-1;uѴ-vm;1;vb7-7;v7;
Ѵovr-1b;m|;vĺŐő
v|u-|;]b-vr-u-Ѵ-l;fou--mbˆ;Ѵ
del sistema
t†brov7;-|;m1bॕm
ov ;t†brov 1oѲ-0ou-ࢼˆov‹ l†Ѳࢼ7bv1brѲbm-ubov son
Ѵovl࢙v-7;1†-7ovr-u-0ubm7-u-|;m1bॕm-Ѵ-vr;u-
vom-v1om7b-0;|;v‹=-1bѴb|-u;Ѵ-†|o1om|uoѴ7;Ѵov
r-1b;m|;vķ1om࣐m=-vbv;m;ˆb|-uѴ-bm;u1b-|;u-r࣐†-
ঞ1-r-u-Ѵo]u-uѴovo0f;ঞˆovl;|-0ॕѴb1ovu;1ol;m-
7-7ovĺ
Telesalud
-|;Ѵ;v-Ѵ†7r†;7;-†l;m|-u;Ѵ-11;vo-Ѵ--|;m-
1bॕm 7; Ѵ-v r;uvom-v 1om 7b-0;|;vĺ - |;Ѵ;v-Ѵ†7
7;0;†v-uv;1olo1olrѴ;l;m|o7;Ѵ-vˆbvb|-v;m
r;uvom- r-u- orঞlbŒ-u ;Ѵ 1om|uoѴ ]Ѵ†1࣐lb1o ;m
r;uvom-v 1om 7b-0;|;v mo 1om|uoѴ-7-ĺ - ;ˆb7;m-
1b-v†]b;u;t†;Ѵ-|;Ѵ;v-Ѵ†7r†;7;v;u;C1-Œr-u-
u;7†1bu Ѵ- _;lo]Ѵo0bm- ]Ѵb1ovbѴ-7- ŐƐő ;m r;u-
vom-v1om7b-0;|;vঞroƑ;m1olr-u-1bॕm1omѴ-
-|;m1bॕm_-0b|†-Ѵo-7;l࢙v7;;ѴѴ-ĺ-v;v|u-|;]b-v
bm|;u-1ঞˆ-vt†;=-1bѴb|-mѴ-1ol†mb1-1bॕm;m|u;Ѵov
ruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†7‹Ѵovr-1b;m|;vr-u;1;m
l࢙v;=;1ঞˆ-vĺ
olrou|-lb;m|ov‹b;m;v|-u
Ѵ1†b7-7o;Šb|ovo7;Ѵ-7b-0;|;vu;t†b;u;†m;m=o-
t†;vbv|;l࢙ঞ1or-u--ro‹-uѴov;v=†;uŒov7;1-l-
0bo7;1olrou|-lb;m|o7;Ѵovr-1b;m|;vķbm1Ѵ†b7-
Ѵ-;7†1-1bॕm‹;Ѵ-ro‹or-u-;Ѵ-†|o1om|uoѴ7;Ѵ-
7b-0;|;vŐ ķrouv†vvb]Ѵ-v;mbm]Ѵ࣐vő7;-Ѵ|-
1-Ѵb7-7ĺ
7-r|-1bॕm7;Ѵ|u-|-lb;m|o
al contexto social
Recomendaciones
1.5 ˆ-Ѵ†-uѴ-bmv;]†ub7-7-Ѵbl;m|-ub-ķѴ-bmv;]†-
ub7-77;ˆbˆb;m7-ķѴ-=-Ѵ|-7;ˆbˆb;m7-ķѴ-v0-uu;u-v
Cm-m1b;u-v‹;Ѵ1-rb|-Ѵvo1b-Ѵ‹-ro‹o1ol†mb|-ubo
vo1b-Ѵr-u-bm=oul-uѴ-v7;1bvbom;v7;|u-|-lb;m|oķ
1omu;=;u;m1b--Ѵovu;1†uvov1ol†mb|-ubovѴo1-Ѵ;v
-ruorb-7ovĺŐő
1.6 uorou1bom-u - Ѵov r-1b;m|;v -ro‹o -7b1bo-
m-Ѵr-u-;Ѵ-†|o1om|uoѴ7;r-u|;7;;m|u;m-7ou;v
7; v-Ѵ†7 o |u-0-f-7ou;v 1ol†mb|-ubov 7; Ѵ- v-Ѵ†7
1†-m7o;v|࣐m7bvromb0Ѵ;vĺŐő
Las desigualdades en salud relacionadas con la
7b-0;|;v;v|࢙m0b;m7o1†l;m|-7-v‹v;_-m-vo-
1b-7o1om†ml-‹ouub;v]o7;7b-0;|;vķ†m-l-‹ou
ru;ˆ-Ѵ;m1b-;mѴ-ro0Ѵ-1bॕm‹r;ou;vu;v†Ѵ|-7ov7;
Ѵ-7b-0;|;vĺ-v0-uu;u-vCm-m1b;u-vr-u-;Ѵ†vo7;
l;7b1-l;m|ov1omঞmি-m1om|ub0†‹;m7o-Ѵ-v7bv-
r-ub7-7;v;mѴ-v-Ѵ†7ĺ
ƑĺѴ-vbC1-1bॕm‹ b-]mॕvঞ1o7;Ѵ-
b-0;|;v
Ѵ-vbC1-1bॕm
-7b-0;|;vv;r†;7;1Ѵ-vbC1-u;mѴ-vvb]†b;m|;v1--
|;]ouझ-v];m;u-Ѵ;vĹ
b-0;|;vঞroƐĹ debida a la destrucción
-†|obml†m; 7; Ѵ-v 1࣐Ѵ†Ѵ-v Òķ t†; ];m;u-Ѵl;m|;
1om7†1;-†m-7;C1b;m1b--0voѴ†|-7;bmv†Ѵbm-ķbm-
1Ѵ†b7-Ѵ-7b-0;|;v-†|obml†m;Ѵ-|;m|;7;Ѵ-;7-7
-7†Ѵ|-ĺ
b-0;|;vঞroƑĹ7;0b7--†m-r࣐u7b7-ruo-
]u;vbˆ-7;Ѵ-v;1u;1bॕm7;bmv†Ѵbm-7;Ѵ-v1࣐Ѵ†Ѵ-vÒ
=u;1†;m|;l;m|;;m;Ѵ1om|;Š|o7;Ѵ-u;vbv|;m1b--
Ѵ-bmv†Ѵbm-ĺ
$brov;vr;1झC1ov7;7b-0;|;v debido
-o|u-v1-†v-vķrĺ;fĺķvझm7uol;v7;7b-0;|;vlo-
mo]࣐mb1-Ő1oloѴ-7b-0;|;vm;om-|-Ѵ‹Ѵ-7b-0;|;v
7;bmb1bo;mѴ-l-7†u;Œ7;Ѵovfॕˆ;m;vőķ;m=;ul;7--
7;v7;Ѵr࢙m1u;-v;Šo1ubmoŐ1oloѴ-C0uovbvt†झvঞ-
1-‹Ѵ-r-m1u;-ঞঞvő‹Ѵ-vbm7†1b7-vrou=࢙ul-1ovo
v†v|-m1b-vt†झlb1-vķ7b-0;|;vŐ1olo1om;Ѵ†vo7;

4. ƒ
ub|;ubovr-u-Ѵ-7;|;11bॕm7;7b-0;|;voru;7b-0;|;v;m-7†Ѵ|ov-vbm|ol࢙ঞ1ov
Ɛĺ;7;0;1omvb7;u-uѴ-u;-ѴbŒ-1bॕm7;ru†;0-v;m-7†Ѵ|ov1omvo0u;r;vo†o0;vb7-7ŐƾƑƔh]ņ
lƑoƾƑƒh]ņlƑ;mbm7bˆb7†ov-vb࢙ঞ1oŊ-l;ub1-movőt†;|;m]-m†mool࢙v7;Ѵovvb]†b;m|;v=-1|ou;v7;
riesgo:
Ŋ -lbѴb-u7;rubl;u]u-7o1om7b-0;|;vĺ
Ŋ!-Œ-ņoub];m࣐|mb1o7;-Ѵ|oub;v]oŐrĺ;fĺķ-=uo-l;ub1-moķѴ-ঞmoķm-ঞˆo-l;ub1-moķ-vb࢙ঞ1o-l;ub1-moķ
bvѴ;ोo7;Ѵ-1झC1oőĺ
Ŋbv|oub-7;;m=;ul;7-71-u7boˆ-v1†Ѵ-uŐ (őĺ
Ŋbr;u|;mvbॕmŐƾƐƓƏņƖƏll]o;m|;u-rb-r-u-Ѵ-_br;u|;mvbॕmőĺ
Ŋbˆ;Ѵ7;1oѴ;v|;uoѴ ƺƒƔl]ņ7ŐƏķƖƏlloѴņő‹ņombˆ;Ѵ7;|ub]Ѵb1࣐ub7ovƻƑƔƏl]ņ7ŐƑķѶƑ
lloѴņőĺ
Ŋm7bˆb7†ov1omvझm7uol;7;oˆ-uboroѴbt†झvঞ1oĺ
Ŋ-bm-1ঞˆb7-7ࣱvb1-ĺ
Ŋ|u-v1om7b1bom;v1Ѵझmb1-v-vo1b-7-v1omѴ-resistencia a la insulinaŐrĺ;fĺķo0;vb7-7v;ˆ;u-ķ-1-m|ovbv
mb]ub1-mvőĺ
Ƒĺ-vr;uvom-v1omru;7b-0;|;vŐƐƾƔķƕѷŒƒƖlloѴņloѴœķ$o ő7;0;m_-1;uv;Ѵ-ru†;0-
-m†-Ѵl;m|;ĺ
ƒĺ-vr;uvom-v-Ѵ-vt†;v;Ѵ;v7b-]movঞ1ॕdiabetes mellitus gestacionalŐ ő7;0;m_-1;uv;ru†;-
0-v7;rouˆb7--Ѵl;mov1-7-ƒ-ोovĺ
Ɠĺ-u-|o7-vѴ-v7;l࢙vr;uvom-vķѴ-vru†;0-v7;0;m1ol;mŒ-u-ѴovƒƔ-ोovĺ
ƔĺbѴovu;v†Ѵ|-7ovvommoul-Ѵ;vķѴ-vru†;0-v7;0;mu;r;ঞuv;;mbm|;uˆ-Ѵovlझmblov7;ƒ-ोovķ1omѴ-
1omvb7;u-1bॕm7;ru†;0-vl࢙v=u;1†;m|;vv;]িmѴovu;v†Ѵ|-7ovbmb1b-Ѵ;v‹;Ѵ;v|-7o7;ub;v]oĺ
ѵĺ;uvom-v1om(ĺ
Siglas: Ķ-Ѳ|;u-1bࡱm7;Ѳ-]Ѳ†1ov-;m-‹†m-vķ$Ķ-Ѳ|;u-1bࡱm7;Ѳ-|oѲ;u-m1b--Ѳ-]Ѳ†1ov-ķƎ‫;ث‬lo]Ѳo0bm-
]Ѳb1ovbѲ-7-ĺ
]Ѵ†1o1ouঞ1ob7;vķ;m;Ѵ|u-|-lb;m|o7;Ѵ(ņ o
7;vr†࣐v7;†m|u-vrѴ-m|;7;ॕu]-movőĺ
Diabetes mellitus gestacionalŐ őĹ
7b-0;|;v7b-]movঞ1-7-;m;Ѵv;]†m7oo|;u1;u|ub-
l;v|u;7;Ѵ;l0-u-Œot†;mo;u-1Ѵ-u-l;m|;†m-
7b-0;|;vl-mbC;v|--m|;v7;Ѵ-];v|-1bॕmĺ
- 1Ѵ-vbC1-1bॕm 7;Ѵ ঞro 7; 7b-0;|;v mo vb;lru;
;vv;m1bѴѴ-;mѴ-ru;v;m|-1bॕm‹r†;7;o1†uubu†m
7b-]mॕvঞ1o;uuॕm;oĺouѴo|-m|oķ;vm;1;v-ub-†m-
7bѴb];m1b-1omv|-m|;‹ķ;mo1-vbom;vķ†m-u;;ˆ-Ѵ†--
1bॕmĺ
- Los niños1om7b-0;|;vঞroƐv†;Ѵ;mru;v;m|-u
roѴb†ub-‹roѴb7brvb-ķ‹-ruoŠbl-7-l;m|;Ѵ-lb|-7
ru;v;m|-1;|o-1b7ovbv7b-0࣐ঞ1-Ő őĺ
- Los adultos 1om7b-0;|;vঞroƐr†;7;mv;u7b-]-
movঞ1-7ov - 1†-Ѵt†b;u ;7-7‹ ;v rovb0Ѵ; t†; mo
ru;v;m|;mѴovvझm|ol-v1Ѵ࢙vb1ovĺ†;7;m|;m;u†m-
u;lbvbॕm|;lrou-ѴrouѴ-m;1;vb7-77;bmv†Ѵbm-ĺ Ѵ
7b-]mॕvঞ1or†;7;ˆoѴˆ;uv;l࢙vo0ˆbo1om;Ѵঞ;l-
ro‹7;0;u;;ˆ-Ѵ†-uv;vb;Šbv|;-Ѵ]†m-ru;o1†r--
1bॕmĺ
u†;0-v 7; 7;|;11bॕm ‹ 7b-]mॕvঞ1o 7;
ru;7b-0;|;v‹7b-0;|;vঞroƑ
ov 1ub|;ubov 7; 7b-]mॕvঞ1o r-u- 7b-0;|;v‹ ru;-
7b-0;|;vv;l†;v|u-m;mѴ-$-0Ѵ-vb]†b;m|;ĺ;u;-
1olb;m7-Ѵ-7;|;11bॕm7;Ѵub;v]o7;ru;7b-0;|;v‹
7b-0;|;vঞroƑ-|u-ˆ࣐v7;†m-;ˆ-Ѵ†-1bॕmbm=oul-Ѵ
7;Ѵov=-1|ou;v7;ub;v]oo1om†m-_;uu-lb;m|-7;
;ˆ-Ѵ†-1bॕmķ1oloѴ-u†;0-7;!b;v]o7; b-0;|;v
7;Ѵ- Ő7b-0;|;vĺou]ņvo1ubvh|;v|ő‹r†;7;bm=ou-
l-ut†b࣐mm;1;vb|-ru†;0-v7;Ѵ-0ou-|ouboĺ

5. 4
;|;11bॕm0-v-7-;m;Ѵub;v]o7;7b-0;|;vঞroƑoru;7b-0;|;v
;mmbोov‹-7oѴ;v1;m|;v-vbm|ol࢙ঞ1ov;m†m;m|oumo1Ѵझmb1o
;7;0;1omvb7;u-uѴ-7;|;11bॕm;mfॕˆ;m;vŖt†;ঞ;m;mvo0u;r;voŐƾr;u1;mঞѴѶƔő†obesidadŐƾ
r;u1;mঞѴƖƔő‹t†;ঞ;m;m†mool࢙v=-1|ou;v7;ub;v]o-7b1bom-Ѵ;vv;]িmѴ-=†;uŒ-7;v†-vo1b-1bॕm
con la diabetes:
Antecedentes maternos de diabetes o diabetes mellitus gestacional (DMG) durante la gestación
del niño (A).
m|;1;7;m|;v=-lbѴb-u;v7;7b-0;|;vঞroƑ;m=-lbѴb-u7;rubl;uov;]†m7o]u-7oŐőĺ
!-Œ-ņoub];m࣐|mb1oŐm-ঞˆo-l;ub1-moķ-=uo-l;ub1-moķѴ-ঞmoķ-vb࢙ঞ1o-l;ub1-moķbvѴ;ोo7;Ѵ-1झC-
co) (A).
Signos de resistencia a la insulina o afecciones asociadas con la resistencia a la insulina (acantosis
nigricansķ_br;u|;mvbॕm-u|;ub-Ѵķ7bvѴbrb7;lb-ķvझm7uol;7;oˆ-uboroѴbt†झvঞ1oor;vo-Ѵm-1;ur;t†;ोo
r-u-Ѵ-;7-7];v|-1bom-ѴőŐőĺ
Ŕ ;vr†ߪv7;Ѳbmb1bo7;Ѳ-r†0;u|-7o7;vr†ߪv7;ѲovƎƍ-ࡧov7;;7-7ĶѲot†;o1†uu-rubl;uoĸbѲ-vru†;0-v
vommoul-Ѳ;vĶv;u;1olb;m7-u;r;ࢼuѲ-vru†;0-v;mbm|;uˆ-Ѳovl࠸mblov7;Ɛ-ࡧovŎo1oml-‹ou=u;1†;m1b-vb
;Ѳ-†l;m|-o;Ѳr;uCѲ7;=-1|ou;v7;ub;v]ov;7;|;ubou-ŏĸ Šbv|;mbm=oul;v7;7b-0;|;vࢼroƏ-m|;v7;
ѲovƎƍ-ࡧovĶ‹;v|ov;r†;7;1omvb7;u-u1omm†l;uovov=-1|ou;v7;ub;v]oĸ
-vl-u1-7-v7bv1u;r-m1b-v;m|u;Ѵ-Ɛl;7b7-‹Ѵovmbˆ;Ѵ;v7;]Ѵ†1ov-;mrѴ-vl-7;0;m_-1;ur;mv-ut†;
;Ѵ-m࢙Ѵbvbv7;Ɛr†;7;mov;u1omC-0Ѵ;r-u-;v-r;uvom-ķ‹v;7;0;1omvb7;u-u;Ѵ†vo7;†m-m࢙Ѵbvbv7;Ɛ
-Ѵ|;um-ঞˆoo1ub|;ubov7;]Ѵ†1ov-;mv-m]u;rѴ-vl࢙ঞ1-r-u-;Ѵ7b-]mॕvঞ1oĺŐ-‹7bvromb0Ѵ;†m-Ѵbv|--1|†-ѴbŒ-7-
7;;mv-‹ov7;Ɛ1ombm|;u=;u;m1b-v;mm]vrĺou]ņbm|;u=ĺ-vrőĺ
b†mbm7bˆb7†oঞ;m;†mu;v†Ѵ|-7o7;Ѵ-ru†;0-1;u1-7;Ѵovl࢙u];m;v7;Ѵ†l0u-Ѵ7;7b-]mॕvঞ1oķ;Ѵl࣐7b1o7;0;
v;]†bu7;1;u1--;v-r;uvom-‹u;r;ঞuѴ-ru†;0-;mƒ-ѵl;v;vĺbv;†ঞѴbŒ-Ѵ-ru†;0-7;|oѴ;u-m1b--Ѵ-]Ѵ†1ov-
ou-ѴŐ$$őķv;7;0;;ˆb|-u;Ѵ-‹†mooѴ-u;v|ub11bॕm7;1-u0o_b7u-|ovƒ7झ-v-m|;v7;Ѵ-ru†;0-ķ‹-t†;r†;7;
;Ѵ;ˆ-u=-Ѵv-l;m|;Ѵovmbˆ;Ѵ;v7;]Ѵ†1ov-ĺ
A1C ƔķƓŊѵķƓѷŐƒƖŊƓƕlloѴņloѴő ƾѵķƔѷŐƓѶlloѴņloѴő
FPG ƐƏƏŊƐƑƔl]ņ7ŐƔķѵŊѵķƖlloѴņloѴņő ƾƐƑѵl]ņ7ѴŐƕķƏlloѴņѴő
Ѵ†1;lb-7ov_ou-v7;vr†࣐v
de sobrecarga 75 gr
ƐƓƏŊƐƖƖl]ņ7ŐƕķѶŊƐƐķƏlloѴņ
loѴņő
ƾƑƏƏl]ņ7ѴŐƐƐķƐlloѴņѴő
Glucemia al azar - ƾƑƏƏl]ņ7ѴŐƐƐķƐlloѴņѴő
ub|;ubovr-u-;Ѵ$-lbŒ-f;‹ b-]mॕvঞ1o7;u;7b-0;|;v‹ b-0;|;v
Detección antes del embarazo
Recomendación
2.26 (A) mѴ-vr;uvom-vt†;rѴ-m;-mt†;7-uv;;l0-u-Œ-7-vķ;ˆ-Ѵি;--t†;ѴѴ-v1om=-1|ou;v7;ub;v]oŐő‹
1omvb7;u;u;-ѴbŒ-uru†;0-v-|o7-vѴ-vr;uvom-v;m;7-7=࣐uঞѴr-u-7;|;1|-u7b-0;|;vmo7b-]movঞ1-7-ĺ

6. 5
3. Prevención o retraso de la
7b-0;|;vঞroƑ‹1olou0bѴb7-7;v
asociadas
Recomendación
3.1†r;uˆbv-u;Ѵ7;v-uuoѴѴo7;7b-0;|;vঞroƑ;m
r;uvom-v1omru;7b-0;|;v-Ѵl;mov†m-ˆ;Œ-Ѵ-ोoĸ
lo7bC1-u;m=†m1bॕm7;Ѵ-;ˆ-Ѵ†-1bॕmbm7bˆb7†-Ѵ7;
ub;v]ovņ0;m;C1bovĺ
-l0bo 7; 1olrou|-lb;m|o ;m ;Ѵ ;vঞѴo
7;ˆb7-r-u-Ѵ-ru;ˆ;m1bॕm7;Ѵ-7b-0;|;v
Recomendaciones
3.2!;=;ubu-Ѵov-7†Ѵ|ov1omvo0u;r;voņo0;vb7-7
1om-Ѵ|oub;v]o7;7b-0;|;vঞroƑķv;]িmѴoঞrb-
C1-7orou;Ѵuo]u-l-7;u;ˆ;m1bॕm7;Ѵ- b--
0;|;v Ő őķ - †m ruo]u-l- bm|;mvbˆo 7; 1-l0bo
7;1olrou|-lb;m|o7;;vঞѴo7;ˆb7-r-u-Ѵo]u-u
‹l-m|;m;u†m-u;7†11bॕm7;r;vo7;-Ѵl;mov;Ѵ
ƕѷ7;Ѵr;vo1ourou-Ѵbmb1b-Ѵ-|u-ˆ࣐v7;7b;|-v-Ѵ†-
7-0Ѵ;0-f-;m1-Ѵouझ-v‹ƾƐƔƏlbm†|ovņv;l-m-7;
-1ঞˆb7-7ࣱvb1-7;bm|;mvb7-7lo7;u-7-ĺŐő
3.3;r†;7;1omvb7;u-u†m-ˆ-ub;7-77;r-|uo-
m;v7;-Ѵbl;m|-1bॕmr-u-ru;ˆ;mbuѴ-7b-0;|;v;m
r;uvom-v1omru;7b-0;|;vĺŐő
Ѵ;mv-‹o 7;lov|uॕt†;†m-bm|;uˆ;m1bॕmbm-
|;mvbˆ-;m;Ѵ;vঞѴo7;ˆb7-ro7uझ-u;7†1bu;Ѵub;v]o
7;7b-0;|;vঞroƑbm1b7;m|;;m†mƔѶѷ7†u-m|;ƒ
-ोovĺ;_-7;lov|u-7ot†; ;vu;m|-0Ѵ;‹t†;
Ѵovruo]u-l-v-vbvঞ7ovrou|;1moѴo]झ-r†;7;mv;u
;=;1ঞˆov‹7;0;mv;u1omvb7;u-7ovĺ
-‹7bvromb0Ѵ;†m-Ѵbv|-7;Ѵovruo]u-l-v7;1-l-
0bo7;;vঞѴo7;ˆb7-r-u-Ѵ-ru;ˆ;m1bॕm7;Ѵ-7b-0;-
|;vu;1omo1b7ovrouѴov;m|uovr-u-;Ѵom|uoѴ‹Ѵ-
u;ˆ;m1bॕm7; m=;ul;7-7;vŐ ő
Intervenciones farmacológicas
Recomendaciones
3.6 -|;u-rb-1oml;oulbm-r-u-Ѵ-ru;ˆ;m1bॕm
7;Ѵ-7b-0;|;vঞroƑv;7;0;1omvb7;u-u;m-7†Ѵ|ov
1om-Ѵ|oub;v]o7;7b-0;|;vঞroƑķv;]িmѴoঞrbC1--
7orou;Ѵ ķ;vr;1b-Ѵl;m|;-t†;ѴѴov7;ƑƔ-ƔƖ
-ोov1om†mƾƒƔh]ņlƑķ]Ѵ†1ov-rѴ-vl࢙ঞ1-
;m-‹†m-vl࢙v-Ѵ|-Ő őŐrĺ;fĺķƾƐƐƏl]ņ7Ѵő‹Ɛ
l࢙v-Ѵ|-Őrĺ;fĺķƾѵķƏѷő‹;mr;uvom-v1om
ru;ˆb-ĺŐő
3.7 Ѵ†vo-Ѵ-u]orѴ-Œo7;l;oulbm-r†;7;;v-
|-u-vo1b-7o1omѴ-7;C1b;m1b-0bot†झlb1-7;ˆb|--
lbm-ƐƑĸ1omvb7;u;Ѵ-l;7b1bॕmr;ubॕ7b1-7;Ѵov
niveles de ˆb|-lbm-ƐƑ en individuos tratados con
l;oulbm-ķ ;vr;1b-Ѵl;m|; ;m -t†;ѴѴov 1om -m;-
lb-om;†uor-ঠ-r;ub=࣐ub1-ĺŐő
;_-m;ˆ-Ѵ†-7oˆ-ubov-];m|;v=-ul-1oѴॕ]b1ovr-u-
Ѵ-ru;ˆ;m1bॕm7;Ѵ-7b-0;|;vঞroƑķ‹Ѵ-l;oulbm-
ঞ;m;Ѵ-0-v;7;;ˆb7;m1b-l࢙vvॕѴb7-ĺbm;l0-u]oķ
Ѵ- 7lbmbv|u-1bॕm 7; uo]-v ‹ Ѵbl;m|ov 7; Ѵov
v|-7ov mb7ov Ő ő mo _- -ruo0-7o mbm]িm
-];m|;r-u-Ѵ-ru;ˆ;m1bॕm7;Ѵ-7b-0;|;vĺ
Prevención de enfermedades vasculares
y mortalidad
Recomendaciones
3.8 -ru;7b-0;|;vv;-vo1b-1om†ml-‹ouub;v]o
1-u7boˆ-v1†Ѵ-u Ő(őĸ rou Ѵo |-m|oķ v; v†]b;u; Ѵ-
7;|;11bॕm ‹ ;Ѵ |u-|-lb;m|o 7; =-1|ou;v 7; ub;v]o
lo7bC1-0Ѵ;v7;;m=;ul;7-71-u7boˆ-v1†Ѵ-uŐ (őĺ
Őő
3.9 - |;u-rb- 1om ;v|-ঞm-v r†;7; -†l;m|-u ;Ѵ
ub;v]o 7; 7b-0;|;v ঞro Ƒ ;m r;uvom-v 1om -Ѵ|o
ub;v]o 7; 7;v-uuoѴѴ-u 7b-0;|;v ঞro Ƒĺ m |-Ѵ;v
bm7bˆb7†ovķ;Ѵ;v|-7o7;Ѵ-]Ѵ†1ov-7;0;1om|uoѴ-uv;
u;]†Ѵ-ul;m|; ‹ 7;0;m u;=ouŒ-uv; Ѵov ;m=ot†;v
7; ru;ˆ;m1bॕm 7; Ѵ- 7b-0;|;vĺ o v; u;1olb;m7-
v†vr;m7;uѴ-v;v|-ঞm-vĺŐő
3.10 mr;uvom-v1om-m|;1;7;m|;v7;-11b7;m|;
cerebrovascular y evidencia de resistencia a la
bmv†Ѵbm- ‹ ru;7b-0;|;vķ v; r†;7; 1omvb7;u-u t†;
Ѵ- rbo]Ѵb|-Œom- u;7†1; ;Ѵ ub;v]o 7; -11b7;m|;
1;u;0uoˆ-v1†Ѵ-u o bm=-u|o 7; lbo1-u7bo Őőĺ bm
;l0-u]oķ ;v|; 0;m;C1bo 7;0; ;t†bѴb0u-uv; 1om
;Ѵ l-‹ou ub;v]o 7; -†l;m|o 7; r;voķ ;7;l- ‹
=u-1|†u-ĺ-v7ovbvl࢙v0-f-vr†;7;mlbঞ]-u;Ѵ
ub;v]o7;;=;1|ov-7ˆ;uvovĺŐő

