{"id":2310,"date":"2017-07-11T12:24:17","date_gmt":"2017-07-11T12:24:17","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/diahypo\/"},"modified":"2026-03-06T20:11:02","modified_gmt":"2026-03-06T20:11:02","slug":"diahypo","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/diahypo\/","title":{"rendered":"Clasificaci\u00f3n de Hipoglucemia"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La hipoglucemia es el principal factor limitante en el manejo gluc\u00e9mico de la diabetes tipo 1 y tipo 2. Las recomendaciones del International Hypoglycaemia Study Group considera una glucemia &lt;54 mg\/dL (3,0 mmol\/L) detectada por automonitoreo de glucosa en sangre (SMBG), monitoreo continuo de glucosa (CGM) (por lo menos 20 min) o medici\u00f3n en laboratorio de glucosa plasm\u00e1tica como suficientemente bajas para indicar una hipoglucemia grave y cl\u00ednicamente significativa que deber\u00eda incluirse en los informes de ensayos cl\u00ednicos de f\u00e1rmacos hipoglucemiantes para el tratamiento de la diabetes. Sin embargo, un valor de alerta de glucosa &lt;\/= 70 mg\/dL (3,9 mmol\/L) puede ser importante para el ajuste terap\u00e9utico de la dosis de f\u00e1rmacos hipoglucemiantes en la atenci\u00f3n cl\u00ednica y se relaciona a menudo con hipoglucemia sintom\u00e1tica. La hipoglucemia grave se define como un deterioro cognitivo grave que requiere la asistencia de otra persona para su recuperaci\u00f3n.<br \/>\n<!--more--><\/p>\n<p><b>Clasificaci\u00f3n de Hipoglucemia<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"113\"><b>Nivel<\/b><\/td>\n<td width=\"114\"><b>Criterios gluc\u00e9micos<\/b><\/td>\n<td width=\"272\"><b>Descripci\u00f3n<\/b><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"113\">Valor de alerta de glucosa<br \/>\n(nivel 1)<\/td>\n<td width=\"114\">&lt;\/=70 mg\/dL (3,9 mmol\/L)<\/td>\n<td width=\"272\">Suficientemente bajo para el tratamiento con carbohidratos de acci\u00f3n r\u00e1pida y ajuste de la dosis de la terapia hipoglucemiante<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"113\">Hipoglucemia cl\u00ednicamente significativa<br \/>\n(nivel 2)<\/td>\n<td width=\"114\">&lt;54 mg\/dL (3,0 mmol\/L)<\/td>\n<td width=\"272\">Suficientemente baja para indicar una hipoglucemia grave y cl\u00ednicamente importante<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"113\">Hipoglucemia severa<br \/>\n(nivel 3)<\/td>\n<td width=\"114\">Sin umbral espec\u00edfico de glucosa<\/td>\n<td width=\"272\">Hipoglucemia asociada con deterioro cognitivo grave que requiere asistencia externa para la recuperaci\u00f3n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><b>Bibliograf\u00eda<\/b><b>:<\/b><\/p>\n<ol>\n<li>American Diabetes Association. Glycemic Targets. Diabetes Care. 2017 Jan;40(Suppl 1):S48-S56.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27979893\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>International Hypoglycaemia Study Group. Glucose concentrations of less than 3.0 mmol\/L (54 mg\/dL) should be reported in clinical trials: a joint position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2017;40:155\u2013157\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27872155\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Seaquist ER, Anderson J, Childs B, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care 2013;36:1384\u20131395\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23589542\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>American Diabetes Association Professional Practice Committee for Diabetes*. 6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes-2026. Diabetes Care. 2026 Jan 1;49(Supplement_1):S132-S149. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41358894\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 11, 2017.<br \/>\nActualizado Mar 6, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La hipoglucemia es el principal factor limitante en el manejo gluc\u00e9mico de la diabetes tipo 1 y tipo 2. Las recomendaciones del International Hypoglycaemia Study Group considera una glucemia &lt;54 mg\/dL (3,0 mmol\/L) detectada por automonitoreo de glucosa en sangre (SMBG), monitoreo continuo de glucosa (CGM) (por lo menos 20 min) o medici\u00f3n en laboratorio [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[626],"tags":[630,629,166,167,211,628,627,200,382],"class_list":["post-2310","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-ada","tag-care","tag-clasificacion","tag-classification","tag-diabetes","tag-hipoglucemia","tag-hypoglycemia","tag-recomendaciones","tag-recommendations"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2310"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2310\/revisions"}],"predecessor-version":[{"id":10690,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2310\/revisions\/10690"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}