Glycemic profile of persons with Diabetes mellitus in a home blood glucose self-monitoring program

Abstract

This retrospective study aimed to analyze the blood capillary glucose at home and the number of hypoglycemic and hyperglycemic episodes presented by persons with Diabetes Mellitus, at the start of, and at least six months after beginning to participate in, the Blood Glucose Self-Monitoring Program. A total of 97 service users with diabetes participated, from a municipality in the non-Metropolitan region of the state of São Paulo. Two spreadsheets were used for recording the blood glucose values at the start of the Program and after a minimum of six months. It was observed that there was an improvement in the postprandial blood glucose level (lunch) and in the very early morning (p<0.05). In relation to hypoglycemic episodes, there was a slight improvement in the mean, from 0.75 at the beginning to 0.49 after a minimum of six months' participation in the Program. The reduction of hyperglycemic episodes was, in the beginning, of 27.88% episodes and, at a minimum of six months' participation in the Program, of 29.15% episodes.

Satisfação do paciente em um programa educativo para automonitorização da glicemia capilar no domicilio

“…A melhor a alimentação e ter sempre ao alcance da mão um aporte de glicose para situações emergenciais de hipoglicemia (12)(13) .…”

“…Por outro lado, os estudos relacionados à avaliação da qualidade da assistência prestada aos usuários com diabetes mellitus (DM) em programa de automonitorização da glicemia capilar ainda são escassos (12)(13) .…”

Conhecimento e práticas de pessoas com diabetes mellitus sobre a terapêutica medicamentosa e suas complicações agudas

“…Isso se deve a defeitos na resposta contrarregulatória, especialmente por insuficiência autonômica, decorrente do processo de envelhecimento e do longo tempo de doença [4,30], como é o caso da amostra estudada. É fundamental que a pessoa com DM seja orientada quanto à possibilidade de ocorrência da hipoglicemia, a seus sinais e sintomas, bem como em relação à automonitorização da glicemia para avaliar as flutuações glicêmicas, uma vez que a ausência dos sintomas de alarme pode "inibir" o ato de comer e predispor a pessoa a maior risco de hipoglicemia grave [4,[29][30][31].…”

The Re-Aim Model From the Perspective of Telephone-Based Educational Programs on Diabetes

“…Healthy eating habits, treatment adherence, self-monitoring of capillary blood glucose at home, decreasing the risk of acute and chronic complications, good psychosocial adaptation, and the regular practice of exercises are indicators that diabetes programs are being efficacious. 17 The self-monitoring of capillary glucose at home has increased in Brazil, 18 though glycemic control outcome most frequently used in clinical practice and in research assessing the efficacy of diabetes educational interventions directed is glycated hemoglobin.…”