7. 6
Metas de atención centradas
;mѴ-r;uvom-
Recomendaciones
3.11 m-7†Ѵ|ov1omvo0u;r;voņo0;vb7-71om-Ѵ|o
ub;v]o7;7b-0;|;vঞroƑķѴovo0f;ঞˆov7;-|;m1bॕm
7;0;mbm1Ѵ†buѴ-r࣐u7b7-7;r;vooѴ-ru;ˆ;m1bॕm
7;Ѵ-†l;m|o7;r;voķlbmblbŒ-m7oѴ-ruo]u;vbॕm
7;Ѵ-_br;u]Ѵ†1;lb-‹Ѵ--|;m1bॕm7;Ѵub;v]o(‹
Ѵ-v
1olou0bѴb7-7;v-vo1b-7-vĺŐő
3.12 ; r†;7; 1omvb7;u-u Ѵ- =-ul-1o|;u-rb- Őrĺ
;fĺķr-u-1om|uoѴ-u;Ѵr;voķlbmblbŒ-uѴ-ruo]u;vbॕm
7;Ѵ-_br;u]Ѵ†1;lb-ķu;7†1bu;Ѵub;v]o(őr-u--ro-
‹-uѴovo0f;ঞˆov7;-|;m1bॕm1;m|u-7ov;mѴ-r;u-
vom-ĺŐő
3.13;7;0;m1omvb7;u-u;m=ot†;vru;ˆ;mঞˆov
l࢙vbm|;mvbˆov;mbm7bˆb7†ovt†;ঞ;m;m†mub;v-
]or-uঞ1†Ѵ-ul;m|;-Ѵ|o7;ruo]u;vbॕm-7b-0;|;vķ
bm1Ѵ†b7ovbm7bˆb7†ov1omƾƒƔh]ņlƑķ-t†;ѴѴov
1ommbˆ;Ѵ;v7;]Ѵ†1ov-l࢙v-Ѵ|ovŐrĺ;fĺķƐƐƏŋ
ƐƑƔl]ņ7ķƑŊ†m-_ou-7;vr†࣐v7;Ѵ-;Šrovb1bॕmķ
]Ѵ†1ov-ƐƕƒŋƐƖƖl]ņ7ķƐƾѵķƏѷő;bm7bˆb7†ov
1om-m|;1;7;m|;v7; ĺŐő
Ɠĺ ˆ-Ѵ†-1bॕm࣐7b1-m|;]u-Ѵ‹
Valoración de Comorbilidades
|;m1bॕm1oѴ-0ou-ঞˆ-1;m|u-7-
;mѴ-r;uvom-
Recomendaciones
4.1m;vঞѴo7;1ol†mb1-1bॕm1;m|u-7o;mѴ-r;u-
vom-t†;†v-†mѴ;m]†-f;1;m|u-7o;mѴ-r;uvom-ķ
1†Ѵ|†u-Ѵl;m|;v;mvb0Ѵ;‹0-v-7o;m=ou|-Ѵ;Œ-v‹;v-
1†1_--1ঞˆ-ĸv†v1b|-ru;=;u;m1b-v‹1u;;m1b-vbm7b-
ˆb7†-Ѵ;vĸ‹;ˆ-Ѵি-Ѵ--Ѵ=-0;ঞŒ-1bॕmķѴ--ub|l࣐ঞ1-‹
Ѵ-vrovb0Ѵ;v0-uu;u-v-Ѵ--|;m1bॕm7;0;m†ঞѴbŒ-uv;
r-u-orঞlbŒ-uѴovu;v†Ѵ|-7ov7;v-Ѵ†7‹Ѵ-1-Ѵb7-7
7;ˆb7-Ő oőu;Ѵ-1bom-7-1omѴ-v-Ѵ†7ĺŐő
Los o0f;ঞˆov 7;Ѵ |u-|-lb;m|o 7; Ѵ- 7b-0;|;v vom
ru;ˆ;mbuou;|u-v-uѴ-v1olrѴb1-1bom;v‹orঞlbŒ-u
Ѵ-1-Ѵb7-77;ˆb7-Ő oőu;Ѵ-1bom-7-1omѴ-v-Ѵ†7ĺ Ѵ
†vo7;†mѴ;m]†-f;bm1Ѵ†vbˆo‹;lro7;u-7out†;
v;-u;vr;|†ovo‹Ѵb0u;7;;vঞ]l-r†;7;-‹†7-u-
bm=oul-u‹loঞˆ-u-Ѵ-vr;uvom-vĺ
Figura 4.1
b1Ѵo7;7;1bvbॕmr-u-;Ѵ1om|uoѴ]Ѵ†1࣐lb1o1;m|u--
7o;mѴ-r;uvom-;mѴ-7b-0;|;vঞroƑĺ7-r|-7o7;
-ˆb;vķuo7-(!ķoѴѴbmvķ;|-Ѵĺ†b7-7o7;
Ѵ-7b-0;|;vƑƏƑƑĸƓƔĹƑƕƔƒŋƑƕѶѵĺ

8. 7
Evaluación Médica Integral
Recomendaciones
4.3 ;7;0;u;-ѴbŒ-u†m-;ˆ-Ѵ†-1bॕml࣐7b1-1ol-
rѴ;|-;mѴ-ˆbvb|-bmb1b-Ѵr-u-Ĺ
omCul-u;Ѵ7b-]mॕvঞ1o‹1Ѵ-vbC1-uѴ-7b-0;|;vĺŐő
ˆ-Ѵি; Ѵ-v1olrѴb1-1bom;v 7;Ѵ-7b-0;|;vķѴ-vro-
vb0Ѵ;v1om7b1bom;v1olॕu0b7-v‹;Ѵ;v|-7o];m;u-Ѵ
7;v-Ѵ†7ĺŐő
!;ˆbv-u ;Ѵ |u-|-lb;m|o ru;ˆbo ‹ ;Ѵ 1om|uoѴ 7; Ѵov
=-1|ou;v7;ub;v]o;mr;uvom-v1om7b-0;|;v;v|--
0Ѵ;1b7-ĺŐő
olb;m1; - 1olruol;|;uv; 1om Ѵ- r;uvom- 1om
7b-0;|;v;mѴ-=oul†Ѵ-1bॕm7;†mrѴ-m7;];vঞॕm
7;Ѵ--|;m1bॕmt†;bm1Ѵ†‹-Ѵovo0f;ঞˆovbmb1b-Ѵ;v7;
Ѵ--|;m1bॕmĺŐő
;v-uuoѴѴ;†mrѴ-mr-u-Ѵ--|;m1bॕm1omঞm†-ĺŐő
4.4m-ˆbvb|-7;v;]†blb;m|o7;0;bm1Ѵ†buѴ-l--
‹ouझ-7;Ѵov1olrom;m|;v7;Ѵ-;ˆ-Ѵ†-1bॕml࣐7b1-
bm|;]u-Ѵbmb1b-ѴĺŐő
4.5 Ѵl-m;fo1omঞm†o7;0;]†b-uv;rouѴ-;ˆ--
Ѵ†-1bॕm7;Ѵ;v|-7o7;v-Ѵ†7];m;u-ѴķѴ-v1olrѴb1--
1bom;v7;Ѵ-7b-0;|;vķ;Ѵub;v]o1-u7boˆ-v1†Ѵ-uķ;Ѵ
ub;v]o 7; _bro]Ѵ†1;lb- ‹ Ѵ- |ol- 7; 7;1bvbom;v
1olr-uঞ7-r-u-;v|-0Ѵ;1;uo0f;ঞˆov|;u-r࣐†ঞ1ovĺ
Őő
(-1†m-v!Ŋo(ŊƑ
y otras inmunizaciones
- blrou|-m1b- 7; Ѵ-vˆ-1†m-v 7; u†ঞm- r-u- Ѵ-v
r;uvom-v1om7b-0;|;v_--†l;m|-7o7;0b7o-Ѵ-
r-m7;lb-7;Ѵ-;m=;ul;7-7rou1ouom-ˆbu†vƑƏƐƖ
Ő( ŊƐƖőĺ - ru;ˆ;m1bॕm 7; bm=;11bom;v ;ˆb|--
0Ѵ;vmovoѴoru;ˆb;m;7bu;1|-l;m|;Ѵ-lou0bѴb7-7ķ
vbmot†;|-l0b࣐mu;7†1;Ѵ-v_ovrb|-ѴbŒ-1bom;vķѴo
t†;-7;l࢙vr†;7;u;7†1bu;Ѵub;v]o7;1om|u-;ubm-
=;11bom;v1oloѴ-( ŊƐƖĺovmbोov‹-7†Ѵ|ov
con diabetes deben recibir vacunas de acuerdo con
Ѵ-vu;1ol;m7-1bom;v-ruorb-7-vr-u-v†;7-7ĺ
mѴ-vr;uvom-v1om7b-0;|;vķѴovmbˆ;Ѵ;vl࢙v-Ѵ|ov
7;]Ѵ†1ov-;mv-m]u;-m|;v‹7†u-m|;;Ѵbm]u;vorou
( ŊƐƖv;_-m-vo1b-7o1oml-Ѵovu;v†Ѵ|-7ovķ
bm1Ѵ†b7-Ѵ-lou|-Ѵb7-7ĺ;7;0;ruboubŒ-u-Ѵ-vr;u-
vom-v1om7b-0;|;v‹o=u;1;uѴ;vˆ-1†m-v1om|u-;Ѵ
!Ŋo(ŊƑĺ
Evaluación de comorbilidades
seleccionadas
Cáncer
;7;0;-Ѵ;m|-u-Ѵ-vr;uvom-v1om7b-0;|;v-t†;
v;vol;|-m-Ѵ-vru†;0-v7;7;|;11bॕm7;Ѵ1࢙m1;u
u;1ol;m7-7-vv;]িmv†;7-7‹v;Šo‹-t†;u;7†Œ-
1-mv†v=-1|ou;v7;ub;v]o7;1࢙m1;ulo7bC1-0Ѵ;v
Őo0;vb7-7ķbm-1ঞˆb7-7ࣱvb1-‹|-0-t†bvloőĺ
m=;ul;7-77;Ѵ_झ]-7o]u-vomo-Ѵ1o_ॕѴb1o
Recomendación
4.10-vr;uvom-v1om7b-0;|;vঞroƑoru;7b--
0;|;v1om=-1|ou;v7;ub;v]o1-u7bol;|-0ॕѴb1oķt†;
ঞ;m;m;mŒbl-v_;r࢙ঞ1-v;Ѵ;ˆ-7-vŐ$őo_झ]-7o
]u-vo;mbl࢙];m;vo;1o]u-ࣱ-vķ7;0;mv;u;ˆ-Ѵ†--
7-vr-u-7;|;1|-uѴ-ru;v;m1b-7;;v|;-|o_;r-ঞঞv
mo-Ѵ1o_ॕѴb1-‹C0uovbv_;r࢙ঞ1-ĺŐő
5. Facilitar comportamientos de
v-Ѵ†7rovbঞˆov‹0b;m;v|-ur-u-
mejorar los resultados de salud
v;m1b-Ѵr-u-Ѵo]u-uѴovo0f;ঞˆov7;Ѵ|u-|-lb;m|o
7;Ѵ-7b-0;|;vvomѴ-;7†1-1bॕmr-u-;Ѵ-†|o1om-
|uoѴ 7; Ѵ- 7b-0;|;v ‹ -ro‹o Ő őķ |;u-rb- 7;
m†|ub1bॕml࣐7b1-Ő$őķ-1ঞˆb7-7ࣱvb1-7;u†ঞm-ķ
-v;vou-lb;m|or-u-7;f-u7;=†l-u1†-m7ov;-m;-
1;v-uboķ-v;vou-lb;m|ovo0u;1olrou|-lb;m|o7;
v-Ѵ†7‹-|;m1bॕmrvb1ovo1b-Ѵĺ
7†1-1bॕmr-u-;Ѵ-†|o1om|uoѴ7;Ѵ-7b-0;-
|;v‹-ro‹oŐ ő
Recomendaciones
5.2-‹1†-|uolol;m|ov1uझঞ1ovr-u-;ˆ-Ѵ†-uѴ-
m;1;vb7-77;t†; ruol†;ˆ-Ѵ--7t†bvb1bॕm
7;_-0bѴb7-7;vr-u--‹†7-u-Ѵ-blrѴ;l;m|-1bॕm7;Ѵ
rѴ-m7;|u-|-lb;m|oķ$‹0b;m;v|-uĹ;m;Ѵlo-
l;m|o7;Ѵ7b-]mॕvঞ1oķ-m†-Ѵl;m|;‹ņo1†-m7omo
v;1†lrѴ;mѴovo0f;ঞˆov7;Ѵ|u-|-lb;m|oķ1†-m7o
v;7;v-uuoѴѴ-m=-1|ou;v7;1olrѴb1-1bॕmŐl࣐7b1ovķ

9. 8
ࣱvb1ovķrvb1ovo1b-Ѵ;vőķ‹1†-m7oo1†uu;m|u-mvb1bo-
m;v;mѴ-ˆb7-‹;Ѵ1†b7-7oĺŐ ő
5.4ov 7;0;m;v|-u1;m|u-7ov;mѴ-r;u-
vom-ķr†;7;mo=u;1;uv;;m;m|oumov]u†r-Ѵ;vobm-
7bˆb7†-Ѵ;v‹7;0;m1ol†mb1-uv;1om|o7o;Ѵ;t†bro
7;-|;m1bॕm7;Ѵ-7b-0;|;vĺŐő
5.5-vbm|;uˆ;m1bom;v7;1o-1_bm]7b]b|-Ѵ‹-†|o-
];vঞॕm7b]b|-Ѵr†;7;mv;ul࣐|o7ov;=;1ঞˆovr-u-
0ubm7-u ĺŐő
5.9omvb7;u;-0ou7-uѴ-v0-uu;u-vr-u-;Ѵ-11;vo
- -|u-ˆ࣐v7;Ѵ-ru;v|-1bॕm7;-|;m1bॕm7;
|;Ѵ;v-Ѵ†7Őő‹o|u-vvoѴ†1bom;v7;v-Ѵ†77b]b|-ѴĺŐő
$;u-rb-7;†|ub1bॕm࣐7b1-Ő$ő
$o7ovѴovruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†77;0;mu;=;ubu-
Ѵ-vr;uvom-v1om7b-0;|;vr-u-t†;u;1b0-m$
bm7bˆb7†-ѴbŒ-7ov ruorou1bom-7ov rou †m m†|ub1bo-
mbv|-7b;ঞv|-u;]bv|u-7ot†;|;m]-1omo1blb;m|ov
‹_-0bѴb7-7;vr-u-ruorou1bom-u$;vr;1झC1ov
r-u-Ѵ-7b-0;|;vĺ
0f;ঞˆov 7; Ѵ- |;u-rb- m†|ub1bom-Ѵ r-u-
adultos con diabetes
-u-ruoloˆ;u‹-ro‹-ur-|uom;v7;-Ѵbl;m|-1bॕm
v-Ѵ†7-0Ѵ;vķ;m=-ঞŒ-m7o†m-ˆ-ub;7-77;-Ѵbl;m|ov
7;mvov ;m m†|ub;m|;v ;m rou1bom;v -ruorb-7-vķ
r-u-l;fou-uѴ-v-Ѵ†7];m;u-Ѵĺ
o]u-u‹l-m|;m;uѴovo0f;ঞˆov7;r;vo1ourou-Ѵĺ
o]u-u o0f;ঞˆov bm7bˆb7†-ѴbŒ-7ov 7; ]Ѵ†1;lb-ķ
ru;vbॕm-u|;ub-ѴŐő‹Ѵझrb7ov
!;|u-v-uoru;ˆ;mbuѴ-v1olrѴb1-1bom;v7;Ѵ-7b--
0;|;vĺ
0ou7-uѴ-vm;1;vb7-7;vm†|ub1bom-Ѵ;vbm7bˆb7†--
Ѵ;v;m=†m1bॕm7;Ѵ-vru;=;u;m1b-vr;uvom-Ѵ;v‹1†Ѵ-
|†u-Ѵ;vķѴ--Ѵ=-0;ঞŒ-1bॕm;mv-Ѵ†7‹Ѵ--ub|l࣐ঞ1-ķ
;Ѵ-11;vo--Ѵbl;m|ovv-Ѵ†7-0Ѵ;vķѴ-ˆoѴ†m|-7‹Ѵ-
1-r-1b7-77;u;-ѴbŒ-u1-l0bov7;1olrou|-lb;m|o
‹Ѵ-v0-uu;u-v;Šbv|;m|;vr-u-;Ѵ1-l0boĺ
-u-l-m|;m;u;ѴrѴ-1;u7;1ol;u-Ѵruorou1bo-
m-ul;mv-f;vvbmru;f†b1bovvo0u;Ѵ-vor1bom;v7;
-Ѵbl;m|ov‹Ѵblb|-uѴ-vor1bom;v7;-Ѵbl;m|ovvoѴo
1†-m7oѴobm7bt†;Ѵ-;ˆb7;m1b-1b;mঠC1-ĺ
uorou1bom-u-†m-r;uvom-1om7b-0;|;vѴ-v_;-
uu-lb;m|-vru࢙1ঞ1-vr-u-7;v-uuoѴѴ-ur-|uom;v7;
-Ѵbl;m|-1bॕmv-Ѵ†7-0Ѵ;v;mѴ†]-u7;1;m|u-uv;;m
l-1uom†|ub;m|;vķ lb1uom†|ub;m|;v o -Ѵbl;m|ov bm-
7bˆb7†-Ѵ;vĺ
Evaluación de la inseguridad alimentaria
†-Ѵt†b;ulb;l0uo7;Ѵ;t†bro7;-|;m1bॕml࣐7b-
1- r†;7; 7;|;1|-u Ѵ- bmv;]†ub7-7 -Ѵbl;m|-ub- †ঞ-
lizando $_;†m];u(b|-Ѳb]mĺov_o]-u;vv;1om-
vb7;u-m;mub;v]ovbu;vrom7;m†m-o-l0-v7;Ѵ-v
vb]†b;m|;v-Cul-1bom;v1oloľ-l;m†7o1b;u|oĿo
ľ-ˆ;1;v;v1b;u|oĿŐ;m1olr-u-1bॕm1omľm†m1-;v
1b;u|oĿőĹ
Ɛĺľ mѴovিѴঞlovƐƑl;v;vķmovru;o1†r-0-vb
m†;v|u-1olb7-v;-1-0-uझ--m|;v7;t†;|†ˆb࣐u--
lov7bm;uor-u-1olru-ul࢙vĿĺ
Ƒĺľ mѴovিѴঞlovƐƑl;v;vķѴ-1olb7-t†;1ol-
ru࢙0-lovvblrѴ;l;m|;mo7†u-0-‹mo|;mझ-lov
7bm;uor-u-1olru-ul࢙vĿĺ
1ঞˆb7-7ࣱvb1-
Recomendaciones
5.28 Los niños y adolescentes1om7b-0;|;vঞro
Ɛ Őő o 7b-0;|;v ঞro Ƒ o ru;7b-0;|;v Őő 7;0;m
r-uঞ1br-u ;m ѵƏlbm†|ovņ7झ- o l࢙v 7; -1ঞˆb7-7
-;uॕ0b1-7;bm|;mvb7-7lo7;u-7-oˆb]ouov-ķ1om
-1ঞˆb7-7;vˆb]ouov-v7;=ou|-Ѵ;1blb;m|ol†v1†Ѵ-u
‹7;=ou|-Ѵ;1blb;m|oॕv;o-Ѵl;movƒ7झ-vņv;l-m-ĺ
5.29-l-‹ouझ-7;Ѵovadultos1om7b-0;|;vঞro
ƐŐő‹7b-0;|;vঞroƑŐő7;0;mr-uঞ1br-u;mƐƔƏ
minutosol࢙v7;-1ঞˆb7-7-;uॕ0b1-7;bm|;mvb7-7
lo7;u-7--ˆb]ouov-rouv;l-m-ķu;r-uঞ7ov;m-Ѵ
l;movƒ7झ-v-Ѵ-v;l-m-ķ1ommol࢙v7;Ƒ7झ-v
1omv;1†ঞˆovvbm-1ঞˆb7-7ĺ †u-1bom;vl࢙v1ou|-v
Őlझmblo ƕƔ lbm†|ovņv;l-m-ő 7; ;m|u;m-lb;m|o
7;bm|;mvb7-7ˆb]ouov-o7;bm|;uˆ-Ѵovr†;7;mv;u
v†C1b;m|;vr-u-r;uvom-vl࢙vfॕˆ;m;v‹;ml;fou
=oul-ࣱvb1-ĺ
5.30ov-7†Ѵ|ov1om7b-0;|;vঞroƐŐő‹7b-0;-
|;vঞroƑŐő7;0;mu;-ѴbŒ-u7;Ƒ-ƒv;vbom;vrou
v;l-m-7;;f;u1b1bov7;=†;uŒ-;m7झ-vmo1omv;-
1†ঞˆovĺ
5.31$o7ovѴov-7†Ѵ|ovķ‹;mr-uঞ1†Ѵ-u-t†;ѴѴov

