{"id":1547,"date":"2023-07-18T14:00:00","date_gmt":"2023-07-18T17:00:00","guid":{"rendered":"https:\/\/alliviciblog.azurewebsites.net\/?p=1547"},"modified":"2023-07-08T14:10:37","modified_gmt":"2023-07-08T17:10:37","slug":"cuidado-nutricional-resistencia-a-insulina","status":"publish","type":"post","link":"https:\/\/blog.allivici.com\/index.php\/2023\/07\/18\/cuidado-nutricional-resistencia-a-insulina\/","title":{"rendered":"Cuidado Nutricional: Resist\u00eancia \u00e0 Insulina"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A resist\u00eancia \u00e0 insulina, ou hiperinsulinemia, \u00e9 um <strong>sintoma<\/strong> presente em algumas condi\u00e7\u00f5es cl\u00ednicas, como a s\u00edndrome metab\u00f3lica, diabetes, s\u00edndrome do ov\u00e1rio polic\u00edstico, entre outras (<a href=\"https:\/\/aps-repo.bvs.br\/aps\/quais-sao-as-causas-de-hiperinsulinemia\/\" target=\"_blank\" rel=\"noreferrer noopener\">1<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A insulina \u00e9 o <strong>horm\u00f4nio<\/strong> respons\u00e1vel pelo metabolismo da glicose. Quando h\u00e1 resist\u00eancia nos tecidos \u00e0 sua a\u00e7\u00e3o e uma menor <strong>capta\u00e7\u00e3o de glicose<\/strong>, uma resposta de aumento da produ\u00e7\u00e3o de insulina acontece. Assim, h\u00e1 uma maior circula\u00e7\u00e3o de insulina e uma hiperestimula\u00e7\u00e3o do p\u00e2ncreas para essa produ\u00e7\u00e3o (<a href=\"https:\/\/bvsms.saude.gov.br\/sindrome-metabolica\/#:~:text=A%20S%C3%ADndrome%20Metab%C3%B3lica%20tem%20como,o%20seu%20n%C3%ADvel%20no%20sangue.\" target=\"_blank\" rel=\"noreferrer noopener\">2<\/a>).\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No <strong>diabetes tipo 2<\/strong>, al\u00e9m da resist\u00eancia \u00e0 insulina, j\u00e1 h\u00e1 tamb\u00e9m uma fal\u00eancia parcial na secre\u00e7\u00e3o de insulina e de incretinas, devido \u00e0 hiperestimula\u00e7\u00e3o do p\u00e2ncreas e outras altera\u00e7\u00f5es metab\u00f3licas (<a href=\"https:\/\/diretriz.diabetes.org.br\/classificacao-do-diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">3<\/a>).\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A seguir, confira as orienta\u00e7\u00f5es nutricionais mais importantes:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span style=\"color:#0071a1\" class=\"has-inline-color\"><strong>Aten\u00e7\u00e3o para a microbiota intestinal<\/strong><\/span><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Constatou-se, a partir de estudos, que h\u00e1 poss\u00edvel associa\u00e7\u00e3o entre caracter\u00edsticas do <strong>microbioma intestinal<\/strong> e a <strong>resposta glic\u00eamica p\u00f3s-prandial<\/strong>. Ou seja, a microbiota intestinal pode exercer impacto direto no diabetes. A partir de modifica\u00e7\u00f5es na dieta tamb\u00e9m h\u00e1 melhora da resist\u00eancia \u00e0 insulina entre pacientes com diabetes tipo 2\u00a0(<a rel=\"noreferrer noopener\" href=\"https:\/\/www.cell.com\/fulltext\/S0092-8674(15)01481-6\" target=\"_blank\">4<\/a>, <a rel=\"noreferrer noopener\" href=\"https:\/\/pharmacophorejournal.com\/storage\/models\/article\/Rk4zWuJHFstCRunIgmTOb0lVBGRUHYUlGxFxvvsQ8wTWMXwTnDsP6WDajPdH\/the-diet-induced-gut-microbiota-diversity-improved-glycemic-control-a-meta-analysis.pdf\" target=\"_blank\">5<\/a>).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span style=\"color:#0071a1\" class=\"has-inline-color\"><strong>Alimentos ricos em compostos bioativos\u00a0<\/strong><\/span><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Gengibre, hibisco e c\u00farcuma s\u00e3o <strong>alimentos<\/strong> citados como ben\u00e9ficos, pensando nos compostos bioativos, para o tratamento complementar de diabetes (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.eurekaselect.com\/article\/110289\" data-type=\"URL\" data-id=\"https:\/\/www.eurekaselect.com\/article\/110289\" target=\"_blank\">6<\/a>). Alho, cebola e cebolinha s\u00e3o alimentos interessantes, por conter alicina (<a rel=\"noreferrer noopener\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31284512\/\" data-type=\"URL\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31284512\/\" target=\"_blank\">7<\/a>). Canela tamb\u00e9m \u00e9 um ingrediente a ser considerado nas prescri\u00e7\u00f5es diet\u00e9ticas (<a rel=\"noreferrer noopener\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35807953\/\" data-type=\"URL\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35807953\/\" target=\"_blank\">8<\/a>). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Para complementar, um estudo avaliou a associa\u00e7\u00e3o entre diversos alimentos e os <strong>polifen\u00f3is<\/strong> presentes com o controle glic\u00eamico. Os alimentos avaliados foram: ch\u00e1, caf\u00e9, cacau, canela, uva e vinho tinto, frutas vermelhas, rom\u00e3 e azeite de oliva (<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4728631\/\" data-type=\"URL\" data-id=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4728631\/\" target=\"_blank\">9<\/a>).  <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span style=\"color:#0071a1\" class=\"has-inline-color\"><strong>Exames importantes <\/strong><\/span><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Como crit\u00e9rio diagn<strong>\u00f3stico<\/strong> \u00e9 recomendado seguir:\u00a0glicemia plasm\u00e1tica de jejum \u2265 126 mg\/dl e HbA1c \u2265 6,5%; glicemia duas horas ap\u00f3s sobrecarga de 75g de glicose anidra \u2265 200 mg\/dl.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sempre considere fatores cl\u00ednicos para a interpreta\u00e7\u00e3o de resultados e acompanhe exames de <strong>condi\u00e7\u00f5es de sa\u00fade associadas<\/strong> (<a href=\"https:\/\/diretriz.diabetes.org.br\/diagnostico-e-rastreamento-do-diabetes-tipo-2\/\" data-type=\"URL\" data-id=\"https:\/\/diretriz.diabetes.org.br\/diagnostico-e-rastreamento-do-diabetes-tipo-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">10<\/a>).\u00a0A depender do paciente, ser\u00e1 necess\u00e1rio avaliar fun\u00e7\u00e3o renal e dislipidemia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No Software Allivici voc\u00ea encontra a <strong>lista completa de exames<\/strong> e valores de refer\u00eancia ideais pensando no tratamento nutricional: <a href=\"https:\/\/www.allivici.com.br\/tbExames\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.allivici.com.br\/tbExames<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Inclusive, o tema no Grupo de Estudos em julho ser\u00e1:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"536\" src=\"\/wp-content\/uploads\/2023\/07\/Grupo-de-estudos-1024x536.png\" alt=\"\" class=\"wp-image-1551\" srcset=\"\/wp-content\/uploads\/2023\/07\/Grupo-de-estudos-1024x536.png 1024w, \/wp-content\/uploads\/2023\/07\/Grupo-de-estudos-300x157.png 300w, \/wp-content\/uploads\/2023\/07\/Grupo-de-estudos-768x402.png 768w, \/wp-content\/uploads\/2023\/07\/Grupo-de-estudos-1536x804.png 1536w, \/wp-content\/uploads\/2023\/07\/Grupo-de-estudos.png 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Se inscreva e convide um colega no link a seguir:<\/strong> <a rel=\"noreferrer noopener\" href=\"https:\/\/www.sympla.com.br\/evento-online\/grupo-de-estudos-do-software-allivici-exames-laboratoriais-na-resistencia-a-insulina\/2055149\" target=\"_blank\">https:\/\/www.sympla.com.br\/evento-online\/grupo-de-estudos-do-software-allivici-exames-laboratoriais-na-resistencia-a-insulina\/2055149 <\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Por fim, em nosso <a rel=\"noreferrer noopener\" href=\"https:\/\/www.youtube.com\/@allivicisoftwaredenutricao3327\" target=\"_blank\">Canal do Youtube<\/a> existem dois v\u00eddeos que complementam grandemente essa pauta, confira:&nbsp;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"6 estrat\u00e9gias para modular o intestino\" width=\"825\" height=\"464\" src=\"https:\/\/www.youtube.com\/embed\/w6lbSdZ-0wc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"10 Estrat\u00e9gias para cuidar do seu paciente com Diabetes\" width=\"825\" height=\"464\" src=\"https:\/\/www.youtube.com\/embed\/N5oMJb6wZbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>At\u00e9 mais! <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A resist\u00eancia \u00e0 insulina, ou hiperinsulinemia, \u00e9 um sintoma presente em algumas condi\u00e7\u00f5es cl\u00ednicas, como a s\u00edndrome metab\u00f3lica, diabetes, s\u00edndrome do ov\u00e1rio polic\u00edstico, entre outras (1). A insulina \u00e9 o horm\u00f4nio respons\u00e1vel pelo metabolismo da glicose. Quando h\u00e1 resist\u00eancia nos tecidos \u00e0 sua a\u00e7\u00e3o e uma menor capta\u00e7\u00e3o de glicose, uma resposta de aumento da&hellip; <a href=\"https:\/\/blog.allivici.com\/index.php\/2023\/07\/18\/cuidado-nutricional-resistencia-a-insulina\/\" class=\"more-link\">Continuar lendo <span class=\"screen-reader-text\">Cuidado Nutricional: Resist\u00eancia \u00e0 Insulina<\/span><\/a><\/p>\n","protected":false},"author":9,"featured_media":1548,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[334,185,333,332,331],"class_list":["post-1547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atualidades","tag-cuidado-nutricional","tag-diabetes","tag-nutri-diabetes","tag-nutricionista-de-consultorio","tag-resistencia-insulina","with-featured-image"],"_links":{"self":[{"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/posts\/1547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/comments?post=1547"}],"version-history":[{"count":10,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/posts\/1547\/revisions"}],"predecessor-version":[{"id":1563,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/posts\/1547\/revisions\/1563"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/media\/1548"}],"wp:attachment":[{"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/media?parent=1547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/categories?post=1547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.allivici.com\/index.php\/wp-json\/wp\/v2\/tags?post=1547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}