Diabetes mellitus type 2 (T2DM) is a global pandemic that will affect 300 million people in the next decade. It has been shown that early and aggressive treatment of T2DM from the onset decreases complications, and the patient's active role is necessary to achieve better glycemic control. In order to achieve glycemic control targets, an active attitude in patients is needed, and self-monitoring of blood glucose (SMBG) plays a significant role. Nowadays, SMBG has become an important component of modern therapy for diabetes mellitus, and is even more useful if it is performed in a structured way. SMBG aids physicians and patients to achieve a specific level of glycemic control and to prevent hypoglycemia. In addition, SMBG empowers patients to achieve nutritional and physical activity goals, and helps physicians to optimize the different hypoglycemic therapies as demonstrated in the St Carlos study. This article describes the different ways of using this educational and therapeutic tool from the medical point of view as well as from the patient's perspective.
El tratamiento se basa en la retirada del fármaco,con sustitución de otro que no tenga reacción potencialmente cruzada y en la adopción de medidas encaminadas a corregir las alteraciones metabólicas existentes (6,9). Sin embargo, a pesar de ser conocida la posible reacción de hipersensibilidad a la lamotrigina (10), en este caso su introducción a dosis bajas en sustitución de fenitoína fue bien tolerada, sin haberse apreciado reacción.Para concluir, en todo paciente con afectación multisitémica y que se trata con fármacos anticonvulsivantes, resulta primordial el reconocimiento de un SHA -pese a su baja incidencia -con el fin de conseguir la reversibilidad del cuadro clínico con las medidas terapeúticas apropiadas y ,así, evitar consecuencias fatales.
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