10. 9
1om7b-0;|;vঞroƑķ7;0;m7bvlbm†buѴ-1-mঞ7-77;
ঞ;lrot†;7;7b1-m-Ѵ1olrou|-lb;m|ov;7;m|-ubo
7b-uboĺŐő-rovb1bॕmv;m|-7oruoѴom]-7-7;0;bm-
|;uu†lrbuv;1-7-ƒƏlbm†|ovr-u-o0|;m;u0;m;C-
1bov7;]Ѵ†1ov-;mv-m]u;ĺŐő
5.32;u;1olb;m7-;Ѵ;m|u;m-lb;m|o7;Ѵ-Y;Šb-
0bѴb7-7‹;Ѵ;m|u;m-lb;m|o7;Ѵ;t†bѴb0uboƑoƒˆ;1;v
rouv;l-m-r-u-Ѵov-7†Ѵ|ovl-‹ou;v1om7b-0;|;vĺ
Ѵ‹o]-‹;Ѵ|-b1_br†;7;mbm1Ѵ†buv;v;]িmѴ-vru;-
=;u;m1b-vbm7bˆb7†-Ѵ;vr-u--†l;m|-uѴ-Y;Šb0bѴb7-7ķ
Ѵ-=†;uŒ-l†v1†Ѵ-u‹;Ѵ;t†bѴb0uboĺŐő
5.33 ˆ-Ѵ†-uѴ--1ঞˆb7-7ࣱvb1-0-v-Ѵ‹;Ѵঞ;lro
v;7;m|-uboĺuoloˆ;u;Ѵ-†l;m|o7;Ѵ-v-1ঞˆb7--
7;vmov;7;m|-ub-vrou;m1bl-7;Ѵ-Ѵझm;-7;0-v;
r-u-Ѵ-vr;uvom-vv;7;m|-ub-v1om7b-0;|;vঞroƐ
Ő ő‹7b-0;|;vঞroƑĺŐőov;f;lrѴovbm1Ѵ†‹;m1--
lbm-uķ‹o]-ķ|-u;-v7ol࣐vঞ1-vķf-u7bm;uझ-ķm-|-1bॕm
‹0-bѴ;ĺ
;f-u7;=†l-uĹ|-0-1o‹1b]-uubѴѴov
electrónicos
Recomendaciones
5.341omv;f;-|o7-vѴ-vr;uvom-vt†;mo†v;m
1b]-uubѴѴov‹o|uovruo7†1|ov7;|-0-1oo1b]-uubѴѴov
;Ѵ;1|uॕmb1ovĺŐő
5.35 ;vr†࣐v7;b7;mঞC1-u;Ѵ†vo7;|-0-1oo
1b]-uubѴѴov;Ѵ;1|uॕmb1ovķbm1Ѵ†bu-v;vou-lb;m|or-u-
7;f-u7;=†l-u‹o|u-v=oul-v7;|u-|-lb;m|o1olo
†m1olrom;m|;7;u†ঞm-7;Ѵ1†b7-7o7;Ѵ-7b-0;-
|;vĺŐő
Atención Psicosocial
Recomendaciones
5.38;7;0;0ubm7-u-|;m1bॕmrvb1ovo1b-Ѵ-|o-
7-vѴ-vr;uvom-v1om7b-0;|;vķ1om;Ѵo0f;ঞˆo7;
orঞlbŒ-uѴ-1-Ѵb7-77;ˆb7-u;Ѵ-1bom-7-1omѴ-v--
Ѵ†7‹Ѵovu;v†Ѵ|-7ov7;v-Ѵ†7ĺ b1_--|;m1bॕm7;0;
bm|;]u-uv;1omѴ--|;m1bॕml࣐7b1-7;u†ঞm-‹v;u
0ubm7-7-rouruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†71-r-1b|-7ov
l;7b-m|;†m;m=ot†;1oѴ-0ou-ঞˆoķ1;m|u-7o;mѴ-
r;uvom- ‹ 1†Ѵ|†u-Ѵl;m|; bm=oul-7oĺ Őő †-m7o
;v|࣐ bm7b1-7o ‹ 7bvromb0Ѵ;ķ Ѵov ruo=;vbom-Ѵ;v 7;
v-Ѵ†7l;m|-Ѵ1-ѴbC1-7ov7;0;mruorou1bom-u-|;m-
1bॕm7;v-Ѵ†7l;m|-Ѵ;vr;1झC1--7b1bom-ѴĺŐő
5.39ov;t†brov7;-|;m1bॕm7;Ѵ-7b-0;|;v7;0;m
blrѴ;l;m|-u ruo|o1oѴov 7; 7;|;11bॕm rvb1ovo1b-Ѵ
t†;r†;7;mbm1Ѵ†buķ;m|u;o|uovķ-1ঞ|†7;vvo0u;Ѵ-
7b-0;|;vķ;Šr;1|-ঞˆ-v7;|u-|-lb;m|o‹u;v†Ѵ|-7ovķ
;v|-7o 7; ࢙mblo ];m;u-Ѵ ‹ u;Ѵ-1bom-7o 1om Ѵ-
7b-0;|;vķ ;v|u࣐v ‹ņo 1-Ѵb7-7 7; ˆb7- u;Ѵ-1bom-7-
1om Ѵ- v-Ѵ†7ķ u;1†uvov 7bvromb0Ѵ;v ŐCm-m1b;uovķ
vo1b-Ѵ;vķ=-lbѴb-u;v‹;lo1bom-Ѵő‹ņo-m|;1;7;m|;v
rvbt†b࢙|ub1ovĺ - 7;|;11bॕm 7;0; u;-ѴbŒ-uv; -
bm|;uˆ-Ѵovr;ubॕ7b1ov‹1†-m7o_-‹-†m1-l0bo;m
Ѵ-;m=;ul;7-7ķ;Ѵ|u-|-lb;m|ooѴ-v1bu1†mv|-m1b-v
7;Ѵ-ˆb7-ĺŐő
5.40†-m7o;v|࣐bm7b1-7oķ7;ubˆ-u-ruo=;vbom-Ѵ;v
delasaludmental†o|uovruo=;vbom-Ѵ;v1-r-1b|-7ov
r-u- †m- ;ˆ-Ѵ†-1bॕm ‹ |u-|-lb;m|o -7b1bom-Ѵ;v
7; Ѵov vझm|ol-v 7; -m]†vঞ- rou 7b-0;|;vķ
7;ru;vbॕmķ |;m7;m1b-v v†b1b7-vķ -mvb;7-7ķ lb;7o
-Ѵ-_bro]Ѵ†1;lb-u;Ѵ-1bom-7o1om;Ѵ|u-|-lb;m|oķ
|u-v|oumov-Ѵbl;m|-ubov‹ņo1-r-1b7-7;v1o]mbঞˆ-vĺ
b1_- -|;m1bॕm rvb1ovo1b-Ѵ ;vr;1b-ѴbŒ-7- 7;0;
†ঞѴbŒ-u _;uu-lb;m|-v ‹ ;m=ot†;v 7; |u-|-lb;m|o
;v|-m7-ubŒ-7ov ‹ ˆ-Ѵb7-7ov -ruorb-7ov r-u- Ѵ-
;7-7ĺŐő
5.42†r;uˆbv;7;=oul-u†ঞm-ub--Ѵ-vr;uvom-v
1om7b-0;|;vķ-Ѵov1†b7-7ou;v‹-Ѵovlb;l0uov7;
Ѵ-=-lbѴb-;m0†v1-7;-m]†vঞ-rouѴ-7b-0;|;vķ;m
r-uঞ1†Ѵ-u1†-m7omov;-Ѵ1-mŒ-mѴovo0f;ঞˆov7;Ѵ
|u-|-lb;m|o‹ņo-Ѵ1olb;mŒo7;Ѵ-v1olrѴb1-1bom;v
7;Ѵ-7b-0;|;vĺomv†Ѵ|;-†mruo=;vbom-Ѵ7;v-Ѵ†7
l;m|-Ѵ1-ѴbC1-7o†o|uoruo=;vbom-Ѵv-mb|-ubo1-r--
1b|-7or-u-†m-;ˆ-Ѵ†-1bॕm‹|u-|-lb;m|o-7b1bom--
Ѵ;vvb;v|࢙bm7b1-7oĺŐő
omv†Ѵ|; Ѵ- 7;1Ѵ-u-1bॕm 7; rovb1bॕm 7; Ѵ-
ľ|;m1bॕmrvb1ovo1b-Ѵr-u-r;uvom-v1om7b-0;|;vĿ
r-u-o0|;m;u†m-Ѵbv|-7;_;uu-lb;m|-v7;;ˆ-Ѵ†--
1bॕm‹7;|-ѴѴ;v-7b1bom-Ѵ;v‹;Ѵomf†m|o7;_;uu--
lb;m|-v7;v-Ѵ†7l;m|-Ѵ7;Ѵ- r-u-1†;vঞom--
ubov7;;ˆ-Ѵ†-1bॕm‹;m1†;v|-vĺ
Salud del sueño
Recomendación
5.55 Considerar la detección de la salud del sue-
ोo;mr;uvom-v1om7b-0;|;vķbm1Ѵ†b7ovѴovvझm|o-
l-v7;Ѵov|u-v|oumov7;Ѵv†;ोoķѴ-vbm|;uu†r1bom;v
7;Ѵv†;ोo7;0b7o-Ѵovvझm|ol-v7;Ѵ-7b-0;|;vo
Ѵ-v m;1;vb7-7;v 7; 1om|uoѴķ‹ Ѵ-v ru;o1†r-1bom;v

11. ƐƏ
vo0u;;Ѵv†;ोoĺ ;ubˆ-u-l;7b1bm-7;Ѵv†;ोo‹ņo
-†mruo=;vbom-Ѵ7;Ѵ-v-Ѵ†77;Ѵ1olrou|-lb;m|o
1-ѴbC1-7oķv;]িmv;bm7bt†;ĺŐő
-v-vo1b-1bom;v;m|u;Ѵovruo0Ѵ;l-v7;Ѵv†;ोo‹
Ѵ-7b-0;|;vvom1olrѴ;f-vĹѴov|u-v|oumov7;Ѵv†;ोo
vom†m=-1|ou7;ub;v]or-u-7;v-uuoѴѴ-u7b-0;|;v
ঞroƑ‹rovb0Ѵ;l;m|;7b-0;|;vl;ѴѴb|†v];v|-1bom-Ѵ
Ő őĺ7;l࢙vķѴov|u-v|oumov7;Ѵv†;ोov;-vo-
1b-m1om†m-l;mour-uঞ1br-1bॕm;m;Ѵ-†|o1om|uoѴ
7;Ѵ-7b-0;|;v‹r†;7;mbm|;u=;ubu1om;ѴѴo]uo7;
Ѵov o0f;ঞˆov ]Ѵ†1࣐lb1ov ;m|u; Ѵ-v r;uvom-v 1om
7b-0;|;vঞroƐ‹ঞroƑĺ
ѵĺ0f;ঞˆov]Ѵ†1࣐lb1ov
Evaluación del control glucémico
Ѵ 1om|uoѴ ]Ѵ†1࣐lb1o v; ;ˆ-Ѵি- l;7b-m|; Ѵ-
l;7b1bॕm7;ƐķѴ-lomb|oubŒ-1bॕm1omঞm†-7;Ѵ-
]Ѵ†1ov-Őő†ঞѴbŒ-m7o;Ѵঞ;lro;mu-m]oŐ$!ő
‹ņo;Ѵbm7b1-7ou7;1om|uoѴ7;Ѵ-]Ѵ†1ov-Őő‹Ѵ-
lomb|oubŒ-1bॕm7;Ѵ-]Ѵ†1ov-;mv-m]u;Őőĺ
Evaluación glucémica
Recomendaciones
6.1 ˆ-Ѵ†-u ;Ѵ ;v|-7o ]Ѵ†1࣐lb1o ŐƐ † o|u-
l;7b7- ]Ѵ†1࣐lb1- 1olo $! o ő -Ѵ l;mov
7ov ˆ;1;v -Ѵ -ोo ;m r-1b;m|;v t†; 1†lrѴ;m Ѵov
o0f;ঞˆov7;Ѵ|u-|-lb;m|oŐ‹t†;ঞ;m;m†m1om|uoѴ
]Ѵ†1࣐lb1o;v|-0Ѵ;őĺŐ ő
6.2 ˆ-Ѵ†-u;Ѵ;v|-7o]Ѵ†1࣐lb1o-Ѵl;mov|ubl;v-
|u-Ѵl;m|;‹v;]িmv;-m;1;v-ubo;mr-1b;m|;v1†‹-
|;u-rb-_-‹-1-l0b-7ou;1b;m|;l;m|;‹ņot†;mo
;v|࣐m-Ѵ1-mŒ-m7oѴovo0f;ঞˆov]Ѵ†1࣐lb1ovĺŐ ő
ˆ-Ѵ†-1bॕm7;]Ѵ†1ov-roulomb|oubŒ-1bॕm
1omঞm†-7;Ѵ-]Ѵ†1ov-Őő
Recomendaciones
6.3 ov bm=oul;v 7; ]Ѵ†1ov- ;v|-m7-ubŒ-7ov
7; †m- voѴ- r࢙]bm- 7; Ѵov 7bvrovbঞˆov 7;
1om v;ो-Ѵ;v ˆbv†-Ѵ;vķ 1olo ;Ѵ r;uCѴ 7; ]Ѵ†1ov-
-l0†Ѵ-|oubo Őőķ 7;0;m 1omvb7;u-uv; 1olo †m
u;v†l;m ;v|࢙m7-u r-u- |o7ov Ѵov 7bvrovbঞˆov 7;
ĺŐ ő
6.4 Ѵঞ;lro;mu-m]oŐ$!ő;v|࢙-vo1b-7o1om;Ѵ
ub;v]o7;1olrѴb1-1bom;vlb1uoˆ-v1†Ѵ-u;v‹r†;7;
†v-uv;r-u-;ˆ-Ѵ†-u;Ѵ1om|uoѴ]Ѵ†1࣐lb1oĺ7;l࢙vķ
;Ѵঞ;lrorou7;0-fo7;Ѵu-m]oŐ$!ő‹;Ѵঞ;lro
rou;m1bl-7;Ѵu-m]oŐ$!ővomr-u࢙l;|uovিঞѴ;v
r-u-Ѵ-;ˆ-Ѵ†-1bॕm7;ѴrѴ-m7;|u-|-lb;m|oĺŐő
0f;ঞˆov]Ѵ†1࣐lb1ov
Recomendaciones
6.5a v-ruorb-7o†mo0f;ঞˆo7;Ɛr-u-l†-
1_ov-7†Ѵ|ovŐmo;l0-u-Œ-7-vő7;ƺƕѷŐƔƒlloѴņ
loѴővbm_bro]Ѵ†1;lb-vb]mbC1-ঞˆ-ĺŐő
6.5bbv;†ঞѴbŒ-ņr-u-;ˆ-Ѵ†-uѴ-]Ѵ†-
1;lb-ķ†mo0f;ঞˆor-u-Ѵ;Ѵor-u-l†1_-vl†f;u;v
-7†Ѵ|-vmo;l0-u-Œ-7-v;v†m-$!7;ƻƕƏѷ1om
†m-$!ƺƓѷ‹†mঞ;lroƺƔƓl]ņ7ѴƺƐѷĺ-u-
-t†;ѴѴov1om=u-]bѴb7-7o-Ѵ|oub;v]o7;_bro]Ѵ†1;-
lb-ķv;u;1olb;m7-†mo0f;ঞˆo7;ƻƔƏѷ$!1om
ƺƐѷ$!ĺŐő
6.6o0u;Ѵ-0-v;7;Ѵf†b1bo7;Ѵruo=;vbom-Ѵ7;Ѵ-
v-Ѵ†7Őő‹Ѵ-ru;=;u;m1b-7;Ѵr-1b;m|;ķ;ѴѴo]uo
7;mbˆ;Ѵ;v7;Ɛl࢙v0-fovt†;Ѵ-l;|-7;Ѵƕѷ
r†;7; v;u -1;r|-0Ѵ; ; bm1Ѵ†vo 0;m;C1bovo vb v;
r†;7; Ѵo]u-u 7; l-m;u- v;]†u- vbm _bro]Ѵ†1;lb-
vb]mbC1-ঞˆ- † o|uov ;=;1|ov -7ˆ;uvov 7;Ѵ |u-|--
lb;m|oĺŐő
6.7ovo0f;ঞˆov7;Ɛl;mov;v|ub1|ovŐ1olo
ƺѶѷŒѵƓlloѴņloѴœőr†;7;mv;u-ruorb-7ovr-u-
r-1b;m|;v1om†m-;Šr;1|-ঞˆ-7;ˆb7-Ѵblb|-7-o
7om7;Ѵov7-ोov7;Ѵ|u-|-lb;m|ovoml-‹ou;vt†;
Ѵov0;m;C1bovĺovruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†77;0;m
1omvb7;u-uѴ-7;vbm|;mvbC1-1bॕm7;Ѵ-|;u-rb-ķvb1o-
uu;vrom7;ķr-u-u;7†1bu;Ѵub;v]o7;_bro]Ѵ†1;lb-
;mr-1b;m|;v1omo0f;ঞˆov7;Ɛ;v|ub1|ov;bm--
ruorb-7ovĺŐő

12. 11
Figura 6.1
†m|ov1Ѵ-ˆ;bm1Ѵ†b7ov;m;Ѵbm=oul;;v|࢙m7-uĺ!;blru;vo7;oѴ|!ķ ;(ub;vķ;vvŊ bv1_Ѵķ;|-Ѵĺ
†b7-7o7;Ѵ-7b-0;|;vƑƏƑƐĸƓƓĹƑƔѶƖŋƑѵƑƔĺ

13. ƐƑ
!;v†l;m7;u;1ol;m7-1bom;v]Ѵ†1࣐lb1-vr-u--7†Ѵ|ov1om7b-0;|;v
ub|;ubov]Ѵ†1࣐lb1ovņ ;v1ubr1bॕm
Ɛ ƺƕķƏѷŐƔƒlloѴņloѴő
Ѵ†1ov-rѴ-vl࢙ঞ1-1-rbѴ-uru;r-m7b-Ѵ ѶƏŊƐƒƏl]ņ7ŐƓķƓŊƕķƑlloѴņő
b1o7;]Ѵ†1ov-rѴ-vl࢙ঞ1-1-rbѴ-u
rovru-m7b-Ѵ
ƺƐѶƏl]ņ7ŐƐƏķƏlloѴņő
$-0Ѵ-ѵĺƒ
Tabla 6.4
bro]Ѵ†1;lb-
-vu;1ol;m7-1bom;v1omu;vr;1|o-Ѵ-1Ѵ-vbC1-1bॕm7;Ѵ-_bro]Ѵ†1;lb-v;7;v1ub0;m;mѴ-$-0Ѵ-ѵĺƓĺomv†Ѵ|;
Ѵov v|࢙m7-u;v7;-|;m1bॕm1olrѴ;|ov7;ƑƏƑƒr-u-1omo1;uѴ-v;v|u-|;]b-v7;|-ѴѴ-7-v1om|u-Ѵ-_bro]Ѵ†1;lb-ĺ
Ѵ-vbC1-1bॕm7;Ѵ-_bro]Ѵ†1;lb-
Nivel 1 Ѵ†1ov-ƺƕƏl]ņ7ŐƒķƖlloѴņő‹ƾƔƓl]ņ7ŐƒķƏlloѴņő
bˆ;ѴƑ Ѵ†1ov-ƺƔƓl]ņ7ŐƒķƏlloѴņő
bˆ;Ѵƒ m;ˆ;m|o]u-ˆ;1-u-1|;ubŒ-7orou-Ѵ|;u-1bॕm7;Ѵ;v|-7ol;m|-Ѵ‹ņoࣱvb1ot†;u;t†b;u;-vbv-
|;m1b-r-u-;Ѵ|u-|-lb;m|o7;Ѵ-_bro]Ѵ†1;lb-
!;blru;vo7;]bov|u-ঞ7o†ķm_-Ѵ|ķ-ѴѴ ķ;|-Ѵĺ†b7-7o7;Ѵ-7b-0;|;vƑƏƐƕĸƓƏĹƐѵƑƑŋƐѵƒƏĺ
Recomendaciones
6.10-o1†uu;m1b-‹;Ѵub;v]o7;_bro]Ѵ†1;lb-7;0;mu;ˆbv-uv;;m1-7-;m1†;m|uo;bmˆ;vঞ]-uv;v;]িmv;
bm7b1-ĺ;7;0;1omvb7;u-u;Ѵ1omo1blb;m|o7;Ѵ-_bro]Ѵ†1;lb-†ঞѴbŒ-m7o_;uu-lb;m|-vˆ-Ѵb7-7-vĺŐő
6.11-]Ѵ†1ov-Ő-ruoŠbl-7-l;m|;ƐƔŋƑƏ]ő;v;Ѵ|u-|-lb;m|oru;=;ub7or-u-;Ѵbm7bˆb7†o1omv1b;m|;1om]Ѵ†-
1ov-;mv-m]u;ƺƕƏl]ņ7ŐƒķƖlloѴņőķ-†mt†;v;r†;7;†v-u1†-Ѵt†b;u=oul-7;1-u0o_b7u-|ot†;1om|;m]-
]Ѵ†1ov-ĺ †bm1;lbm†|ov7;vr†࣐v7;Ѵ|u-|-lb;m|oķvb;Ѵlomb|ou;o7;]Ѵ†1ov-Őől†;v|u-_bro]Ѵ†1;lb-
1omঞm†-ķv;7;0;u;r;ঞu;Ѵ|u-|-lb;m|oĺm-ˆ;Œt†;Ѵ-o;Ѵr-|uॕm7;]Ѵ†1ov-ঞ;m;m†m-|;m7;m1b--v-
1;m7;m|;ķѴ-r;uvom-7;0;1omv†lbu†m-1olb7-o†mu;=ub];ubor-u-;ˆb|-uѴ-u;1†uu;m1b-7;Ѵ-_bro]Ѵ†1;lb-ĺŐő
6.12;7;0;ru;v1ub0bu]Ѵ†1-]om-|o7-vѴ-vr;uvom-v1oml-‹ouub;v]o7;_bro]Ѵ†1;lb-7;mbˆ;ѴƑoƒķr-u-
t†;;v|࣐7bvromb0Ѵ;;m1-vo7;t†;v;-m;1;v-uboĺov1†b7-7ou;vķ;Ѵr;uvom-Ѵ;v1oѴ-uoѴovlb;l0uov7;Ѵ-
=-lbѴb-t†;0ubm7-m-ro‹o-;v|-vr;uvom-v7;0;mv-0;u7ॕm7;;v|࢙‹1†࢙m7o‹1ॕlo-7lbmbv|u-uѴoĺ--7lbmbv-
|u-1bॕm7;]Ѵ†1-]ॕmmov;Ѵblb|--Ѵovruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†7ĺŐ ő
6.13 Ѵ7;v1omo1blb;m|o7;Ѵ-_bro]Ѵ†1;lb-o†mool࢙v;rbvo7bov7;_bro]Ѵ†1;lb-7;mbˆ;Ѵƒ7;0;7;v;m1--
7;m-uѴ-;7†1-1bॕmr-u-;ˆb|-uѴ-_bro]Ѵ†1;lb-‹Ѵ-u;;ˆ-Ѵ†-1bॕm‹;Ѵ-f†v|;7;ѴrѴ-m7;|u-|-lb;m|or-u-7bvlbm†bu
Ѵ-_bro]Ѵ†1;lb-ĺŐ ő
6.14;7;0;u;1ol;m7-u-Ѵovr-1b;m|;v|u-|-7ov1ombmv†Ѵbm-t†;mov;7-m1†;m|-7;Ѵ-_bro]Ѵ†1;lb-ķ†m
;ˆ;m|o_bro]Ѵ†1࣐lb1o7;mbˆ;Ѵƒo†mr-|uॕm7;_bro]Ѵ†1;lb-7;mbˆ;ѴƑbm;ŠrѴb1-0Ѵ;t†;;Ѵ;ˆ;mv†vo0f;ঞˆov
]Ѵ†1࣐lb1ovr-u-;ˆb|-u;v|ub1|-l;m|;Ѵ-_bro]Ѵ†1;lb-7†u-m|;-Ѵl;movˆ-ub-vv;l-m-vr-u-u;ˆ;uঞur-u1b-Ѵl;m-
|;Ѵ-=-Ѵ|-7;1om1b;m1b-7;Ѵ-_bro]Ѵ†1;lb-‹u;7†1bu;Ѵub;v]o7;=†|†uov;rbvo7bovĺŐő
6.15;v†]b;u;†m-;ˆ-Ѵ†-1bॕm1omঞm†-7;Ѵ-=†m1bॕm1o]mbঞˆ-1om†m-l-‹ouˆb]bѴ-m1b-7;Ѵ-_bro]Ѵ†1;lb-
rour-u|;7;Ѵl࣐7b1oķ;Ѵr-1b;m|;‹Ѵov1†b7-7ou;vvbv;;m1†;m|u-7;|;ubouoo7bvlbm†1bॕm7;Ѵ-1o]mb1bॕmĺŐő

14. Ɛƒ
ƕĺ$;1moѴo]झ-r-u-Ѵ-7b-0;|;v
-|;1moѴo]झ-r-u-Ѵ-7b-0;|;vbm1Ѵ†‹;7bvrovbঞˆov
7;-7lbmbv|u-1bॕm7;bmv†Ѵbm-1olo0ol0-v7;bm-
v†Ѵbm-Ő|-l0b࣐mѴѴ-l-7-vbm=†vbॕmv†01†|࢙m;-1om-
ঞm†-7;bmv†Ѵbm-Œœő‹rѴ†l-vŐr;mő7;bmv†Ѵbm-
1om;1|-7-vķ7bvrovbঞˆov7;lomb|ou;o7;]Ѵ†1ov-
-|u-ˆ࣐v7;vbv|;l-v‹l;7b7ou;v7;]Ѵ†1o-
v-ķ vbv|;l-v -†|ol-ঞŒ-7ov 7; -7lbmbv|u-1bॕm 7;
bmv†Ѵbm-Ő őt†;bm|;]u-m‹-7lbmbv|u-1bॕm
7;bmv†Ѵbm-1om-Ѵ]oub|lovr-u-lo7†Ѵ-uѴ--7lb-
mbv|u-1bॕm7;bmv†Ѵbm-‹vo[‰-u;7;-ro‹or-u-;Ѵ
-†|o1om|uoѴ7;Ѵ-7b-0;|;vĺ
ubm1brbov];m;u-Ѵ;v7;Ѵ7bvrovbঞˆo
Recomendaciones
7.1ovঞrov‹Ѵ-v;Ѵ;11bॕm7;7bvrovbঞˆov7;0;m
bm7bˆb7†-ѴbŒ-uv; ;m =†m1bॕm 7; Ѵ-v m;1;vb7-7;vķ
ru;=;u;m1b-v‹mbˆ;Ѵ7;_-0bѴb7-7;vr;1झC1ov7;†m-
r;uvom-ĺ m;Ѵ;m|oumo7;†mbm7bˆb7†o1†‹-7b--
0;|;v;v1om|uoѴ-7-r-u1b-Ѵo|o|-Ѵl;m|;rouo|u-
r;uvom-Őrĺ;fĺķ†mmbोor;t†;ोoo†m-r;uvom-1om
7;|;ubouo1o]mbঞˆoo7;v|u;Œ-ķѴblb|-1bom;vrvb1o-
vo1b-Ѵ;v‹ņoࣱvb1-vőķѴ-v_-0bѴb7-7;v‹ru;=;u;m1b-v
7;Ѵ1†b7-7ouvomr-u|;bm|;]u-Ѵ7;Ѵ-7;1bvbॕmĺŐ ő
7.2 Ѵ ru;v1ub0bu †m 7bvrovbঞˆoķ -v;]িu;v; 7;
t†;Ѵ-vr;uvom-v1om7b-0;|;vņ1†b7-7ou;vu;1b0-m
;7†1-1bॕm‹1-r-1b|-1bॕmbmb1b-Ѵ‹1omঞm†-ķ‹-v;-
;mr;uvom-o7;=oul-u;lo|-ķ‹†m-;ˆ-Ѵ†-1bॕm
1omঞm†-7;Ѵ-|࣐1mb1-ķѴovu;v†Ѵ|-7ov‹v†1-r-1b7-7
r-u-†ঞѴbŒ-u7-|ovķbm1Ѵ†b7-Ѵ-1-u]-7;7-|ovr-u-
lomb|ou;-u‹-f†v|-uѴ-|;u-rb-ĺŐő
7.5 Ѵbmb1bo7;ķ‹ņo ;m†m-;|-r-
|;lru-m-7;Ѵ|u-|-lb;m|o7;Ѵ-7b-0;|;vr†;7;v;u
0;m;C1bovo v;]িm Ѵ-v m;1;vb7-7;v‹ ru;=;u;m1b-v
7;Ѵ-r;uvom-ņ1†b7-7ouĺŐő
omb|ou;o7;]Ѵ†1ov-Őő
Recomendaciones
7.7 ;7;0;-Ѵ;m|-u-Ѵ-vr;uvom-vt†;u;1b0;mbm-
v†Ѵbm-†v-m7olomb|ou;o7;]Ѵ†1ov-Őő-1om-
trolar sus niveles de glucosa en sangre cuando sea
-ruorb-7o ;m =†m1bॕm 7; v† |;u-rb- 1om bmv†Ѵbm-ĺ
v|or†;7;bm1Ѵ†bu;Ѵ1om|uoѴ;m-‹†m-vķ-m|;v7;
Ѵ-v1olb7-v‹l;ub;m7-vķ7;vr†࣐v7;Ѵ-v1olb7-vķ
-Ѵ-_ou-7;-1ov|-uv;ķ-m|;v7;Ѵ;f;u1b1boķ1†-m7o
v; vovr;1_- _bro]Ѵ†1;lb-ķ 7;vr†࣐v 7; |u-|-u Ѵov
mbˆ;Ѵ;v0-fov7;]Ѵ†1ov-;mv-m]u;_-v|-t†;v;-m
moulo]Ѵ†1࣐lb1ovķ1†-m7ov;vovr;1_-_br;u]Ѵ†1;-
lb-‹-m|;v‹7†u-m|;;Ѵ;f;u1b1boo|-u;-v1uझঞ1-v
1olo1om7†1buĺŐő
7.9 †mt†; ;Ѵ ;m r;uvom-v t†; u;1b0;m
|;u-rb-vvbmbmv†Ѵbm-mo_-lov|u-7ou;7†11bom;v
1Ѵझmb1-l;m|; vb]mbC1-ঞˆ-v ;m Ѵ- Ɛ 7; l-m;u-
1omv|-m|;ķ r†;7; v;u িঞѴ 1†-m7o v; lo7bC1- ;Ѵ
rѴ-m7;m†|ub1bॕmķѴ--1ঞˆb7-7ࣱvb1-‹ņoѴovl;7b1--
l;m|ovŐ;mr-uঞ1†Ѵ-uķѴovl;7b1-l;m|ovt†;r†;-
7;m1-†v-u_bro]Ѵ†1;lb-őf†m|o1om†mruo]u-l-
7;-f†v|;7;Ѵ|u-|-lb;m|oĺŐ ő
Recomendaciones
7.11;7;0;o=u;1;ulomb|ou;o7;]Ѵ†1ov--|u--
ˆ࣐v7;vbv|;l-vŐő;mঞ;lrou;-ѴŐu|őŐő
o;v1-m;-7obm|;ulb|;m|;l;m|;ŐbvőŐő
r-u-;Ѵ1om|uoѴ7;Ѵ-7b-0;|;v;m-7†Ѵ|ov1om7b-0;-
|;vt†;u;1b0;mlিѴঞrѴ;vbm‹;11bom;v7b-ub-vŐ ő
ot†;vom1-r-1;v7;†v-uѴov7bvrovbঞˆov7;
l-m;u-v;]†u-Ő‹-v;-voѴovo1om†m1†b7-7ouőĺ-
;Ѵ;11bॕm7;Ѵ7bvrovbঞˆo7;0;_-1;uv;;m=†m1bॕm
7; Ѵ-v 1bu1†mv|-m1b-vķ ru;=;u;m1b-v ‹ m;1;vb7-7;v
7;Ѵ-r;uvom-ĺ
7.12;7;0;o=u;1;uu|obvr-u-;Ѵ
control de la diabetes en adultos con diabetes que
u;1b0;mbmv†Ѵbm-0-v-Ѵ‹t†;vom1-r-1;v7;†v-uѴov
7bvrovbঞˆov7;l-m;u-v;]†u-Ő‹-v;-voѴovo1om
†m1†b7-7ouőĺ-;Ѵ;11bॕm7;Ѵ7bvrovbঞˆo7;0;_--
1;uv;;m=†m1bॕm7;Ѵ-v1bu1†mv|-m1b-vķru;=;u;m1b-v
‹m;1;vb7-7;v7;Ѵ-r;uvom-ĺ
7.15 mr;uvom-v1om7b-0;|;v;m oķѴov
7bvrovbঞˆovu|7;0;m†v-uv;Ѵol࢙v1;u1-ro-
vb0Ѵ;7;Ѵ7झ--7झ-r-u-o0|;m;u;Ѵl࢙Šblo0;m;C-
1boĺov7bvrovbঞˆovbv7;0;m;v1-m;-uv;1om
=u;1†;m1b-ķ 1olo lझmblo †m- ˆ;Œ 1-7- Ѷ _ou-vĺ
-vr;uvom-v1om7b-0;|;v7;0;m|;m;u-11;vo
bmbm|;uu†lrb7o-v†vv†lbmbv|uovr-u-lbmblbŒ-uѴ-v
0u;1_-v;mĺŐő
7.17 Ѵ†vor;ubॕ7b1o7;u|obvo;Ѵ†vo
7;ruo=;vbom-Ѵr†;7;v;uিঞѴr-u-;Ѵ1om|uoѴ
de la diabetes en circunstancias en las que el uso
1omঞm†o7;mo;v-ruorb-7oķ7;v;-0Ѵ;omo
;v|࢙7bvromb0Ѵ;ĺŐő

15. 14
7.18-vu;-11bom;v7;Ѵ-rb;Ѵķ‹-v;-roubuub|--
1bॕm o -Ѵ;u]b-ķ 7;0;m ;ˆ-Ѵ†-uv;‹ -0ou7-uv; r-u-
-‹†7-u;m;Ѵ†vo;Šb|ovo7;Ѵov7bvrovbঞˆovĺŐ ő
†b7-7o7;r-1b;m|;_ovrb|-ѴbŒ-7o
Recomendación
7.30 -v r;uvom-v 1om 7b-0;|;v t†; vom 1ol-
r;|;m|;vr-u-†v-u7;l-m;u-v;]†u-7bvrovbঞˆov
r-u-Ѵ-7b-0;|;vķ1olo0ol0-v7;bmv†Ѵbm-‹vbv-
|;l-v ķ 7;0;m u;1b0bu -ro‹o r-u- 1omঞm†-u
†v࢙m7oѴov;m†m;m|oumo7;r-1b;m|;v_ovrb|-ѴbŒ--
7ov o 7†u-m|; ruo1;7blb;m|ov -l0†Ѵ-|oubovķ †m-
ˆ;Œt†;v;;v|-0Ѵ;Œ1-Ѵ-1olr;|;m1b-‹v;7bvrom]-
7;Ѵ-v†r;uˆbvbॕm-7;1†-7-ĺŐ ő
8. Control de la obesidad y el peso
para la prevención y el tratamiento
7;Ѵ-7b-0;|;vঞroƑ
Šbv|;†m-=†;u|;;ˆb7;m1b-7;t†;;Ѵ1om|uoѴ7;Ѵ-
o0;vb7-7r†;7;u;|u-v-uѴ-ruo]u;vbॕm7;Ѵ-ru;7b--
0;|;v-Ѵ-7b-0;|;vঞroƑ‹;vl†‹0;m;C1bovo;m
;Ѵ|u-|-lb;m|oĺ
Evaluación
Recomendaciones
8.1ঞѴb1;†mѴ;m]†-f;1;m|u-7o;mѴ-r;uvom-‹
vbm ru;f†b1bov t†; =ol;m|; Ѵ- 1oѴ-0ou-1bॕm ;m|u;
Ѵ-vr;uvom-v‹Ѵovruo=;vbom-Ѵ;v7;Ѵ-v-Ѵ†7Őrĺ;fĺķ
ľr;uvom-1omo0;vb7-7Ŀ;mѴ†]-u7;ľr;uvom-o0;-
v-ĿőĺŐ ő
8.2b7-Ѵ--Ѵ|†u-‹;Ѵr;vo‹1-Ѵ1†Ѵ;;Ѵ;m
Ѵ-vˆbvb|-v-m†-Ѵ;vo1oml-‹ou=u;1†;m1b-ĺ ˆ-Ѵি;
Ѵ-|u-‹;1|oub-7;Ѵr;vor-u-bm=oul-uѴ-v1omvb7;u--
1bom;v7;|u-|-lb;m|oĺŐ ő
8.5-vr;uvom-v1om7b-0;|;v‹vo0u;r;vo†o0;-
vb7-7 r†;7;m 0;m;C1b-uv; 7; r࣐u7b7-v 7; r;vo
lo7;u-7-vol-‹ou;vĺm-r࣐u7b7-7;r;vou;Ѵ--
ঞˆ-l;m|;r;t†;ो-Ő-ruoŠbl-7-l;m|;7;Ѵƒ-Ѵƕѷ
7;Ѵr;vobmb1b-Ѵől;fou-Ѵ-]Ѵ†1;lb-‹o|uov=-1|ou;v
7;ub;v]o(bm|;ul;7bovĺr࣐u7b7-v7;r;vol࢙v
]u-m7;v‹vov|;mb7-vŐƻƐƏѷőrouѴo];m;u-Ѵ1omC;-
u;ml-‹ou;v0;m;C1bovķbm1Ѵ†b7ovѴov;=;1|ovlo7b-
C1-7ou;v7;Ѵ-;m=;ul;7-7‹Ѵ-rovb0Ѵ;u;lbvbॕm7;
Ѵ-7b-0;|;vঞroƑķ‹r†;7;ml;fou-uѴovu;v†Ѵ|-7ov
(-Ѵ-u]orѴ-Œo‹Ѵ-lou|-Ѵb7-7ĺŐő
†|ub1bॕmķ1ঞˆb7-7 झvb1-
‹$;u-rb-om7†1|†-Ѵ
Recomendaciones
8.6 - m†|ub1bॕmķ Ѵ- -1ঞˆb7-7 ࣱvb1- ‹ Ѵ- |;u-rb-
1om7†1|†-Ѵr-u-Ѵo]u-u‹l-m|;m;u†m-r࣐u7b7-7;
r;voƾƔѷv;u;1olb;m7-mr-u-Ѵ-l-‹ouझ-7;Ѵ-v
r;uvom-v1om7b-0;|;vঞroƑ‹vo0u;r;vo†o0;vb-
7-7ĺ-r࣐u7b7-7;r;vo-7b1bom-Ѵ];m;u-Ѵl;m|;7-
1olou;v†Ѵ|-7ol;fou-v-7b1bom-Ѵ;v;m;Ѵ1om|uoѴ
7;Ѵ-7b-0;|;v‹;Ѵub;v]o(ĺŐő
8.7 b1_-vbm|;uˆ;m1bom;v7;0;mbm1Ѵ†bu†m--Ѵ|-
=u;1†;m1b- 7; -v;vou-lb;m|o ŐƾƐѵ v;vbom;v ;m ѵ
l;v;vő‹1;m|u-uv;;mѴov1-l0bov7;m†|ub1bॕmķѴ-
-1ঞˆb7-7ࣱvb1-‹Ѵ-v;v|u-|;]b-v1om7†1|†-Ѵ;vr-u-
Ѵo]u-u†m7࣐C1b|7;;m;u]झ-7;ƔƏƏ-ƕƔƏh1-Ѵņ7झ-ĺ
Őő
8.10 ˆ-Ѵ†-u Ѵov =-1|ou;v vbv|࣐lb1ovķ ;v|u†1|†-
u-Ѵ;v ‹ vo1bo;1omॕlb1ov t†; r†;7;m -=;1|-u Ѵov
r-|uom;v7;m†|ub1bॕm‹Ѵ-v;Ѵ;11bom;v7;-Ѵbl;m-
|ovķ1oloѴ-bmv;]†ub7-7-Ѵbl;m|-ub-‹;Ѵ_-l0u;ķ
;Ѵ-11;vo-or1bom;v7;-Ѵbl;m|ovv-Ѵ†7-0Ѵ;vķѴ-v
1bu1†mv|-m1b-v1†Ѵ|†u-Ѵ;v‹ ĺŐő
8.11-u--t†;ѴѴovt†;Ѵo]u-mo0f;ঞˆov7;r࣐u-
7b7-7;r;voķv;u;1olb;m7-mruo]u-l-v7;l-m-
|;mblb;m|o7;r;vo-Ѵ-u]orѴ-ŒoŐƾƐ-ोoő1†-m7o
;v|࣐m7bvromb0Ѵ;vĺ b1_ovruo]u-l-v7;0;mķ1olo
lझmbloķruorou1bom-u1om|-1|o‹-ro‹ol;mv†-Ѵ;vķ
u;1ol;m7-u;Ѵ1om|uoѴ1omঞm†o7;Ѵr;vo1ourou-Ѵ
Őv;l-m-Ѵl;m|; o 1om l-‹ou =u;1†;m1b-ő ‹ o|u-v
;v|u-|;]b-v7;-†|o1om|uoѴķ‹=ol;m|-uѴ--1ঞˆb7-7
ࣱvb1-u;]†Ѵ-uĺŐƑƏƏŊƒƏƏlbm†|ovņv;l-m-őĺŐő
8.12 - bm|;uˆ;m1bॕm m†|ub1bom-Ѵ - 1ou|o rѴ-Œo
t†;†ঞѴbŒ-1olb7-v;v|u†1|†u-7-v‹l†‹0-f-v;m
1-Ѵouझ-v ŐѶƏƏŋƐƏƏƏ h1-Ѵņ7झ-ő r†;7; v;u ru;v1ub|-
r-u-r;uvom-v1†b7-7ov-l;m|;v;Ѵ;11bom-7-vrou
ruo=;vbom-Ѵ;v 1-r-1b|-7ov ;m ;m|oumov l࣐7b1ov
1om†mv;]†blb;m|o;v|u;1_oĺѴ-u]orѴ-Œoķ7;0;m
bm|;]u-uv;;v|u-|;]b-vbm|;]u-Ѵ;v7;l-m|;mblb;m|o
7;r;vo‹-v;vou-lb;m|or-u-l-m|;m;uѴ-r࣐u7b7-
7;r;voĺŐő

16. 15
-ul-1o|;u-rb-
Recomendaciones
8.16-=-ul-1o|;u-rb-r-u-Ѵ-o0;vb7-7;v;C1-Œ
1olo1olrѴ;l;m|o7;Ѵ-m†|ub1bॕmķѴ--1ঞˆb7-7ࣱ-
vb1-‹;Ѵ-v;vou-lb;m|o1om7†1|†-Ѵr-u-r;uvom-v
v;Ѵ;11bom-7-v1om7b-0;|;vঞroƑ;ƾƑƕh]ņ
lƑĺov0;m;C1bov‹ub;v]ovro|;m1b-Ѵ;v7;0;mv;u
1omvb7;u-7ovĺŐő
8.17 b Ѵ- =-ul-1o|;u-rb- r-u- Ѵ- o0;vb7-7 ;v
;=;1ঞˆ-Őঠrb1-l;m|;7;Cmb7-1olo†m-r࣐u7b7-7;
r;vo7;ƾƔѷ7;vr†࣐v7;ƒl;v;v7;†voőķ;vruo-
0-0Ѵ;t†;v;ruo7†Œ1-†m-l-‹our࣐u7b7-7;r;vo
1om;Ѵ†vo1omঞm†-7oĺ†-m7oѴ-u;vr†;v|-|;l-
ru-m-;vbmv†C1b;m|;Őঠrb1-l;m|;ƺƔѷ7;r࣐u7b7-
7;r;vo7;vr†࣐v7;ƒl;v;v7;†voőovb;Šbv|;m
ruo0Ѵ;l-vvb]mbC1-ঞˆov7;v;]†ub7-7o|oѴ;u-0bѴb-
7-7ķ1omvb7;u;Ѵ-bm|;uu†r1bॕm7;Ѵl;7b1-l;m|o‹
;ˆ-Ѵি; l;7b1-l;m|ov -Ѵ|;um-ঞˆov o ;m=ot†;v 7;
|u-|-lb;m|oĺŐő
Cirugía Metabólica
Recomendaciones
8.18-1bu†]झ-l;|-0ॕѴb1-7;0;v;u†m-or1bॕm
u;1ol;m7-7-r-u-|u-|-uѴ-7b-0;|;vঞroƑ;m1-m-
7b7-|ovt†buিu]b1ovv;Ѵ;11bom-7ov1om†mƾƓƏ
h]ņlƑ Ő ƾƒƕķƔ h]ņ lƑ;m bm7bˆb7†ov -vb࢙ঞ1oŊ
-l;ub1-movő‹;m-7†Ѵ|ov1om†m7;ƒƔķƏ-ƒƖķƖ
h]ņlƑ ŐƒƑķƔŋƒƕķƓ h]ņlƑ;m bm7bˆb7†ov -vb࢙ঞ1oŊ
-l;ub1-movőt†;moѴo]u-m†m-r࣐u7b7-7;r;vo7†-
u-7;u-‹†m-l;fouझ-;mѴ-v1olou0bѴb7-7;vŐbm1Ѵ†b7-
Ѵ-_br;u]Ѵ†1;lb-ő1oml࣐|o7ovmot†buিu]b1ovĺŐő
8.19 - 1bu†]झ- l;|-0ॕѴb1- v; r†;7; 1omvb7;u-u
1olo†m-or1bॕmr-u-|u-|-uѴ-7b-0;|;vঞroƑ;m
-7†Ѵ|ov1om†m7;ƒƏķƏ-ƒƓķƖh]ņlƑŐƑƕķƔŋ
ƒƑķƓ h]ņlƑ;m bm7bˆb7†ov -vb࢙ঞ1oŊ-l;ub1-movő
t†; mo Ѵo]u-m †m- r࣐u7b7- 7; r;vo 7†u-7;u- ‹
†m- l;fouझ- ;m Ѵ-v 1olou0bѴb7-7;v Őbm1Ѵ†b7- Ѵ-
_br;u]Ѵ†1;lb-ő1oml࣐|o7ovmot†buিu]b1ovĺŐő
8.21-vr;uvom-vt†;v;1omvb7;u;mr-u-1bu†-
]झ- l;|-0ॕѴb1- 7;0;m v;u ;ˆ-Ѵ†-7-v ;m 0†v1- 7;
1om7b1bom;vrvb1oѴॕ]b1-v1olॕu0b7-v‹1bu1†mv|-m-
1b-vvo1b-Ѵ;v‹vb|†-1bom-Ѵ;vt†;|;m]-m;Ѵro|;m-
1b-Ѵ7;bm|;u=;ubu1omѴovu;v†Ѵ|-7ov7;Ѵ-1bu†]झ-ĺŐő
8.22-vr;uvom-vt†;v;vol;|;m-†m-1bu†]झ-
l;|-0ॕѴb1-7;0;mu;1b0bu-ro‹ol࣐7b1o‹1om7†1-
|†-Ѵ-Ѵ-u]orѴ-Œo‹†m1om|uoѴu†ঞm-ubo7;Ѵ;v|-7o
l;|-0ॕѴb1oķm†|ub1bom-Ѵ‹7;lb1uom†|ub;m|;vĺŐő
Ɩĺ m=ot†;v=-ul-1oѴॕ]b1ovr-u-;Ѵ
|u-|-lb;m|o]Ѵ†1࣐lb1o
Recomendaciones
9.4aov1olrou|-lb;m|ov7;;vঞѴo7;ˆb7-v-Ѵ†-
7-0Ѵ;vķ ķ;ˆb|-uѴ-bm;u1b-1Ѵझmb1-‹ 7;-
0;m1omvb7;u-uv;;m;Ѵl-m;fo7;Ѵ-7b-0;|;vঞro
Ƒr-u-u;7†1buѴ-]Ѵ†1ov-ĺ-|;u-rb-=-ul-1oѴॕ]b1-
7;0;]†b-uv;rou=-1|ou;v7;|u-|-lb;m|o1;m|u-7ov
;mѴ-r;uvom-ķbm1Ѵ†b7-vѴ-v1olou0bѴb7-7;v‹Ѵovo0-
f;ঞˆov7;Ѵ|u-|-lb;m|oĺŐő
9.4b m-7†Ѵ|ov1om7b-0;|;vঞroƑ‹ub;v]o;v-
|-0Ѵ;1b7oņ-Ѵ|o 7; ;m=;ul;7-7 1-u7boˆ-v1†Ѵ-u -|;-
uov1Ѵ;uॕঞ1- Ő( őķ bmv†C1b;m1b- 1-u7झ-1- Ő ő
‹ņo;m=;ul;7-7u;m-Ѵ1uॕmb1-Ő !őķ;Ѵu࣐]bl;m7;
|u-|-lb;m|o 7;0; bm1Ѵ†bu -];m|;v t†; u;7†Œ1-m ;Ѵ
ub;v]o1-u7bouu;m-ѴĺŐő
9.4c;7;0;m1omvb7;u-u;m=ot†;v=-ul-1oѴॕ]b-
1ovt†;0ubm7;m†m-;C1-1b--7;1†-7-r-u-Ѵo]u-u
‹ l-m|;m;u Ѵov o0f;ঞˆov 7;Ѵ |u-|-lb;m|oķ 1olo
Ѵ-l;oulbm-†o|uov-];m|;vķbm1Ѵ†b7-Ѵ-|;u-rb-
1ol0bm-7-ĺŐő
9.4d Ѵ1om|uoѴ7;Ѵr;vo;v†m1olrom;m|;bl-
r-1|-m|;7;Ѵ1om|uoѴ7;Ѵ-u;7†11bॕm7;]Ѵ†1ov-;m
Ѵ-7b-0;|;vঞroƑĺ Ѵu࣐]bl;m7;|u-|-lb;m|or-u-
u;7†1bu Ѵ- ]Ѵ†1ov- 7;0; 1omvb7;u-u ;m=ot†;v t†;
u;vr-Ѵ7;mѴovo0f;ঞˆov7;1om|uoѴ7;r;voĺŐő
9.5-l;oulbm-7;0;1omঞm†-uv;-Ѵbmb1bo7;Ѵ-
|;u-rb-1ombmv†Ѵbm-Ő-l;movt†;;v|࣐1om|u-bm7b-
1-7-omov;|oѴ;u;őr-u-o0|;m;u0;m;C1bov]Ѵ†1࣐-
lb1ov‹l;|-0ॕѴb1ov1omঞm†ovĺŐő
9.6 -|;u-rb-7;1ol0bm-1bॕm|;lru-m-v;r†;7;
considerar en algunos individuos al inicio del trata-
lb;m|or-u-;Š|;m7;u;Ѵঞ;lro_-v|-;Ѵ=u-1-vo7;Ѵ
|u-|-lb;m|oĺŐő
9.7 ;7;0;1omvb7;u-uѴ-bm|uo7†11bॕm|;lru-m-
7;bmv†Ѵbm-vb_-‹;ˆb7;m1b-7;1-|-0oѴbvlo;m1†u-
voŐr࣐u7b7-7;r;voőķvb_-‹vझm|ol-v7;_br;u]Ѵ†1;-
lb-o1†-m7oѴovmbˆ;Ѵ;v7;ƐŐƻƐƏѷŒѶѵlloѴņ
loѴœőombˆ;Ѵ;v7;]Ѵ†1ov-;mv-m]u;ŐƾƒƏƏl]ņ7

17. 16
ŒƐѵķƕlloѴņœővoml†‹-Ѵ|ovĺŐ ő
9.8 m;m=ot†;1;m|u-7o;mѴ-r;uvom-7;0;]†b-u
Ѵ-;Ѵ;11bॕm7;Ѵov-];m|;v=-ul-1oѴॕ]b1ovĺomvb7;-
u;Ѵov;=;1|ovvo0u;Ѵ-v1olou0bѴb7-7;v(‹u;m--
Ѵ;vķѴ-;C1-1b-ķ;Ѵub;v]o7;_bro]Ѵ†1;lb-ķ;Ѵblr-1|o
vo0u;;Ѵr;voķ;Ѵ1ov|o‹;Ѵ-11;voķ;Ѵub;v]o7;;=;1-
|ovv;1†m7-ubov‹Ѵ-vru;=;u;m1b-vbm7bˆb7†-Ѵ;vĺŐ ő
9.9 m|u;Ѵ-vr;uvom-v1om7b-0;|;vঞroƑt†;ঞ;-
m;m( ;v|-0Ѵ;1b7-obm7b1-7ou;v7;-Ѵ|oub;v]o
(ķ;m=;ul;7-7u;m-Ѵ;v|-0Ѵ;1b7-o ķ†mbm_b0b7ou
7;Ѵ 1o|u-mvrou|-7ou vo7boŊ]Ѵ†1ov- Ƒ Ő$Ƒő‹ņo
-]ombv|-7;Ѵu;1;r|ou7;Ѵr࣐rঞ7ovblbѴ-u-Ѵ]Ѵ†1--
]ॕmƐŐŊƐő1om0;m;C1bo7;lov|u-7o;m (v;
u;1olb;m7-1olor-u|;7;Ѵu࣐]bl;m7;u;7†11bॕm
de glucosa y la reducción integral del riesgo cardio-
ˆ-v1†Ѵ-uķbm7;r;m7b;m|;l;m|;7;Ѵ-Ɛ‹|;mb;m7o
;m1†;m|-Ѵov=-1|ou;v;vr;1झC1ov7;Ѵ-r;uvom-ĺŐő
9.10 m-7†Ѵ|ov1om7b-0;|;vঞroƑķv;ru;C;u;
†m-]ombv|-7;Ѵu;1;r|ouŊƐ-Ѵ-bmv†Ѵbm-1†-m7o
v;-rovb0Ѵ;ĺŐő
9.11 bv;†v-bmv†Ѵbm-ķv;u;1olb;m7-Ѵ-|;u-rb-
1ol0bm-7- 1om †m -]ombv|- 7;Ѵ u;1;r|ou ŊƐ
r-u-†m-l-‹ou;C1-1b-ķ7†u-0bѴb7-77;Ѵ;=;1|o7;Ѵ
|u-|-lb;m|o‹0;m;C1bo;m;Ѵr;vo‹Ѵ-_bro]Ѵ†1;-
lb-ĺŐő
9.13 Ѵ u࣐]bl;m 7; l;7b1-1bॕm ‹ ;Ѵ 1olrou|--
lb;m|o7;|ol-7;l;7b1-1bॕm7;0;mu;;ˆ-Ѵ†-uv;
-bm|;uˆ-Ѵovu;]†Ѵ-u;vŐ1-7-ƒ-ѵl;v;vő‹-f†v|-uv;
v;]িmv;-m;1;v-ubor-u-bm1ourou-u=-1|ou;v;vr;-
1झC1ovt†;-=;1|-mѴ-;Ѵ;11bॕm7;Ѵ|u-|-lb;m|oŐ b-
]†u-ƓĺƐőĺŐ ő
9.14 ov l࣐7b1ov 7;0;m v;u 1omv1b;m|;v 7;Ѵ
ro|;m1b-Ѵ 7; vo0u;0-v-ѴbŒ-1bॕm 1om Ѵ- |;u-rb- 1om
bmv†Ѵbm-ĺ-vv;ो-Ѵ;v1Ѵझmb1-vt†;r†;7;mblr†Ѵv-u
la evaluación de la sobrebasalización incluyen una
7ovbv0-v-Ѵv†r;ubou-ŊƏķƔ†mb7-7;vņh]ņ7झ-ķ-Ѵ|o7b-
=;u;m1b-Ѵ7;]Ѵ†1ov--m|;v7;-1ov|-uv;l-ो-m-o
rovru-m7b-Ѵķ_bro]Ѵ†1;lb-Ő1omv1b;m|;omoő‹-Ѵ|-
ˆ-ub-0bѴb7-7]Ѵ†1࣐lb1-ĺ-bm7b1-1bॕm7;vo0u;0-v--
ѴbŒ-1bॕm7;0;blr†Ѵv-uѴ-u;;ˆ-Ѵ†-1bॕmr-u-bm7bˆb-
7†-ѴbŒ-u-িml࢙vѴ-|;u-rb-ĺŐ ő
$-m|o Ѵ-v lo7bC1-1bom;v bm|;]u-Ѵ;v 7;Ѵ ;vঞѴo 7;
ˆb7- 1olo Ѵ- =-ul-1o|;u-rb- 7;0;m 1ol;mŒ-u ;m
;Ѵlol;m|o7;Ѵ7b-]mॕvঞ1oĺo|o7-vѴ-vlo7bC-
1-1bom;v7;Ѵ|u-|-lb;m|oblrѴb1-m†m-|;u-rb--7b-
1bom-Ѵv;1†;m1b-Ѵķr;uor†;7;mblrѴb1-u1-l0b-uѴ-
|;u-rb-ou;ঞu-uѴ-|;u-rb--1|†-Ѵr-u--7-r|-uv;-
Ѵov1-l0bov;mѴovo0f;ঞˆov];m;u-Ѵ;v7;Ѵr-1b;m|;
Őrĺ;fĺķ;Ѵbmb1bo7;-];m|;vrouloঞˆovt†;ˆ-ml࢙v
-ѴѴ࢙7;Ѵ0;m;C1bo]Ѵ†1࣐lb1oőĺ
ƐƏĺ (‹];vঞॕm7;ub;v]ov
( ķ7;Cmb7-1olo;m=;ul;7-71ouom-ub-ķ;m-
=;ul;7-7 1;u;0uoˆ-v1†Ѵ-u o ;m=;ul;7-7 -u|;ub-Ѵ
r;ub=࣐ub1-Ő őt†;v;v†rom;t†;;v7;oub];m
-|;uov1Ѵ;uॕঞ1oķ;vѴ-rubm1br-Ѵ1-†v-7;lou0bѴb7-7
‹lou|-Ѵb7-7r-u-Ѵ-vr;uvom-v1om7b-0;|;vĺom-
|uoѴ-uѴov=-1|ou;v7;ub;v]o(bm7bˆb7†-Ѵ;v-‹†7-
ru;ˆ;mbuou;|-u7-u( ;mr;uvom-v1om7b-0;-
|;vĺ-;vo|u-1-†v-blrou|-m|;7;lou0bѴb7-7‹
lou|-Ѵb7-7rou (ĺ
ov =-1|ou;v 7; ub;v]oķ bm1Ѵ†b7ov Ѵ- o0;vb7-7ņvo-
0u;r;voķ Ѵ- _br;u|;mvbॕmķ Ѵ- 7bvѴbrb7;lb-ķ ;Ѵ |-0--
t†bvloķ Ѵov -m|;1;7;m|;v =-lbѴb-u;v 7; ;m=;ul;-
7-71ouom-ub-ru;l-|†u-ķѴ- !‹Ѵ-ru;v;m1b-7;
-Ѵ0†lbm†ub-ķ7;0;m;ˆ-Ѵ†-uv;-Ѵl;mov†m-ˆ;Œ-Ѵ
-ोor-u-ru;ˆ;mbu‹1om|uoѴ-u|-m|oѴ-( 1olo
Ѵ-ĺ
La calculadora de riesgos
-1-Ѵ1†Ѵ-7ou-7;ub;v]o7;( 7;Ѵl;ub1-m
oѴѴ;];o=-u7boѴo]‹ņl;ub1-m;-u|vvo1b-ঞom
Ő!bvh vঞl-|ouѴ†vő;v];m;u-Ѵl;m|;†m-_;uu--
lb;m|- িঞѴ r-u- ;vঞl-u ;Ѵ ub;v]o 7; †m rubl;u
;ˆ;m|o7;( -ƐƏ-ोovŐ7bvromb0Ѵ;;mѴझm;-
;m|ooѴvĺ-11ĺou]ņ( Ŋ!bvhŊ vঞl-|ouŊѴ†vőĺ
br;u|;mvbॕmņom|uoѴ7;
-_br;u|;mvbॕmķ7;Cmb7-1olo†m-ru;vbॕm-u|;-
ub-Ѵvbv|ॕѴb1-7;ƾƐƒƏll]o†m-ru;vbॕm-u|;ub-Ѵ
7b-v|ॕѴb1-7;ƾѶƏll]ķ;v1olিm;m|u;Ѵ-vr;uvo-
m-v1om7b-0;|;vঞroƐoঞroƑĺ
;|;11bॕm‹7b-]mॕvঞ1o
Recomendaciones
10.1 -7;0;l;7buv;;m1-7-ˆbvb|-1Ѵझmb1-7;
u†ঞm-ĺ†-m7ov;-rovb0Ѵ;ķѴ-vr;uvom-vt†;|;m-
]-m;Ѵ;ˆ-7-Ővbv|ॕѴb1-7;ƐƑƏ-ƐƑƖll]
‹ 7b-v|ॕѴb1- ƺѶƏ ll]ő 7;0;m 1omCul-u v†
†v-m7olিѴঞrѴ;vѴ;1|†u-vķbm1Ѵ†b7-vl;7b1bom;v;m
†m 7झ- v;r-u-7oķ r-u- 7b-]movঞ1-u _br;u|;mvbॕmĺ

18. 17
Őő-_br;u|;mvbॕmv;7;Cm;1olo†m-vbv|ॕѴb1-
7;ƾƐƒƏll]o†m-7b-v|ॕѴb1-7;ƾѶƏll]
1om0-v;;m†mruol;7bo7;ƾƑl;7b1bom;vo0|;-
mb7-v;mƾƑo1-vbom;vĺŐő-vr;uvom-v1om7;
ƾƐѶƏņƐƐƏll]‹( ro7uझ-mv;u7b-]movঞ1--
7-v1om_br;u|;mvbॕm;m†m-voѴ-ˆbvb|-ĺŐ ő
10.2$o7-vѴ-vr;uvom-v1om_br;u|;mvbॕm‹7b--
0;|;v7;0;m1om|uoѴ-uv†;m1-v-ĺŐő
0f;ঞˆov7;Ѵ|u-|-lb;m|o
Recomendaciones
10.3-u-Ѵ-vr;uvom-v1om7b-0;|;v;_br;u|;m-
vbॕmķѴovo0f;ঞˆov7;7;0;mbm7bˆb7†-ѴbŒ-uv;-
|u-ˆ࣐v7;†mruo1;vo7;|ol-7;7;1bvbom;v1ol-
r-uঞ7ot†;-0ou7;;Ѵub;v]o(ķѴovrovb0Ѵ;v;=;1-
|ov-7ˆ;uvov7;Ѵovl;7b1-l;m|ov-mঞ_br;u|;mvb-
ˆov‹Ѵ-vru;=;u;m1b-v7;Ѵr-1b;m|;ĺŐő
10.4 -v r;uvom-v 1om 7b-0;|;v ; _br;u|;mvbॕm
1-ѴbC1-mr-u-Ѵ-|;u-rb-1oml;7b1-l;m|ov-mঞ_b-
r;u|;mvbˆov1†-m7oѴ-v;;Ѵ;ˆ-r;uvbv|;m|;l;m-
|;ƾƐƒƏņѶƏll]ĺ Ѵo0f;ঞˆo7;7†u-m|;;Ѵ
|u-|-lb;m|o;vƺƐƒƏņѶƏll]ķvbv;r†;7;-Ѵ1-m-
Œ-u7;=oul-v;]†u-ĺŐő
Estrategias de tratamiento
m|;uˆ;m1bॕm;m;Ѵ;vঞѴo7;ˆb7-
Recomendación
10.6-u-Ѵ-vr;uvom-v1omƻƐƑƏņѶƏll]ķ
Ѵ-bm|;uˆ;m1bॕm;m;Ѵ;vঞѴo7;ˆb7-1omvbv|;;mѴ-
r࣐u7b7-7;r;vo1†-m7o;v|࣐bm7b1-7oķ†mr-|uॕm
7;-Ѵbl;m|-1bॕm-Ѵ;vঞѴo7;Ѵov;m=ot†;v7b;|࣐ঞ1ov
r-u-7;|;m;uѴ-_br;u|;mvbॕmŐ ķrouv†vvb]Ѵ-v
;mbm]Ѵ࣐vőt†;bm1Ѵ†‹;Ѵ-u;7†11bॕm7;Ѵ-bm];v|-7;
vo7bo‹;Ѵ-†l;m|o7;Ѵ-bm];v|-7;ro|-vboķѴ-lo-
7;u-1bॕm7;Ѵ-bm];v|-7;-Ѵ1o_oѴ‹;Ѵ-†l;m|o7;
Ѵ--1ঞˆb7-7ࣱvb1-ĺŐő
Intervenciones farmacológicas
Recomendaciones
10.8-vr;uvom-v1omru;vbॕm-u|;ub-Ѵ1omCul-7-
;m;Ѵ1omv†Ѵ|oubo7;ƾƐѵƏņƐƏƏll]7;0;mķ-7;l࢙v
7;Ѵ-|;u-rb-7;;vঞѴo7;ˆb7-ķbmb1b-uu࢙rb7-l;m|;‹
-f†v|-uѴ-ঞ|†Ѵ-1bॕmorou|†m-7;7ovl;7b1-l;m|ov
o†m-1ol0bm-1bॕm7;l;7b1-l;m|ov;m†m-voѴ-
rझѴ7ou- t†; v; _-‹- 7;lov|u-7o t†; u;7†1; Ѵov
;ˆ;m|ov1-u7boˆ-v1†Ѵ-u;v;mr;uvom-v1om7b-0;|;vĺ
Őő
10.10ouѴo];m;u-Ѵķv;u;t†b;u;†m-|;u-rb-1om
lিѴঞrѴ;v =࢙ul-1ov r-u- -Ѵ1-mŒ-u Ѵov o0f;ঞˆov 7;
ĺbm;l0-u]oķmov;7;0;m†v-u1ol0bm-1bom;v
7;bm_b0b7ou;v7;Ѵ- ‹0Ѵot†;-7ou;v7;Ѵovu;-
1;r|ou;v7;-m]bo|;mvbm-Ő!ő‹1ol0bm-1bom;v7;
bm_b0b7ou;v7;Ѵ- o!1ombm_b0b7ou;v7bu;1-
|ov7;Ѵ-u;mbm-ĺŐő
10.11mbm_b0b7ou7;Ѵ- o!ķ;mѴ-7ovbv
l࢙Šbl-|oѴ;u-7-bm7b1-7-r-u-;Ѵ|u-|-lb;m|o7;Ѵ-
ķ;v;Ѵ|u-|-lb;m|o7;rubl;u-Ѵझm;-u;1ol;m7-7o
r-u-Ѵ-_br;u|;mvbॕm;mr;uvom-v1om7b-0;|;v‹1o-
1b;m|;;m|u;-Ѵ0িlbm-‹1u;-ঞmbm-;moubm-Ő!ő
ƾƒƏƏl]ņ]7;1u;-ঞmbm-ŐőoƒƏ-ƑƖƖl]ņ]7;
1u;-ঞmbm-ĺŐőbmov;|oѴ;u-†m-1Ѵ-v;ķѴ-o|u-7;0;
v;uv†vঞ|†b7-ĺŐő
10.12-u-Ѵovr-1b;m|;v|u-|-7ov1om†mbm_b0b-
7ou7;Ѵ- ķ!o7b†u࣐ঞ1oķѴ-1u;-ঞmbm-v࣐ub1-ņ
|-v-7;CѴ|u-1bॕm]Ѵol;u†Ѵ-u;vঞl-7-Ő$ ;ő‹Ѵov
mbˆ;Ѵ;v7;ro|-vbov࣐ub1o7;0;m1om|uoѴ-uv;-Ѵl;-
mov†m-ˆ;Œ-Ѵ-ोoĺŐő
br;u|;mvbॕmu;vbv|;m|;
Recomendación
10.13-vr;uvom-v1om_br;u|;mvbॕmt†;mo-Ѵ-
1-mŒ-m Ѵov o0f;ঞˆov 7; ru;vbॕm -u|;ub-Ѵ 1om |u;v
1Ѵ-v;v7;l;7b1-l;m|ov-mঞ_br;u|;mvbˆovŐbm1Ѵ†b7o
†m7b†u࣐ঞ1oő7;0;mv;u1omvb7;u-7-vr-u-Ѵ-|;u-rb-
1om-m|-]ombv|-v7;Ѵovu;1;r|ou;v7;lbm;u-Ѵo1ou-
ঞ1ob7;vŐ!őĺ
-m;fo7;Ѵझrb7ov
m|;uˆ;m1bॕm7;;vঞѴo7;ˆb7-
Recomendaciones
10.14o7bC1-1bॕm7;Ѵ;vঞѴo7;ˆb7-1;m|u-7-

19. 18
;m Ѵ- r࣐u7b7- 7; r;vo Ővb ;v|࢙ bm7b1-7-őĸ -rѴb1--
1bॕm 7; †m r-|uॕm 7; -Ѵbl;m|-1bॕm l;7b|;uu࢙m;o
o ĸu;7†11bॕm7;]u-v-vv-|†u-7-vĸ-†l;m|o
7;Ѵ-bm];v|-7b;|࣐ঞ1-7;࢙1b7ov]u-vovl;]-Ŋƒķ
C0u-ˆbv1ov-‹;v|-moѴ;vņ;v|;uoѴ;vˆ;];|-Ѵ;vĸ‹v;
7;0;u;1ol;m7-u†m-l-‹ou-1ঞˆb7-7ࣱvb1-r-u-
l;fou-u;Ѵr;uCѴѴbrझ7b1o‹u;7†1bu;Ѵub;v]o7;7;v--
uuoѴѴ-u( ;mr;uvom-v1om7b-0;|;vĺ
10.15m|;mvbCt†;Ѵ-|;u-rb-7;;vঞѴo7;ˆb7-‹
orঞlb1;;Ѵ1om|uoѴ]Ѵ†1࣐lb1or-u-r-1b;m|;v1om
mbˆ;Ѵ;v;Ѵ;ˆ-7ov7;|ub]Ѵb1࣐ub7ovŐƾƐƔƏl]ņ7ŒƐķƕ
lloѴņœő‹ņo1oѴ;v|;uoѴ 0-foŐƺƓƏl]ņ7ŒƐķƏ
lloѴņœr-u-_ol0u;vķƺƔƏl]ņ7ŒƐķƒlloѴņœ
r-u-l†f;u;vőĺ
$;u-rb-1omঞm†-‹lomb|ou;o
1omr-m;Ѵ7;Ѵझrb7ov
Recomendaciones
10.16 m-7†Ѵ|ovt†;mo|ol-m;v|-ঞm-v†o|uo
|u-|-lb;m|o_broѴbr;lb-m|;ķ;vu-Œom-0Ѵ;o0|;m;u
†m r;uCѴ Ѵbrझ7b1o ;m ;Ѵ lol;m|o 7;Ѵ 7b-]mॕvঞ1o
7;7b-0;|;vķ;m†m-;ˆ-Ѵ†-1bॕml࣐7b1-bmb1b-Ѵ‹ķ-
r-uঞu7;;m|om1;vķ1-7-Ɣ-ोovvb;vl;mou7;ƓƏ
-ोovķo1oml-‹ou=u;1†;m1b-vb;v|࢙bm7b1-7oĺŐ ő
10.170|;m]-†mr;uCѴ7;Ѵझrb7ov-Ѵbmb1bo7;
;v|-ঞm-v†o|u-|;u-rb-r-u-u;7†1buѴovѴझrb7ovķƓ
-ƐƑv;l-m-v7;vr†࣐v7;Ѵbmb1boo†m1-l0bo;mѴ-
7ovbvķ‹Ѵ†;]o-m†-Ѵl;m|;ķ‹-t†;r†;7;-‹†7-u-
lomb|ou;-uѴ-u;vr†;v|--Ѵ-|;u-rb-;bm=oul-uѴ-
|ol-7;l;7b1-l;m|ovĺŐ ő
$u-|-lb;m|o1om;v|-ঞm-v
u;ˆ;m1bॕmrubl-ub-
Recomendaciones
10.18-u-Ѵ-vr;uvom-v1om7b-0;|;v7;ƓƏ-ƕƔ
-ोovvbm( ķ†v;†m-|;u-rb-1om;v|-ঞm-v7;
bm|;mvb7-7lo7;u-7--7;l࢙v7;Ѵ-|;u-rb-7;;vঞ-
Ѵo7;ˆb7-ĺŐő
10.19-u-Ѵ-vr;uvom-v1om7b-0;|;v7;ƑƏ-ƒƖ
-ोov7;;7-71om=-1|ou;v7;ub;v]o-7b1bom-Ѵ;v7;
( ķr†;7;v;uu-Œom-0Ѵ;bmb1b-uѴ-|;u-rb-1om
;v|-ঞm-v-7;l࢙v7;Ѵ-|;u-rb-7;;vঞѴo7;ˆb7-ĺŐő
10.20-u-Ѵ-vr;uvom-v1om7b-0;|;v7;ƓƏ-ƕƔ
-ोov1oml-‹ouub;v]o(ķbm1Ѵ†b7-vѴ-vt†;ঞ;m;m
†mool࢙vl࢙v=-1|ou;v7;ub;v]o7;( ķv;
u;1olb;m7-†v-u†m-|;u-rb-1om;v|-ঞm-v7;-Ѵ|-
bm|;mvb7-7r-u-u;7†1bu;Ѵ1oѴ;v|;uoѴ ;mƔƏѷ
7;Ѵˆ-Ѵoubmb1b-Ѵ‹-Ѵ1-mŒ-u†m-l;|-7;1oѴ;v|;uoѴ
7;ƺƕƏl]ņ7ĺŐő
10.21 -u- Ѵ-v r;uvom-v 1om 7b-0;|;v 7; ƓƏ -
ƕƔ-ोov7;;7-71oml-‹ouub;v]o(ķ;vr;1b-Ѵ-
l;m|;-t†;ѴѴ-v1omlিѴঞrѴ;v=-1|ou;v7;ub;v]o7;
( ‹†m1oѴ;v|;uoѴ 7;ƾƕƏl]ņ7ķr†;7;
v;uu-Œom-0Ѵ;-]u;]-u;Œ;ঞlb0-o†mbm_b0b7ou7;
Ɩ-Ѵ-|;u-rb-1om;v|-ঞm-vl࢙Šbl-|oѴ;u-7-ĺ
(C)
10.22 m-7†Ѵ|ov1om7b-0;|;vl-‹ou;v7;ƕƔ
-ोovt†;‹-u;1b0;m|u-|-lb;m|o1om;v|-ঞm-vķ;v
u-Œom-0Ѵ;1omঞm†-u;Ѵ|u-|-lb;m|o1om;v|-ঞm-vĺ
Őő
10.23 m-7†Ѵ|ov1om7b-0;|;vl-‹ou;v7;ƕƔ
-ोovķr†;7;v;uu-Œom-0Ѵ;bmb1b-u†m-|;u-rb-1om
;v|-ঞm-v7;bm|;mvb7-7lo7;u-7-7;vr†࣐v7;7bv-
1†ঞuѴov0;m;C1bov‹ub;v]ovro|;m1b-Ѵ;vĺŐő
Prevención Secundaria
Recomendaciones
10.25-u-Ѵ-vr;uvom-v7;|o7-vѴ-v;7-7;v1om
7b-0;|;v‹( ķѴ-|;u-rb-1om;v|-ঞm-v7;-Ѵ|-
bm|;mvb7-77;0;-]u;]-uv;-Ѵ-|;u-rb-7;;vঞѴo7;
ˆb7-ĺŐő
10.26-u-Ѵ-vr;uvom-v1om7b-0;|;v‹( ķ
v; u;1olb;m7- ;Ѵ |u-|-lb;m|o 1om ;v|-ঞm-v 7;
-Ѵ|- bm|;mvb7-7 r-u- Ѵo]u-u †m- u;7†11bॕm 7;Ѵ
1oѴ;v|;uoѴ ƾƔƏѷ7;v7;;Ѵbmb1bo‹†m-l;|-
7;1oѴ;v|;uoѴ 7;ƺƔƔl]ņ7ĺ;u;1olb;m7-
-]u;]-u ;Œ;ঞlb0- o †m bm_b0b7ou 7; Ɩ 1om
0;m;C1bo 1olruo0-7o ;m ;v|- ro0Ѵ-1bॕm vb ;v|;
o0f;ঞˆomov;Ѵo]u-1omѴ-|;u-rb-l࢙Šbl-|oѴ;u-7-
1om;v|-ঞm-vĺŐő
10.27 -u-Ѵ-vr;uvom-vt†;mo|oѴ;u-mѴ-bm|;m-
vb7-7ru;ˆbv|-ķv;7;0;†v-uѴ-7ovbvl࢙Šbl-|oѴ;u--
7-7;;v|-ঞm-ĺŐ ő

20. 19
Tratamiento de otras fracciones
†o0f;ঞˆov7;Ѵbroruo|;झm-v
Recomendaciones
10.28-u-bm7bˆb7†ov1ommbˆ;Ѵ;v7;|ub]Ѵb1࣐ub-
7ov;m-‹†m-v7;ƾƔƏƏl]ņ7ķ;ˆ-Ѵি;Ѵ-v1-†v-v
v;1†m7-ub-v7;_br;u|ub]Ѵb1;ub7;lb-‹1omvb7;u;Ѵ-
|;u-rb-l࣐7b1-r-u-u;7†1bu;Ѵub;v]o7;r-m1u;--
ঞঞvĺŐő
10.29 m-7†Ѵ|ov1om_br;u|ub]Ѵb1;ub7;lb-lo7;-
u-7-Ő|ub]Ѵb1࣐ub7ov;m-‹†m-vovbm-‹†m-u7;ƐƕƔ
-ƓƖƖl]ņ7őķѴovl࣐7b1ov7;0;m-0ou7-u‹|u-|-u
Ѵov=-1|ou;v7;Ѵ;vঞѴo7;ˆb7-Őo0;vb7-7‹vझm7uol;
l;|-0ॕѴb1oőķ=-1|ou;vv;1†m7-ubovŐ7b-0;|;vķ;m=;u-
l;7-7_;r࢙ঞ1-ou;m-Ѵ1uॕmb1-‹ņovझm7uol;m;-
=uॕঞ1oķ_broঞuob7bvloőķ‹l;7b1-l;m|ovt†;;Ѵ;-
ˆ-mѴov|ub]Ѵb1࣐ub7ovĺŐő
10.30 mbm7bˆb7†ov1om( †o|uov=-1|ou;v
7;ub;v]o(t†;|ol-m†m-;v|-ঞm-1om1oѴ;v-
|;uoѴ 1om|uoѴ-7o r;uo |ub]Ѵb1࣐ub7ov ;Ѵ;ˆ-7ov
ŐƐƒƔŋƓƖƖl]ņ7őķv;r†;7;1omvb7;u-uѴ--7b1bॕm
7;;ঞѴo7;b1ov-r;m|or-u-u;7†1bu;Ѵub;v]o(ĺŐő
|u-|;u-rb-1ol0bm-7-
Recomendaciones
10.31 o v; _- 7;lov|u-7o t†; Ѵ- |;u-rb- 7;
1ol0bm-1bॕm 7; ;v|-ঞm- l࢙v C0u-|o l;fou; Ѵ-
( ‹ķ;m];m;u-Ѵķmov;u;1olb;m7-ĺŐő
10.32 o v; _- 7;lov|u-7o t†; Ѵ- |;u-rb- 7;
1ol0bm-1bॕm 7; ;v|-ঞm- l࢙v mb-1bm- 0ubm7; †m
0;m;C1bo1-u7boˆ-v1†Ѵ-u-7b1bom-Ѵrou;m1bl-7;Ѵ-
|;u-rb-1om;v|-ঞm-voѴ-ķr†;7;-†l;m|-u;Ѵub;v]o
7;-11b7;m|;1;u;0uoˆ-v1†Ѵ-u1om;=;1|ovv;1†m7--
ubov-7b1bom-Ѵ;v‹ķ;m];m;u-Ѵķmov;u;1olb;m7-ĺŐő
];m|;v_broѴbr;lb-m|;v
‹=†m1bॕm1o]mbঞˆ-
-ru;o1†r-1bॕm7;t†;Ѵov-];m|;vu;7†1|ou;v7;
Ѵझrb7ov r†;7-m -=;1|-u m;]-ঞˆ-l;m|; Ѵ- =†m1bॕm
1o]mbঞˆ--1|†-Ѵl;m|;mo;v|࢙u;vr-Ѵ7-7-rou;ˆb-
7;m1b-‹mo7;0;uझ-7bv†-7buv††voĺ
];m|;v-mঞrѴ-t†;|-ubov
Recomendaciones
10.33v;Ѵ-|;u-rb-1om-vrbubm-ŐƕƔ-ƐѵƑl]ņ
7झ-ő1olo;v|u-|;]b-7;ru;ˆ;m1bॕmv;1†m7-ub-;m
r;uvom-v1om7b-0;|;v‹-m|;1;7;m|;v7;( ĺ
Őő
10.34-u-r;uvom-v1om( ‹-Ѵ;u]b-7o1†-
l;m|-7--Ѵ--vrbubm-ķv;7;0;†v-u1Ѵorb7o]u;ѴŐƕƔ
l]ņ7झ-őĺŐő
10.35 - |;u-rb- -mঞrѴ-t†;|-ub- 7†-Ѵ Ő1om -v-
rbubm-;m7ovbv0-f-v‹†mbm_b0b7ou7;Ƒ+ƐƑő;v
u-Œom-0Ѵ;7†u-m|;†m-ोo7;vr†࣐v7;†mvझm7uol;
1ouom-ubo-]†7o‹r†;7;|;m;u0;m;C1bovl࢙v-ѴѴ࢙
7;;v|;r;uझo7oĺŐő
10.36;7;0;1omvb7;u-u;Ѵ|u-|-lb;m|o-Ѵ-u]o
rѴ-Œo1om|;u-rb--mঞrѴ-t†;|-ub-7†-Ѵr-u-r;uvo-
m-v1ombm|;uˆ;m1bॕm1ouom-ub-ru;ˆb-ķ-Ѵ|oub;v]o
bvt†࣐lb1o‹0-foub;v]o7;v-m]u-7or-u-ru;ˆ;-
mbu ;ˆ;m|ov 1-u7boˆ-v1†Ѵ-u;v -7ˆ;uvov l-‹ou;v
Ő őĺŐő
10.37;7;0;1omvb7;u-uѴ-|;u-rb-1ol0bm-7-
1om-vrbubm-l࢙v7ovbv0-f-v7;ubˆ-uoŠ-0࢙mr-u-
r;uvom-v1om ‹ņo ;v|-0Ѵ;v‹0-foub;v]o
7;_;louu-]b-r-u-ru;ˆ;mbu;ˆ;m|ov-7ˆ;uvovbl-
rou|-m|;v;mѴ-v;Š|u;lb7-7;v‹1-u7boˆ-v1†Ѵ-u;vĺ
Őő
10.38-|;u-rb-1om-vrbubm-ŐƕƔ-ƐѵƑl]ņ7झ-ő
r†;7; 1omvb7;u-uv; 1olo †m- ;v|u-|;]b- 7; ru;-
ˆ;m1bॕm rubl-ub- ;m r;uvom-v 1om 7b-0;|;v t†;
ঞ;m;m†ml-‹ouub;v]o(ķ7;vr†࣐v7;†m-7bv1†-
vbॕm;Š_-†vঞˆ-1om;Ѵr-1b;m|;vo0u;Ѵov0;m;C-
1bov=u;m|;-Ѵ-†l;m|o1olr-u-0Ѵ;7;Ѵub;v]o7;
_;louu-]b-ĺŐő
ECV
Screening
Recomendaciones
10.39 mbm7bˆb7†ov-vbm|ol࢙ঞ1ovķmov;u;1o-
lb;m7- Ѵ- 7;|;11bॕm 7; u†ঞm- r-u- ‹- t†;
mol;fou-Ѵovu;v†Ѵ|-7ovvb;lru;t†;v;|u-|;mѴov
=-1|ou;v7;ub;v]o7;( ĺŐő

21. ƑƏ
10.40 omvb7;u; bmˆ;vঞ]-1bom;v r-u- ;m
ru;v;m1b-7;1†-Ѵt†b;u-7;Ѵovvb]†b;m|;vĹvझm|ol-v
1-u7झ-1ov-ঠrb1ovŐrĺ;fĺķ7bvm;-bm;ŠrѴb1-0Ѵ;ķl--
Ѵ;v|-u|ou࢙1b1oőĸvb]movovझm|ol-v7;;m=;ul;7-7
ˆ-v1†Ѵ-u-vo1b-7-ķbm1Ѵ†b7ovvorѴov1-uoঠ7;ovķ-|--
t†; bvt†࣐lb1o |u-mvb|ouboķ -11b7;m|; 1;u;0uoˆ-v-
1†Ѵ-uķ1Ѵ-†7b1-1bॕmo ĸo-mol-Ѵझ-v;m;Ѵ;Ѵ;1-
|uo1-u7bo]u-l-Ő őŐrĺ;fĺķom7-v őĺŐ ő
Tratamiento
Recomendaciones
10.41 m|u;Ѵ-vr;uvom-v1om7b-0;|;vঞroƑt†;
ঞ;m;m( ;v|-0Ѵ;1b7-o;m=;ul;7-7u;m-Ѵ;v-
|-0Ѵ;1b7-ķ†mbm_b0b7ou7;$Ƒo†m-]ombv|-7;Ѵ
u;1;r|ou 7; ŊƐ 1om 0;m;C1bo 7;lov|u-7o 7;
(v;u;1olb;m7-1olor-u|;7;Ѵovu;]झl;m;v
bm|;]u-Ѵ;v7;u;7†11bॕm7;Ѵub;v]o(‹ņo_bro]Ѵ†-
1;lb-m|;vĺŐő
10.41a m r;uvom-v 1om 7b-0;|;v ঞro Ƒ ‹
( ;v|-0Ѵ;1b7-ķ lিѴঞrѴ;v =-1|ou;v 7; ub;v]o
7;( o;m=;ul;7-7u;m-Ѵ7b-0࣐ঞ1-Ő ! őķv;
u;1olb;m7-†mbm_b0b7ou7;$Ƒ1om0;m;C1bo
(7;lov|u-7oĺu;1ol;m7-7or-u-u;7†1bu;Ѵub;v-
]o7; ‹ņo_ovrb|-ѴbŒ-1bॕmrouĺŐő
10.41b m r;uvom-v 1om 7b-0;|;v ঞro Ƒ ‹
( ;v|-0Ѵ;1b7-olিѴঞrѴ;v=-1|ou;v7;ub;v]o
r-u-( ķv;u;1olb;m7-†m-]ombv|-7;Ѵu;1;r-
|ou7;ŊƐ1om0;m;C1bo(7;lov|u-7or-u-
u;7†1bu;Ѵub;v]o7; ĺŐő
10.41c m r;uvom-v 1om 7b-0;|;v ঞro Ƒ ‹
( ;v|-0Ѵ;1b7-olিѴঞrѴ;v=-1|ou;v7;ub;v]o
r-u-( ķ|;u-rb-1ol0bm-7-1om†mbm_b0b7ou
7;$Ƒ1om0;m;C1bo(7;lov|u-7o‹†m-]o-
mbv|-7;Ѵu;1;r|ouŊƐ1om0;m;C1bo(7;lov-
|u-7or†;7;1omvb7;u-uv;r-u-Ѵ-u;7†11bॕm-7b1bo-
m-Ѵ7;Ѵub;v]o7;;ˆ;m|ov(‹u;m-Ѵ;v-7ˆ;uvovĺŐő
10.42a m r;uvom-v 1om 7b-0;|;v ঞro Ƒ ;
;v|-0Ѵ;1b7- 1om =u-11bॕm 7; ;‹;11bॕm ru;v;uˆ-7-
Ő r őo=u-11bॕm7;;‹;11bॕmu;7†1b7-Ő u őķ
v;u;1olb;m7-†mbm_b0b7ou7;$Ƒ1om0;m;-
C1bo1olruo0-7o;m;v|-ro0Ѵ-1bॕm7;r-1b;m|;v
r-u-u;7†1bu;Ѵub;v]o7;;lr;ou-lb;m|o7;Ѵ-‹
l†;u|;(ĺŐő
10.42b mr;uvom-v1om7b-0;|;vঞroƑ;;v-
|-0Ѵ;1b7- 1om r o u ķ v;u;1olb;m7- †m
bm_b0b7ou7;$Ƒ1om0;m;C1bo1olruo0-7o;m
;v|-ro0Ѵ-1bॕm7;r-1b;m|;vr-u-l;fou-uѴovvझm|o-
l-vķѴ-vѴblb|-1bom;vࣱvb1-v‹Ѵ- oĺŐő
10.43 -u- Ѵ-v r;uvom-v 1om 7b-0;|;v ঞro Ƒ‹
!1om-Ѵ0†lbm†ub-|u-|-7-v1om7ovbvl࢙Šbl-v
|oѴ;u-7-v7;bm_b0b7ou;v7;Ѵ- o!ķv;u;-
1olb;m7--]u;]-uCm;u;mom-r-u-l;fou-uѴovu;-
v†Ѵ|-7ov(‹u;7†1bu;Ѵub;v]o7;ruo]u;vbॕm7;Ѵ-
!ĺŐő
10.44 mr;uvom-v1om( 1omo1b7-ķr-uঞ-
1†Ѵ-ul;m|; ķv;u;1olb;m7-Ѵ-|;u-rb-1ombm-
_b0b7ou;v7;Ѵ- o!r-u-u;7†1bu;Ѵub;v]o7;
;ˆ;m|ov1-u7boˆ-v1†Ѵ-u;vĺŐő
10.45 mr;uvom-v1ombm=-u|o7;lbo1-u7boru;-
ˆboķѴov0Ŋ0Ѵot†;-m|;v7;0;m1omঞm†-uv;7†u-m|;
ƒ-ोov7;vr†࣐v7;Ѵ;ˆ;m|oĺŐő
10.46 Ѵ|u-|-lb;m|o7;Ѵ-vr;uvom-v1om u
7;0;bm1Ѵ†bu†m0Ŋ0Ѵot†;-m|;1om0;m;C1bo1ol-
ruo0-7o;mѴovu;v†Ѵ|-7ov(ķ-l;movt†;;v|࣐
1om|u-bm7b1-7oĺŐő
10.47 mr;uvom-v1om7b-0;|;vঞroƑ1om
;v|-0Ѵ;ķv;r†;7;1omঞm†-u1omѴ-l;oulbm-r-u-
u;7†1buѴ-]Ѵ†1ov-vbv;l-mঞ;m;Ѵ-$ ;ƻƒƏlѴņ
lbmņƐķƕƒlƑr;uo7;0;;ˆb|-uv;;mr;uvom-vbm;v-
|-0Ѵ;v†_ovrb|-ѴbŒ-7-v1omĺŐő
ov1-m7b7-|ovr-u-ru†;0-v1-u7झ-1-v-ˆ-mŒ-7-v
obmˆ-vbˆ-vbm1Ѵ†‹;m-t†;ѴѴov1omƐővझm|ol-v1-u-
7झ-1ovঠrb1ovo-ঠrb1ov‹Ƒő†m -moul-Ѵ;m
u;rovoĺ

22. ƑƐ
ƐƐĺ !‹];vঞॕm7;ub;v]ov
ERC
rঞlb1;;Ѵ1om|uoѴ7;Ѵ-]Ѵ†1ov-‹Ѵ-‹u;7†Œ1-
Ѵ-ˆ-ub-0bѴb7-77;Ѵ-r-u-u;7†1bu;Ѵub;v]oou;-
|u-v-uѴ-ruo]u;vbॕm7;Ѵ- !ĺ
Screening
Recomendaciones
11.1aѴl;mov†m-ˆ;Œ-Ѵ-ोoķv;7;0;;ˆ-Ѵ†-u
Ѵ--Ѵ0িlbm-†ubm-ub-‹Ѵ-$ ;;mr;uvom-v1om7b--
0;|;vঞroƐ1om†m-7†u-1bॕmƾƔ-ोov‹;m|o7-v
Ѵ-v r;uvom-v 1om 7b-0;|;v ঞro Ƒ bm7;r;m7b;m|;-
l;m|;7;Ѵ|u-|-lb;m|oĺŐő
11.1b mr;uvom-v1om !;v|-0Ѵ;1b7-ķѴ--Ѵ0ি-
lbm-†ubm-ub-‹Ѵ-$ ;7;0;m1om|uoѴ-uv;7;Ɛ-Ɠ
ˆ;1;v-Ѵ-ोoķv;]িm;Ѵ;v|-7bo7;Ѵ-;m=;ul;7-7ĺŐő
Tratamiento
Recomendaciones
11.4a mr;uvom-vmo;l0-u-Œ-7-v1om7b-0;|;v
; _br;u|;mvbॕmķ v; u;1olb;m7- †m bm_b0b7ou 7; Ѵ-
o†m!r-u--t†;ѴѴ-v1om-Ѵ0†lbm†ub-lo-
7;u-7-l;m|;-†l;m|-7-Ő!ƒƏŋƑƖƖl]ņ]7;
1u;-ঞmbm-őŐő‹v;u;1olb;m7-;m=࢙ঞ1-l;m|;r-u-
-t†;ѴѴov1om-Ѵ0†lbm†ub-v;ˆ;u-l;m|;-†l;m|-7-
Ő! ƾƒƏƏ l]ņ] 7; 1u;-ঞmbm-ő ‹ņo $ ; ƺѵƏ
lņlbmņƐĺƕƒlƑĺŐő
11.4b om|uoѴ; r;ubॕ7b1-l;m|; Ѵov mbˆ;Ѵ;v 7;
1u;-ঞmbm-‹ro|-vbov࣐ub1ovr-u-7;|;1|-u;Ѵ7;v--
uuoѴѴo7;†m-†l;m|o7;Ѵ-1u;-ঞmbm-;_br;uro|--
v;lb-1†-m7ov;†v-mbm_b0b7ou;v7;Ѵ- ķ!‹
!ķo_broro|-v;lb-1†-m7ov;†v-m7b†u࣐ঞ1ovĺ
Őő
11.4cov;u;1olb;m7-†mbm_b0b7ou7;Ѵ-
o†m!r-u-Ѵ-ru;ˆ;m1bॕmrubl-ub-7;Ѵ- !
;mr;uvom-v1om7b-0;|;vt†;ঞ;m;mmoul-Ѵķ
! moul-Ѵ ŐƺƒƏ l]ņ] 7; 1u;-ঞmbm-ő ‹ $ ;
moul-ѴĺŐő
11.4dobm|;uu†lr-;Ѵ0Ѵot†;o7;Ѵvbv|;l-u;-
mbm- -m]bo|;mvbm- rou -†l;m|ov ;m Ѵ- 1u;-ঞmbm-
v࣐ub1-ŐƾƒƏѷő;m-†v;m1b- 7;7;rѴ;1bॕm 7;ˆoѴ†-
l;mĺŐő
11.5a -u- Ѵ-v r;uvom-v 1om 7b-0;|;v ঞro Ƒ
‹ !ķ v; u;1olb;m7- ;Ѵ †vo 7; †m bm_b0b7ou 7;
$Ƒr-u-u;7†1buѴ-ruo]u;vbॕm7;Ѵ- !‹Ѵov
;ˆ;m|ov 1-u7boˆ-v1†Ѵ-u;v ;m r-1b;m|;v 1om †m-
$ ; ƾƑƏ lѴņlbmņƐķƕƒ lƑ ‹ -Ѵ0িlbm- †ubm-ub-
ƾƑƏƏl]ņ]1u;-ঞmbm-ĺŐő
11.5b -u- Ѵ-v r;uvom-v 1om 7b-0;|;v ঞro Ƒ
‹ !ķ v; u;1olb;m7- ;Ѵ †vo 7; †m bm_b0b7ou 7;
$Ƒr-u-u;7†1buѴ-ruo]u;vbॕm7;Ѵ- ‹Ѵov
;ˆ;m|ov 1-u7boˆ-v1†Ѵ-u;v ;m r-1b;m|;v 1om †m-
$ ;ƾƑƏlѴņlbmņƐķƕƒlƑ‹-Ѵ0িlbm-†ubm-ub-t†;
ˆ-7;moul-Ѵ-ƑƏƏl]ņ]7;1u;-ঞmbm-ĺŐő
11.5c m r;uvom-v 1om 7b-0;|;v ঞro Ƒ‹ !ķ
1omvb7;u; ;Ѵ †vo 7; bm_b0b7ou;v 7; $Ƒ Ővb Ѵ-
$ ; ;v ƾƑƏ lѴņlbmņƐķƕƒ lƑőķ †m -]ombv|- 7;Ѵ
u;1;r|ou7;ŊƐo†m!mo;v|;uob7;oŐvbѴ-
$ ; ;v ƾƑƔ lѴņlbmņƐķƕƒ lƑő -7b1bom-Ѵl;m|;
r-u-Ѵ-u;7†11bॕm7;Ѵub;v]o(ĺŐő
11.5d m Ѵ-v r;uvom-v 1om ! ‹ -Ѵ0†lbm†ub-
t†;ঞ;m;m†ml-‹ouub;v]o7;;ˆ;m|ov1-u7boˆ-v-
1†Ѵ-u;vo7;ruo]u;vbॕm7;Ѵ- !ķv;u;1olb;m7-
†m!mo;v|;uob7;ot†;_-‹-7;lov|u-7ov;u
;=;1ঞˆo;m;mv-‹ov1Ѵझmb1ovr-u-u;7†1buѴ-ruo]u;-
vbॕm7;Ѵ- !‹Ѵov;ˆ;m|ov1-u7boˆ-v1†Ѵ-u;vĺŐő
11.6 mr;uvom-v1om !t†;ঞ;m;mƾƒƏƏl]ņ]
7;-Ѵ0িlbm-†ubm-ub-ķv;u;1olb;m7-†m-u;7†11bॕm
7;ѴƒƏѷol࢙v;ml]ņ]7;-Ѵ0িlbm-†ubm-ub-r-u-
u;7†1buѴ-ˆ;Ѵo1b7-77;ruo]u;vbॕm7;Ѵ- !ĺŐő
11.7 -u- Ѵ-v r;uvom-v 1om ! ;m ;|-r- ƒ o
v†r;ubou t†; mo 7;r;m7;m 7; 7b࢙Ѵbvbvķ Ѵ- bm];v|-
7;ruo|;झm-v;mѴ-7b;|-7;0;-r†m|-u-†mmbˆ;Ѵ
o0f;ঞˆo7;ƏķѶ]ņh]7;r;vo1ourou-Ѵrou7झ-ĺŐő
-u-Ѵovr-1b;m|;v;m7b࢙Ѵbvbvķv;7;0;m1omvb7;u-u
mbˆ;Ѵ;vl࢙v-Ѵ|ov7;bm];v|-7;ruo|;झm-v;mѴ-7b;-
|-ķ‹-t†;;Ѵ7;vr;u7b1bo7;;m;u]झ-ruo|;b1-;v†m
ruo0Ѵ;l-blrou|-m|;;m-Ѵ]†m-vr;uvom-v;m7b࢙-
ѴbvbvĺŐő
11.8 ov r-1b;m|;v 7;0;m v;u u;=;ub7ov r-u-
;ˆ-Ѵ†-1bॕm rou †m m;=uॕѴo]o vb ঞ;m;m mbˆ;Ѵ;v 7;
-Ѵ0িlbm-†ubm-ub-;m1omঞm†o-†l;m|o‹ņo$ ;
;m 1omঞm†o 7;v1;mvo ‹ vb Ѵ- $ ; ;v ƺƒƏ lѴņ
lbmņƐķƕƒlƑĺŐő

23. ƑƑ
11.9 ;ubˆ-u7;bml;7b-|o-†mm;=uॕѴo]o;m1-vo
7;bm1;uঞ7†l0u;vo0u;Ѵ-;ঞoѴo]झ-7;Ѵ-;m=;ul;-
7-7u;m-Ѵķruo0Ѵ;l-v7;7bࣱ1bѴl-m;fo‹;m=;ul;-
7-7u;m-Ѵt†;ruo]u;v-u࢙rb7-l;m|;ĺŐő
b-]mॕvঞ1oķ;v|-7bC1-1bॕm
y vigilancia de la ERC
- !v;7b-]movঞ1-;m=†m1bॕm7;Ѵ-ru;v;m1b-
‹ ;Ѵ ]u-7o 7; -Ѵ0†lbm†ub-‹ņo$ ; u;7†1b7- ;m
-†v;m1b-7;vझm|ol-v7;o|u-v1-†v-vrubl-ub-v7;
7-ोou;m-Ѵĺ ov7;|u;vl†;v|u-v7;!u;1oѴ;1-
|-7-v7;m|uo7;†mr;uझo7o7;ƒ-ѵl;v;v7;0;m
v;u-moul-Ѵ;v-m|;v7;1omvb7;u-ut†;†mr-1b;m|;
ঞ;m;-Ѵ0†lbm†ub-ĺ-$ ;7;0;1-Ѵ1†Ѵ-uv;-r-uঞu
7;Ѵ-1u;-ঞmbm-v࣐ub1-†ঞѴbŒ-m7o†m-=ॕul†Ѵ-ˆ--
Ѵb7-7-ĺ ;m;u-Ѵl;m|; v; ru;C;u; Ѵ- ;1†-1bॕm 7;
Ѵ-oѴ-0ou-1bॕm rb7;lboѴॕ]b1-7;Ѵ- m=;ul;7-7
!;m-Ѵuॕmb1-Ő !Ŋ őĺ-u-Œ-mo7;0;bm1Ѵ†buv;
;mѴ-=ॕul†Ѵ-‹-t†;;v†m-1omv|u†11bॕmvo1b-Ѵ‹
mo0boѴॕ]b1-ĺ
Selección de medicamentos reductores
7;]Ѵ†1ov-r-u-r;uvom-v1om !
-$ ;7;0;1om|uoѴ-uv;lb;m|u-vv;|ol-l;|-
=oulbm-ķt†;v;r†;7;†v-u;mr-1b;m|;v1om†m-
$ ;ƾƒƏlѴņlbmņƐķƕƒlƑĺ!;;ˆ-Ѵ†-uѴov0;m;C-
1bov‹ub;v]ov7;1omঞm†-u;Ѵ|u-|-lb;m|o1†-m7o
Ѵ- $ ; 1-; - ƺƓƔ lѴņlbmņƐķƕƒ lƑķ ‹ mo bmb1b;
l;oulbm-;mr-1b;m|;v1om†m-$ ;‹-;m;v|;
mbˆ;Ѵĺm|;uu†lrbu|;lrou-Ѵl;m|;;m;Ѵlol;m|o
7;o-m|;v7;ruo1;7blb;m|ov7;bl-];m1om1om-
|u-v|;‹o7-7o;mr-1b;m|;v1om$ ;ƒƏŊѵƏlѴņ
lbmņƐķƕƒlƑĺ
ARM no esteroideos en la ERC
- Cm;u;mom- r†;7; u;7†1bu Ѵ- !ķ Ѵov ;ˆ;m|ov
1-u7boˆ-v1†Ѵ-u;v‹Ѵ-_ovrb|-ѴbŒ-1bॕmrou;mr;u-
vom-v 1om ! -ˆ-mŒ-7-ķ r;uo 7;0; †v-uv; 1om
ru;1-†1bॕm7;0b7o-Ѵub;v]o7;_br;uro|-v;lb-ĺ;
r†;7;†ঞѴbŒ-u1ombm_b0b7ou;v7;$Ƒĺ
ƐƑĺ!;ঞmor-ঠ-ķ;†uor-ঠ-
y Cuidado de los pies
Ѵ1om|uoѴ7;Ѵ-]Ѵ†1;lb-ķѴ-‹ѴovѴझrb7ovr†;-
7;u;7†1bu;Ѵub;v]oou;|u-v-uѴ-ruo]u;vbॕm7;Ѵ-v
1olrѴb1-1bom;vlb1uoˆ-v1†Ѵ-u;v7;Ѵ-7b-0;|;vĺ
!;ঞmor-ঠ-7b-0࣐ঞ1-
Screening
Recomendaciones
12.4-vr;uvom-v1om7b-0;|;vঞroƑ7;0;mvo-
l;|;uv;-†m;Š-l;mbmb1b-Ѵo1†Ѵ-u1olrѴ;|ou;-Ѵb-
Œ-7orou†mo[-ѴlॕѴo]o†or|ol;|ubv|-;m;Ѵlo-
l;m|o7;Ѵ7b-]mॕvঞ1o7;7b-0;|;vĺŐő
12.5bmo_-‹;ˆb7;m1b-7;u;ঞmor-ঠ-7b-0࣐ঞ1-
Ő! őr-u-†mool࢙v;Š࢙l;m;vo1†Ѵ-u;v-m†-Ѵ;v‹
Ѵ-]Ѵ†1;lb-;v|࢙0b;m1om|uoѴ-7-ķ;m|om1;vv;r†;-
7;1omvb7;u-uѴ-7;|;11bॕm1-7-ƐoƑ-ोovĺb_-‹
-Ѵ]িmmbˆ;Ѵ7;! ķ†mo[-ѴlॕѴo]o†or|ol;|ubv|-
7;0;u;r;ঞuѴov;Š࢙l;m;vrov|;ubou;v7;u;ঞm-7b-
Ѵ-|-7--Ѵl;mov†m-ˆ;Œ-Ѵ-ोoĺbѴ-! ruo]u;v-o
-l;m-Œ-Ѵ-ˆbv|-ķv;u;t†;ubu࢙m;Š࢙l;m;v1oml--
‹ou=u;1†;m1b-ĺŐő
12.6 ov ruo]u-l-v t†; †ঞѴbŒ-m =o|o]u-ࣱ-v 7;
Ѵ-u;ঞm-Ő1omѴ;1|†u-u;lo|-o;Ѵ†vo7;†m-_;-
uu-lb;m|-7;;ˆ-Ѵ†-1bॕmˆ-Ѵb7-7-őr-u-l;fou-u;Ѵ
-11;vo-Ѵ-7;|;11bॕm7; !r†;7;mv;u;v|u-|;]b-v
7;7;|;11bॕm-7;1†-7-vĺ b1_ovruo]u-l-v7;0;m
ruorou1bom-uˆझ-vr-u-Ѵ-7;ubˆ-1bॕmorou|†m-r-u-
†m;Š-l;mo1†Ѵ-u1olrѴ;|o1†-m7o;v|࣐bm7b1-7oĺ
Őő
Tratamiento
Recomendaciones
12.9 ;ubˆ; 7; bml;7b-|o - Ѵ-v r;uvom-v 1om
1†-Ѵt†b;umbˆ;Ѵ7;;7;l-l-1†Ѵ-u7b-0࣐ঞ1oķ! mo
ruoѴb=;u-ঞˆ-lo7;u-7-or;ouŐ†mru;1†uvou7;Ѵ-
! őķo1†-Ѵt†b;u! ruoѴb=;u-ঞˆ--†mo[-ѴlॕѴo]o
t†;|;m]-1omo1blb;m|ov‹;Šr;ub;m1b-;m;Ѵl--
m;fo7;Ѵ-! ĺŐő
12.14-ru;v;m1b-7;! mo;v†m-1om|u-bm7b-
1-1bॕmr-u-Ѵ-|;u-rb-1om-vrbubm-r-u-1-u7boruo-
|;11bॕmķ‹-t†;Ѵ--vrbubm-mo-†l;m|-;Ѵub;v]o7;
_;louu-]b-u;ঞmb-m-ĺŐő

24. Ƒƒ
;†uor-ঠ-
Screening
Recomendaciones
12.15 $o7-v Ѵ-v r;uvom-v 1om 7b-0;|;v 7;0;m
v;u;ˆ-Ѵ†-7-vr-u-Ѵ-m;†uor-ঠ-r;ub=࣐ub1-7b-0࣐-
ঞ1-Ő ő-r-uঞu7;Ѵlol;m|o7;Ѵ7b-]mॕvঞ1o7;
7b-0;|;vঞroƑ‹Ɣ-ोov7;vr†࣐v7;Ѵ7b-]mॕvঞ1o
7;7b-0;|;vঞroƐ‹-Ѵl;mov†m-ˆ;Œ-Ѵ-ोo-r-uঞu
7;;m|om1;vĺŐő
12.16-;ˆ-Ѵ†-1bॕm7;Ѵ-roѴbm;†uor-ঠ-vbl࣐-
|ub1-7bv|-Ѵ7;0;bm1Ѵ†bu†m--m-lm;vbv1†b7-7ov-
‹†m-;ˆ-Ѵ†-1bॕm7;Ѵ-|;lr;u-|†u-oѴ-v;mv-1bॕm
7;rbm1_-ŒoŐ=†m1bॕm7;Ѵ-vC0u-vr;t†;ो-vő‹Ѵ-
v;mv-1bॕm 7; ˆb0u-1bॕm 1om †m 7b-r-vॕm 7; ƐƑѶ
ŒŐr-u-=†m1bॕm7;Ѵ-vC0u-v]u-m7;vőĺ$o7-vѴ-v
r;uvom-v1om7b-0;|;v7;0;mvol;|;uv;-ru†;0-v
-m†-Ѵ;v7;lomoCѴ-l;m|o7;ƐƏ]r-u-b7;mঞC1-u
Ѵovrb;v;mub;v]o7;†Ѵ1;u-1bॕm‹-lr†|-1bॕmĺŐő
12.17ovvझm|ol-v‹vb]mov7;m;†uor-ঠ--†-
|omॕlb1-7;0;m;ˆ-Ѵ†-uv;;mr;uvom-v1om7b-0;-
|;v-r-uঞu7;Ѵ7b-]mॕvঞ1o7;7b-0;|;vঞroƑ‹Ɣ
-ोov7;vr†࣐v7;Ѵ7b-]mॕvঞ1o7;7b-0;|;vঞroƐ‹
-Ѵl;mov†m-ˆ;Œ-Ѵ-ोo-r-uঞu7;;m|om1;v‹1om
;ˆb7;m1b- 7; o|u-v 1olrѴb1-1bom;v lb1uoˆ-v1†Ѵ--
u;vķr-uঞ1†Ѵ-ul;m|;;m=;ul;7-7u;m-Ѵ‹ ĺ-
7;|;11bॕm r†;7; bm1Ѵ†bu ru;]†m|-v vo0u; l-u;ov
ou|ov|࢙ঞ1ovķvझm1or;orb;Ѵv;1-‹-]ub;|-7-;mѴ-v
;Š|u;lb7-7;vĺovvb]mov7;m;†uor-ঠ--†|omॕlb-
1-bm1Ѵ†‹;m_bro|;mvbॕmou|ov|࢙ঞ1-ķ|-t†b1-u7b-;m
u;rovoo;ˆb7;m1b-7;v;t†;7-7r;ub=࣐ub1-o-]ub;-
|-lb;m|o7;Ѵ-rb;ѴĺŐ ő
Tratamiento
Recomendación
12.20ov]-0-r;mঞmob7;vķѴovbm_b0b7ou;v7;Ѵ-
u;1-r|-1bॕm7;v;uo|ombm-‹mou;rbm;=ubm-ķѴov-mঞ-
7;ru;vbˆov|ub1झ1Ѵb1ov‹Ѵov0Ѵot†;-7ou;v7;Ѵov1--
m-Ѵ;v7;vo7bov;u;1olb;m7-m1olo|u-|-lb;m|ov
=-ul-1oѴॕ]b1ovbmb1b-Ѵ;vr-u-;Ѵ7oѴoum;†uor࢙ঞ1o
;mѴ-7b-0;|;vĺŐő!;=;ubu-Ѵm;†uॕѴo]oo;vr;1b-Ѵbv-
ta en dolor cuando el control del dolor no se logra
7;m|uo7;Ѵ-Ѵ1-m1;7;Ѵ-ru࢙1ঞ1-7;Ѵl࣐7b1o|u--
|-m|;ĺŐ ő
†b7-7o7;Ѵovrb;v
Recomendaciones
12.21!;-Ѵb1;†m-;ˆ-Ѵ†-1bॕmbm|;]u-Ѵ7;Ѵrb;-Ѵ
l;mov†m-ˆ;Œ-Ѵ-ोor-u-b7;mঞC1-uѴov=-1|ou;v
7;ub;v]o7;িѴ1;u-v‹-lr†|-1bom;vĺŐő
12.22 Ѵ;Š-l;m7;0;bm1Ѵ†buѴ-bmvr;11bॕm7;Ѵ-
rb;ѴķѴ-;ˆ-Ѵ†-1bॕm7;Ѵ-v7;=oulb7-7;v7;Ѵrb;ķѴ-
;ˆ-Ѵ†-1bॕmm;†uoѴॕ]b1-Őru†;0-7;lomoCѴ-l;m|o
7;ƐƏ]1om-Ѵl;movo|u-;ˆ-Ѵ†-1bॕmĹrbm1_-Œoķ
|;lr;u-|†u-ķˆb0u-1bॕmő‹ ;ˆ-Ѵ†-1bॕmˆ-v1†Ѵ-uķ bm-
1Ѵ†b7ovѴovr†Ѵvov;mѴ-vrb;um-v‹Ѵovrb;vĺŐő
12.23 -v r;uvom-v 1om ;ˆb7;m1b- 7; r࣐u7b7-
v;mvoub-Ѵo†Ѵ1;u-1bॕmo-lr†|-1bॕmru;ˆb-7;0;m
u;ˆbv-uv;Ѵovrb;v;m1-7-ˆbvb|-ĺŐő
12.24 0|;m]- -m|;1;7;m|;v 7; †Ѵ1;u-1bॕmķ
-lr†|-1bॕmķrb;7;_-u1o|ķ-m]borѴ-vঞ-o1bu†]झ-
ˆ-v1†Ѵ-uķ |-0-t†bvloķ u;ঞmor-ঠ- ‹ ;m=;ul;7-7
u;m-Ѵ‹;ˆ-Ѵি;Ѵovvझm|ol-v-1|†-Ѵ;v7;m;†uor-ঠ-
Ő7oѴouķ-u7ouķ;m|†l;1blb;m|oő‹;m=;ul;7-7ˆ-v-
1†Ѵ-uŐ=-ঞ]-7;rb;um-vķ1Ѵ-†7b1-1bॕmőĺŐő
12.25-7;|;11bॕmbmb1b-Ѵ7; 7;0;bm1Ѵ†buѴ-
;ˆ-Ѵ†-1bॕm7;Ѵovr†Ѵvov7;Ѵ-v;Š|u;lb7-7;vbm=;-
ubou;vķ;Ѵঞ;lro7;ѴѴ;m-7o1-rbѴ-uķ;Ѵu†0ou;mѴ-
7;r;m7;m1b-ķѴ-r-Ѵb7;Œ;mѴ-;Ѵ;ˆ-1bॕm‹;Ѵঞ;lro
7; ѴѴ;m-7oˆ;movoĺ-v r;uvom-v1om-m|;1;7;m-
|;v7;=-ঞ]-;mѴ-vrb;um-vķ1Ѵ-†7b1-1bॕm‹7oѴou;m
u;rovot†;v;-Ѵbˆb-m1omѴ-7;r;m7;m1b-o7bvlb-
m†1bॕmo-†v;m1b-7;Ѵovr†Ѵvov7;0;m7;ubˆ-uv;
r-u-;Ѵझm7b1;|o0bѴѴoŊ0u-Œo‹r-u-†m-;ˆ-Ѵ†-1bॕm
ˆ-v1†Ѵ-u-7b1bom-Ѵķv;]িm1ouu;vrom7-ĺŐő
12.26;u;1olb;m7-†m;m=ot†;l†Ѵঞ7bv1brѴb-
m-ubor-u-r;uvom-v1omিѴ1;u-v;mѴovrb;v‹rb;v
7;-Ѵ|oub;v]oŐrĺ;fĺķ;m7b࢙Ѵbvbvķ1omrb;7;_-u1o|ķ
1om-m|;1;7;m|;v7;িѴ1;u-vo-lr†|-1bom;vru;-
ˆb-vķ1om őĺŐő
12.27!;=;ubu-Ѵ-vr;uvom-vt†;=†l-m‹ঞ;m;m
-m|;1;7;m|;v 7; 1olrѴb1-1bom;v ru;ˆb-v ;m Ѵ-v
;Š|u;lb7-7;v bm=;ubou;vķ r࣐u7b7- 7; Ѵ- v;mv-1bॕm
ruo|;1|ou-ķ-mol-Ѵझ-v;v|u†1|†u-Ѵ;vo -Ѵov;v-
r;1b-Ѵbv|-v;m1†b7-7o7;Ѵovrb;vr-u-;Ѵ1†b7-7o
ru;ˆ;mঞˆo1omঞm†o‹7;rouˆb7-ĺŐő

25. ƑƓ
12.28ubm7-u;7†1-1bॕmru;ˆ;mঞˆ-];m;u-Ѵvo-
0u;;Ѵ-†|o1†b7-7o7;Ѵovrb;v-|o7-vѴ-vr;uvom-v
1om7b-0;|;vķbm1Ѵ†b7-v-t†;ѴѴ-v1omr࣐u7b7-7;Ѵ-
v;mvb0bѴb7-7ruo|;1|ou-ķvo0u;Ѵ-v=oul-v-ruorb--
7-v7;;Š-lbm-uv†vrb;vŐr-Ѵr-1bॕmobmvr;11bॕm
ˆbv†-Ѵ1om†m;vr;fobuuolrb0Ѵ;őr-u-Ѵ-ˆb]bѴ-m1b-
7b-ub-7;Ѵovrubl;uovruo0Ѵ;l-vĺŐő
12.29;u;1olb;m7-;Ѵ†vo7;1-ѴŒ-7o|;u-r࣐†-
ঞ1o;vr;1b-ѴbŒ-7or-u-r;uvom-v1om7b-0;|;v1om
-Ѵ|o ub;v]o 7; †Ѵ1;u-1bॕmķ bm1Ѵ†b7-v -t†;ѴѴ-v 1om
r࣐u7b7-7;Ѵ-v;mv-1bॕmruo|;1|ou-ķ7;=oulb7-7;v
;mѴovrb;vķিѴ1;u-vķ=oul-1bॕm7;1-ѴѴovķl-Ѵ-1bu-
1†Ѵ-1bॕmr;ub=࣐ub1-o-m|;1;7;m|;v7;-lr†|-1bॕmĺ
Őő
13. Adultos mayores
Recomendaciones
13.1 omvb7;u; Ѵ- ;ˆ-Ѵ†-1bॕm 7; Ѵov 7olbmbov
l࣐7b1ovķ rvb1oѴॕ]b1ovķ =†m1bom-Ѵ;v Ő1-r-1b7-7;v
7;-†|o1om|uoѴő‹vo1b-Ѵ;v;m-7†Ѵ|ovl-‹ou;vr-u-
ruorou1bom-u†ml-u1or-u-7;|;ulbm-uo0f;ঞˆov‹
;m=ot†;v|;u-r࣐†ঞ1ovr-u-Ѵ-7b-0;|;vĺŐő
13.2 ;|;1|-uvझm7uol;v];ub࢙|ub1ovŐ;v7;1buķro-
Ѵb=-ul-1b-ķ7;|;ubouo1o]mbঞˆoķ7;ru;vbॕmķbm1omঞ-
m;m1b-†ubm-ub-ķ1-झ7-vķ7oѴour;uvbv|;m|;‹=u-]bѴb-
7-7ő;m-7†Ѵ|ovl-‹ou;vķ‹-t†;r†;7;m-=;1|-u;Ѵ
-†|o1om|uoѴ7;Ѵ-7b-0;|;v‹7bvlbm†buѴ- oĺŐő
-7b-0;|;v;m-7†Ѵ|ovl-‹ou;vv;-vo1b-1om|-v-v
l࢙v-Ѵ|-v7;l†;u|;ru;l-|†u-ķ7bv1-r-1b7-7=†m-
1bom-Ѵķr࣐u7b7-l†v1†Ѵ-u-1;Ѵ;u-7-ķ;m=;ul;7-7;v
1o;Šbv|;m|;v‹vझm7uol;v];ub࢙|ub1ovĺѴ;ˆ-Ѵ†-u-
-7†Ѵ|ovl-‹ou;v1om7b-0;|;vķ;vblrou|-m|;1-|;-
]oubŒ-u1omru;1bvbॕm;Ѵঞro7;7b-0;|;vķ-vझ1olo
v†v1olrѴb1-1bom;v‹ru;o1†r-1bom;vu;Ѵ-1bom-7-v
1om;Ѵ|u-|-lb;m|oķ1olo;Ѵlb;7o-Ѵ-_bro]Ѵ†1;-
lb-ĺ
†m1bॕmm;†uo1o]mbঞˆ-
Recomendación
Ɛƒĺƒ;7;0;mu;-ѴbŒ-u;Š࢙l;m;vr-u-Ѵ-7;|;11bॕm
|;lru-m-7;7;|;ubouo1o]mbঞˆoѴ;ˆ;o7;l;m1b-
r-u--7†Ѵ|ov7;ѵƔ-ोov7;;7-7ol-‹ou;v;mѴ-
ˆbvb|-bmb1b-Ѵķ-m†-Ѵl;m|;‹v;]িm1ouu;vrom7-ĺŐő
-vr;uvom-v1om7b-0;|;vঞ;m;m†m-l-‹oubm1b-
7;m1b-7;7;l;m1b-rou1†-Ѵt†b;u1-†v-ķ;m=;ul;-
7-77;ѴŒ_;bl;u‹7;l;m1b-ˆ-v1†Ѵ-uĺov;v|†7bov
;m1†uvo;v|࢙m;ˆ-Ѵ†-m7ovbru;ˆ;mbuou;|u-v-u;Ѵ
bmb1bo7;Ѵ-7b-0;|;vr†;7;-‹†7-u-l-m|;m;uѴ-
=†m1bॕm1o]mbঞˆ-;mѴov-7†Ѵ|ovl-‹ou;vĺbm;l-
0-u]oķѴov;v|†7bovt†;;Š-lbm-mѴov;=;1|ov7;Ѵ
1om|uoѴbm|;mvbˆo7;Ѵ-]Ѵ†1;lb-‹Ѵ-mo_-m7;-
lov|u-7o†m-u;7†11bॕm7;Ѵ7;|;ubouo1o]mbঞˆoĺ
bro]Ѵ†1;lb-
Recomendaciones
13.4 ;0b7o-t†;Ѵov-7†Ѵ|ovl-‹ou;v1om7b--
0;|;vঞ;m;m†ml-‹ouub;v]o7;_bro]Ѵ†1;lb-t†;
Ѵov-7†Ѵ|ovl࢙vfॕˆ;m;vķѴov;rbvo7bov7;_bro]Ѵ†-
1;lb-7;0;m7;|;ulbm-uv;‹-0ou7-uv;;mѴ-vˆbvb-
|-v7;u†ঞm-ĺŐő
13.6-u-Ѵov-7†Ѵ|ovl-‹ou;v1om7b-0;|;vঞro
Ƒt†;u;1b0;mlিѴঞrѴ;v7ovbv7b-ub-v7;bmv†Ѵbm-ķ
;Ѵ7;0;1omvb7;u-ut†;l;fou-Ѵovu;v†Ѵ|-7ov
]Ѵ†1࣐lb1ov‹7bvlbm†‹;Ѵ-ˆ-ub-0bѴb7-77;Ѵ-]Ѵ†1o-
v-ĺŐő
ov-7†Ѵ|ovl-‹ou;vঞ;m;m†ml-‹ouub;v]o7;_b-
ro]Ѵ†1;lb-roul†1_-vu-Œom;v‹v;Ѵ;v7;0;ru;-
]†m|-u7;=oul-u†ঞm-ub-vo0u;Ѵ-_bro]Ѵ†1;lb-‹
Ѵ-=-Ѵ|-7;1om1b;m1b-ĺ vrovb0Ѵ;t†;v;-m;1;v-ubo
-f†v|-uѴovo0f;ঞˆov]Ѵ†1࣐lb1ov‹Ѵov|u-|-lb;m|ov
=-ul-1oѴॕ]b1ovr-u-lbmblbŒ-u;v|;r-u࢙l;|uoĺ

26. ƑƔ
0f;ঞˆov7;Ѵ|u-|-lb;m|o
†b;m;v-ঞ;m7;m--7†Ѵ|ovl-‹ou;v1om7b-0;|;v7;0;m|;m;u;m1†;m|-Ѵ-v7b=;u;m1b-v1Ѵझmb1-vķ1o]mbঞˆ-v‹
=†m1bom-Ѵ;v-Ѵ;v|-0Ѵ;1;u‹ruboubŒ-uѴovo0f;ঞˆov7;Ѵ|u-|-lb;m|oĺŐ$-0Ѵ-ƐƒĺƐő
-u-1|;uझvঞ1-v7;Ѵ
r-1b;m|;ņ v|-7o7;
salud
Razón funda-
mental
Meta razona-
ble de A1C ‡
Glucosa
en ayunas
oru;ru-m-
dial
Glucosa a
Ѵ-_ou-7;
acostarse
PA झrb7ov
-Ѵ†7-0Ѵ;Őro1-v;m-
=;ul;7-7;v1uॕmb1-v
1o;Šbv|;m|;vķ;v|-7o
1o]mbঞˆo‹=†m1bom-Ѵ
intacto)
-‹ou;vr;-
ranza de vida
restante
ƺƕķƏŋƕķƔѷ
ŐƔƒŋƔѶlloѴņ
loѴő
ѶƏŋƐƒƏ
l]ņ7Ѵ
ŐƓķƓŋƕķƑ
lloѴņѴő
ѶƏŋƐѶƏl]ņ
7ŐƓķƓŋƐƏķƏ
lloѴņő
ƺƐƒƏņѶƏ
ll]
v|-ঞm-ķ
-l;mov
t†;;v|࣐
contraindi-
cada o no
se tolere
olrѴ;foņbm|;ul;7bo
ŐlিѴঞrѴ;v;m=;ul;7--
des crónicas coexis-
|;m|;vŖo7ovol࢙v
blr;7bl;m|ovbmv|u†-
l;m|-Ѵ;v7;( o
7;|;ubouo1o]mbঞˆo
7;Ѵ;ˆ;-lo7;u-7oő
vr;u-mŒ-7;
vida restante
bm|;ul;7b-ķ
alta carga de
|u-|-lb;m|oķ
vulnerabilidad
-Ѵ-_bro]Ѵ†1;-
lb-ķub;v]o7;
1-झ7-v
ƺѶķƏѷŐѵƓ
lloѴņloѴő
ƖƏŋƐƔƏ
l]ņ7
ŐƔķƏŋѶķƒ
lloѴņő
ƐƏƏŋƐѶƏl]ņ
7ŐƔķѵŋƐƏķƏ
lloѴņő
ƺƐƒƏņѶƏ
ll]
v|-ঞm-ķ
-l;mov
t†;;v|࣐
contraindi-
cada o no
se tolere
-Ѵ†7l†‹1olrѴ;f-ņ
l-Ѵ-Ő$o;m=;u-
l;7-7;v1uॕmb1-v;m
;|-r-|;ulbm-ѴŖŖo
7;|;ubouo1o]mbঞˆo
7;lo7;u-7o-]u-ˆ;
o7ovol࢙v7;|;ubo-
uov7; ő
-;vr;u-mŒ-
de vida res-
|-m|;Ѵblb|-7-
_-1;t†;;Ѵ
0;m;C1bov;-
incierto
ˆb|;7;r;m7;u
7;Ɛĸ-v
decisiones sobre
el control de la
glucosa deben
basarse en evitar
Ѵ-_bro]Ѵ†1;lb-
‹Ѵ-_br;u]Ѵ†1;-
lb-vbm|ol࢙ঞ1-ĺ
ƐƏƏŋƐѶƏ
l]ņ7
ŐƔķѵŋƐƏķƏ
lloѴņő
ƐƐƏŋƑƏƏl]ņ
7ŐѵķƐŋƐƐķƐ
lloѴņő
ƺƐƓƏņƖƏ
ll]
Considere
Ѵ-ruo0--
bilidad de
0;m;C1bo
1om;v|-ঞ-
nas
;vঞॕm7;Ѵ;vঞѴo7;ˆb7-
Recomendaciones
13.13 ;u;1olb;m7-†m-m†|ub1bॕmॕrঞl-‹Ѵ-bm];v|-7;ruo|;झm-vr-u-Ѵov-7†Ѵ|ovl-‹ou;vĸ;f;u1b1bou;]†-
Ѵ-uķbm1Ѵ†b7-Ѵ--1ঞˆb7-7-;uॕ0b1-ķѴ;ˆ-m|-lb;m|o7;r;voķ;f;u1b1bo‹ņo;Ѵ;m|u;m-lb;m|o7;u;vbv|;m1b-ķv;7;0;
-Ѵ;m|-u;m|o7ovѴov-7†Ѵ|ovl-‹ou;vt†;r†;7;mr-uঞ1br-u7;l-m;u-v;]†u-;m|-Ѵ;v-1ঞˆb7-7;vĺŐő
13.14 -u--7†Ѵ|ovl-‹ou;v1om7b-0;|;vঞroƑķvo0u;r;voņo0;vb7-7‹1-r-1b7-7r-u-_-1;u;f;u1b1bo7;
l-m;u-v;]†u-ķ†m-bm|;uˆ;m1bॕmbm|;mvbˆ-;m;Ѵ;vঞѴo7;ˆb7-1;m|u-7-;m1-l0bov7b;|-ubovķѴ--1ঞˆb7-7ࣱvb1-
‹Ѵ-r࣐u7b7-7;r;volo7;v|-Őrĺ;fĺķƔ-ƕѷő7;0;m1omvb7;u-uv;rouv†v0;m;C1bov;mѴ- oķѴ-loˆbѴb7-7‹;Ѵ
=†m1bom-lb;m|oࣱvb1oķ‹;Ѵ1om|uoѴ7;Ѵov=-1|ou;v7;ub;v]o1-u7bol;|-0ॕѴb1ovĺŐő

27. Ƒѵ
$;u-rb-=-ul-1oѴॕ]b1-
Recomendaciones
13.15 m-7†Ѵ|ovl-‹ou;v1om7b-0;|;vঞroƑ
1om l-‹ou ub;v]o 7; _bro]Ѵ†1;lb-ķ Ѵ-v 1Ѵ-v;v 7;
l;7b1-l;m|ov 1om 0-fo ub;v]o 7; _bro]Ѵ†1;lb-
vomrubˆbѴ;]b-7oĺŐő
13.16 Ѵ|u-|-lb;m|o;Š1;vbˆo7;Ѵ-7b-0;|;v;v
1olিm;mѴov-7†Ѵ|ovl-‹ou;v‹7;0;;ˆb|-uv;ĺŐő
13.17 ;u;1olb;m7-Ѵ-7;vbm|;mvbC1-1bॕm7;Ѵov
o0f;ঞˆov7;Ѵ|u-|-lb;m|or-u-u;7†1bu;Ѵub;v]o7;
_bro]Ѵ†1;lb-vbv;r†;7;Ѵo]u-u7;m|uo7;Ѵo0f;ঞˆo
bm7bˆb7†-ѴbŒ-7o7;ƐĺŐő
13.18;u;1olb;m7-Ѵ-vblrѴbC1-1bॕm7;rѴ-m;v
7;|u-|-lb;m|o1olrѴ;fovŐ;vr;1b-Ѵl;m|;bmv†Ѵbm-ő
r-u- u;7†1bu Ѵ- ub;v]o 7; _bro]Ѵ†1;lb- ‹ roѴb=-u-
l-1b-‹7bvlbm†buѴ-1-u]-7;Ѵ-;m=;ul;7-7vbv;
r†;7;Ѵo]u-u7;m|uo7;Ѵo0f;ঞˆobm7bˆb7†-ѴbŒ-7o7;
ƐĺŐő
13.19 Considere los costos de la atención y las
u;]Ѵ-v7;1o0;u|†u-7;Ѵv;]†uo-Ѵ7;v-uuoѴѴ-urѴ-m;v
7;|u-|-lb;m|or-u-u;7†1bu;Ѵub;v]o7;0-uu;u-v
u;Ѵ-1bom-7-v1omѴov1ov|ovr-u-Ѵ--7_;u;m1b-ĺŐő
ov-7†Ѵ|ovl-‹ou;vu;t†b;u;m=-ul-1o|;u-rb-7b--
0࣐ঞ1- bm7bˆb7†-ѴbŒ-7- ‹ o0f;ঞˆov ]Ѵ†1࣐lb1ovĺ ;
7;0;m1omvb7;u-u;Ѵ1ov|o‹Ѵ-1olrѴ;fb7-77;Ѵ|u--
|-lb;m|or-u-u;7†1buѴ-v0-uu;u-v-Ѵ--7_;u;m1b-ĺ
-l;oulbm-;v;Ѵ-];m|;7;rubl;u-Ѵझm;-r-u-
-7†Ѵ|ovl-‹ou;v1om7b-0;|;vঞroƑķ-†mt†;r†;7;
1-†v-u;=;1|ovv;1†m7-ubov]-v|uobm|;vঞm-Ѵ;vruo-
0Ѵ;l࢙ঞ1ov‹7;C1b;m1b-7;ˆb|-lbm-ƐƑĺ ;0;m
;ˆb|-uv;Ѵ-vঞ-ŒoѴb7bm;7bom-v‹Ѵ-vv†Ѵ=ombѴ†u;-v7;
-11bॕmruoѴom]-7-ĺovbm_b0b7ou;v7;Ѵ-7br;rঞ7bѴ
r;rঞ7-v-Ɠvom0b;m|oѴ;u-7ovĺov-]ombv|-v7;Ѵ
u;1;r|ou7;ŊƐ‹Ѵovbm_b0b7ou;v7;$Ƒঞ;-
m;m0;m;C1bov(‹u;m-Ѵ;vt†;v;;Šঞ;m7;m-Ѵov
-7†Ѵ|ovl-‹ou;vķ-†mt†;Ѵov;=;1|ovv;1†m7-ubov
;vr;1झC1ov 7; Ѵ- 1Ѵ-v; r†;7;m Ѵblb|-u v† †voĺ -
|;u-rb-7;bmv†Ѵbm-7b-ub-lিѴঞrѴ;r†;7;v;u7;l--
vb-7o 1olrѴ;f- r-u- l†1_ov r-1b;m|;v l-‹ou;vĺ
;_-7;lov|u-7ot†;Ѵ-vblrѴbC1-1bॕm7;ѴrѴ-m7;
bmv†Ѵbm-r-u-t†;1obm1b7-1omѴ-v1-r-1b7-7;v7;
-†|o1om|uoѴ7;†mbm7bˆb7†ou;7†1;Ѵ-_bro]Ѵ†1;-
lb-‹Ѵ--m]†vঞ-u;Ѵ-1bom-7-1omѴ-;m=;ul;7-7vbm
;lr;ou-uѴovu;v†Ѵ|-7ov]Ѵ†1࣐lb1ovĺ
Tratamiento en Centros de Enfermería Es-
r;1b-ѴbŒ-7-‹o]-u;v7;m1b-mov
Recomendaciones
13.20omvb7;u;Ѵ-;7†1-1bॕm7b-0࣐ঞ1-r-u-;Ѵ
r;uvom-Ѵ7;-|;m1bॕm-Ѵ-u]orѴ-ŒoŐ$ő‹u;_-0bѴb-
|-1bॕmbmv|-Ѵ-1bom;vr-u-l;fou-u;Ѵl-m;fo7;Ѵov
-7†Ѵ|ovl-‹ou;v1om7b-0;|;vĺŐ ő
13.21-vr;uvom-v1om7b-0;|;vt†;u;vb7;m;m
bmv|-Ѵ-1bom;v7;$m;1;vb|-m†m-;ˆ-Ѵ†-1bॕm1†b-
7-7ov-r-u-;v|-0Ѵ;1;uo0f;ঞˆov]Ѵ†1࣐lb1ovbm7b-
ˆb7†-ѴbŒ-7ov‹;Ѵ;]buѴov-];m|;v_bro]Ѵ†1;lb-m|;v
-7;1†-7ov;m=†m1bॕm7;v†;v|-7o1Ѵझmb1o‹=†m-
1bom-ѴĺŐ ő
13.22omvb7;u;;Ѵ†vo7;r-u-;ˆ-Ѵ†-u;Ѵ
ub;v]o7;_bro]Ѵ†1;lb-;m-7†Ѵ|ovl-‹ou;v|u-|--
7ov1omv†Ѵ=ombѴ†u;-vobmv†Ѵbm-ĺŐ ő
ov-7†Ѵ|ovl-‹ou;v;m$r†;7;m|;m;u†m1om-
v†lo 7; 1olb7-v buu;]†Ѵ-u ; blru;7;1b0Ѵ;ķ 7;v-
m†|ub1bॕmķ -mou;Šb- o 7bC1†Ѵ|-7 r-u- |u-]-uĺ -v
1olb7-v-7-r|-7-v-Ѵ-1†Ѵ|†u-ķѴ-vru;=;u;m1b-v‹
Ѵovo0f;ঞˆovr;uvom-Ѵ;v7;Ѵovr-1b;m|;vr†;7;m
-†l;m|-uѴ- oķѴ-v-ঞv=-11bॕm1omѴ-v1olb7-v
‹;Ѵ;v|-7om†|ub1bom-Ѵĺ†;7;v;uিঞѴ-7lbmbv|u-u
bmv†Ѵbm-7;vr†࣐v7;Ѵ-v1olb7-vr-u--v;]†u-uv;7;
t†;Ѵ-7ovbvv;--7;1†-7-r-u-Ѵ-1-mঞ7-77;1-u-
0o_b7u-|ov1omv†lb7ov;mѴ-1olb7-ĺ
|;m1bॕm-ѴCm-Ѵ7;Ѵ-ˆb7-
Recomendaciones
13.23 †-m7ov;m;1;vb|-m1†b7-7ovr-Ѵb-ঞˆov
;m-7†Ѵ|ovl-‹ou;v1om7b-0;|;vķѴovruo=;vbom-Ѵ;v
de la salud deben iniciar conversaciones sobre los
o0f;ঞˆov‹Ѵ-bm|;mvb7-77;Ѵ--|;m1bॕmĺo;vm;-
1;v-ubo†m1om|uoѴ;v|ub1|o7;Ѵ-]Ѵ†1ov-‹Ѵ-ķ‹
v;r†;7;1omvb7;u-uѴ-vblrѴbC1-1bॕm7;Ѵovu;]झl;-
m;vĺ ;l-m;u-vblbѴ-uķѴ-bm|;mvb7-77;Ѵ1om|uoѴ7;
ѴovѴझrb7ovv;r†;7;u;Ѵ-f-u‹r†;7;v;u-ruorb-7o
u;ঞu-uѴ-|;u-rb-r-u-u;7†1buѴovѴझrb7ovĺŐő
13.24 - 1olo7b7-7 ];m;u-Ѵķ Ѵ- ru;ˆ;m1bॕm 7;
vझm|ol-v-m]†vঞ-m|;v‹Ѵ-ru;v;uˆ-1bॕm7;Ѵ-1-Ѵb-
7-77;ˆb7-‹Ѵ-7b]mb7-7vomo0f;ঞˆovrubm1br-Ѵ;v
r-u-;Ѵ1om|uoѴ7;Ѵ-7b-0;|;v-ѴCm-Ѵ7;Ѵ-ˆb7-ĺŐő

28. Ƒƕ
ƐƓĺbोov‹7oѴ;v1;m|;v
Ѵ1om|uoѴ7;Ѵ-7b-0;|;v;mmbोov‹-7oѴ;v1;m|;v
mo r†;7; 7;ubˆ-uv; vblrѴ;l;m|; 7; Ѵ- -|;m1bॕm
t†;v;0ubm7-7;=oul-u†ঞm-ub--Ѵov-7†Ѵ|ov1om
7b-0;|;vĺ - ;rb7;lboѴo]झ-ķ Ѵ- Cvbor-|oѴo]झ-ķ Ѵ-v
1omvb7;u-1bom;v 7; 7;v-uuoѴѴo‹ Ѵ- u;vr†;v|- - Ѵ-
|;u-rb-;mѴ-7b-0;|;v7;bmb1bor;7b࢙|ub1ovom7b=;-
u;m|;v7;Ѵ-7b-0;|;v7;Ѵ-7†Ѵ|oĺ
b-0;|;vঞroƐ
m ;t†bro l†Ѵঞ7bv1brѴbm-ubo 7; ;vr;1b-Ѵbv|-v 1--
r-1b|-7ov;m;Ѵ1om|uoѴ7;Ѵ-7b-0;|;vr;7b࢙|ub1-‹
v;mvb0Ѵ;v-Ѵov7;v-ࣱov7;Ѵovmbोov‹-7oѴ;v1;m|;v
1om7b-0;|;vঞroƐ‹v†v=-lbѴb-vķ-vझ1olo-Ѵov-v-
r;1|ovিmb1ov7;Ѵ1om|uoѴ7;Ѵ-7b-0;|;vr;7b࢙|ub1-ķ
7;0;0ubm7-u-|;m1bॕm-;v|-ro0Ѵ-1bॕmĺ
b-0;|;vঞroƑ
-;ˆb7;m1b-v†]b;u;t†;Ѵ-7b-0;|;vঞroƑ;mѴov
fॕˆ;m;v;v7b=;u;m|;movoѴo7;Ѵ-7b-0;|;vঞroƐķ
vbmo|-l0b࣐m7;Ѵ-7b-0;|;vঞroƑ;m-7†Ѵ|ovķ1om
†m-7bvlbm†1bॕml࢙vu࢙rb7-‹ruo]u;vbˆ-;mѴ-=†m-
1bॕm7;Ѵ-v1࣐Ѵ†Ѵ-vÒ‹;Ѵ7;v-uuoѴѴo-1;Ѵ;u-7o7;
1olrѴb1-1bom;v7b-0࣐ঞ1-vĺ
;vঞॕm
Ѵ|u-|-lb;m|o7;Ѵ-7b-0;|;vঞroƑ7;bmb1bo;mѴ-
f†ˆ;m|†77;0;bm1Ѵ†bu;Ѵ1om|uoѴ7;Ѵ;vঞѴo7;ˆb7-ķ
Ѵ-;7†1-1bॕmr-u-;Ѵ-†|o1om|uoѴ7;Ѵ-7b-0;|;v‹
;Ѵ|u-|-lb;m|o=-ul-1oѴॕ]b1oĺ Ѵ-†|o1om|uoѴ;mѴ-
7b-0;|;v r;7b࢙|ub1- bmˆoѴ†1u- |-m|o - Ѵov fॕˆ;m;v
1olo-v†v1†b7-7ou;v-7†Ѵ|ovĺ-vor1bom;v-1-
|†-Ѵ;v7;|u-|-lb;m|o=-ul-1oѴॕ]b1or-u-Ѵ-7b-0;-
|;vঞroƑt†;v;bmb1b-;mѴ-f†ˆ;m|†7v;Ѵblb|-m-
|u;v1Ѵ-v;v7;=࢙ul-1ovĹbmv†Ѵbm-ķl;oulbm-‹ķ;m
l;mou;v7;ƐƏ-ोovvbm1om|u-bm7b1-1bom;vķ-]o-
mbv|-v 7;Ѵ u;1;r|ou ŊƐ bm7b1-7ov r-u- v† †vo
;mfॕˆ;m;vĺ -7ot†;Ѵ-v1olou0bѴb7-7;vr†;7;m
;v|-u‹-ru;v;m|;v;m;Ѵlol;m|o7;Ѵ7b-]mॕvঞ1oķ
v;u;1olb;m7-Ѵ-7;|;11bॕm‹;Ѵ|u-|-lb;m|o7;Ѵov
=-1|ou;v7;ub;v]oĺ-1omvb7;u-1bॕm7;Ѵ1om|;Š|o
vo1bo1†Ѵ|†u-Ѵ‹ Ѵov ;v=†;uŒov r-u- r;uvom-ѴbŒ-u ;Ѵ
1om|uoѴ 7; Ѵ- 7b-0;|;v vom 7; blrou|-m1b- 1uझঞ1-
r-u-lbmblbŒ-uѴ-v0-uu;u-v-Ѵ--|;m1bॕmķl;fou-uѴ-
-7_;u;m1b-‹l-ŠblbŒ-uѴ-u;vr†;v|--Ѵ|u-|-lb;m|oĺ
0f;ঞˆov]Ѵ†1࣐lb1ov
Recomendaciones
14.63mo0f;ঞˆou-Œom-0Ѵ;7;Ɛr-u-Ѵ-l--
‹ouझ-7;Ѵovmbोov‹-7oѴ;v1;m|;v1om7b-0;|;vঞro
Ƒ;vƺƕѷŐƔƒlloѴņloѴőĺovo0f;ঞˆov7;Ɛ
l࢙v ;v|ub1|ov Ő1olo ƺѵķƔѷ ŒƓѶ lloѴņloѴœő r†;-
7;mv;u-ruorb-7ovr-u-bm7bˆb7†ovv;Ѵ;11bom-7ov
vbv;r†;7;mѴo]u-uvbm_bro]Ѵ†1;lb-vb]mbC1-ঞˆ-
†o|uov;=;1|ov-7ˆ;uvov7;Ѵ|u-|-lb;m|oĺ-vr;u-
vom-v-ruorb-7-vro7uझ-mbm1Ѵ†bu-t†;ѴѴ-v1om7b--
0;|;v7;1ou|-7†u-1bॕm‹]u-7ovl;mou;v7;7bv-
=†m1bॕm7;1࣐Ѵ†Ѵ-vÒ;bm7bˆb7†ov|u-|-7ovvoѴo1om
;vঞѴo7;ˆb7-ol;oulbm-t†;Ѵo]u-m†m-l;fou-
vb]mbC1-ঞˆ-7;Ѵr;voĺŐ ő
14.64 ov o0f;ঞˆov 7; Ɛ l;mov ;v|ub1|ov
Ő1oloƕķƔѷŒƔѶlloѴņloѴœőr†;7;mv;u-ruorb--
7ovvb;Šbv|;†ml-‹ouub;v]o7;_bro]Ѵ†1;lb-ĺŐ ő
-m;fo -ul-1oѴॕ]b1o
Recomendaciones
14.66mb1b-u|;u-rb-=-ul-1oѴॕ]b1-ķ-7;l࢙v7;
-v;vou-lb;m|o1om7†1|†-Ѵr-u-†m-m†|ub1bॕmv--
Ѵ†7-0Ѵ;‹1-l0bov;mѴ--1ঞˆb7-7ࣱvb1-ķ;m;Ѵlo-
l;m|o7;Ѵ7b-]mॕvঞ1o7;7b-0;|;vঞroƑĺŐő
14.74 ov;u;1olb;m7-;Ѵ†vo7;l;7b1-l;m-
|ovmo-ruo0-7ovrouѴ- r-u-fॕˆ;m;v1om7b--
0;|;vঞroƑ=†;u-7;Ѵov;mv-‹ov7;bmˆ;vঞ]-1bॕmĺ
Őő
$u-mvb1bॕm7;Ѵ--|;m1bॕmr;7b࢙|ub1-
a la de adultos
Recomendación
14.111ov;t†brov7;-|;m1bॕm7;Ѵ-7b-0;|;v
r;7b࢙|ub1-7;0;m1ol;mŒ-u-ru;r-u-u-Ѵovfॕˆ;-
m;vr-u-Ѵ-|u-mvb1bॕm-Ѵ--|;m1bॕm7;v-Ѵ†77;Ѵov
-7†Ѵ|ov;mѴ--7oѴ;v1;m1b-|;lru-m-‹ķ-l࢙v|-u-
7-uķ-Ѵl;movƐ-ोo-m|;v7;Ѵ-|u-mvb1bॕmĺŐ ő