Education in Diabetes Mellitus for blood glucose self-monitoring: a quasi-experimental study

ABSTRACT Objective: to evaluate the contributions of an educational program for capillary blood glucose self-monitoring. Method: a quasi-experimental study performed in an outpatient unit of a tertiary health care service in a sample of 25 people with Type 2 Diabetes Mellitus, from July 2016 to December 2017, developed through interactive tools for care with capillary blood glucose self-monitoring. Results: among the items of capillary blood glucose self-monitoring that showed improvement after participation in the educational program, the most noteworthy are the “postprandial blood glucose values” (p=0.0039), “Interpretation of capillary blood glucose results with meals and medications” (p=0.0156), “recognition of the ‘weakness’ symptom for hyperglycemia” (p=0.0386) and “administration of medications correctly” for hyperglycemia prevention (p=0.0063). Conclusion: the study made it possible to recognize the main characteristics of blood glucose self-monitoring that may contribute to the care for the person with diabetes.

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Knowledge and Practices of Users With Diabetes Mellitus on Capillary Blood Glucose Self-Monitoring at Home / Conhecimento e Práticas de Usuários com Diabetes Mellitus Sobre a Automonitorização da Glicemia Capilar no Domicilio

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.2018.v10i3.737-745 ◽

2018 ◽

Vol 10 (3) ◽

pp. 737

Author(s):

Valesca Patriota de Souza ◽

Ellen Cristina Barbosa Dos Santos ◽

Rebeca Coelho De Moura Angelim ◽

Carla Regina De Souza Teixeira ◽

René Duarte Martins

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Capillary Blood ◽

Capillary Blood Glucose ◽

Self Monitoring ◽

Blood Glucose Self Monitoring ◽

At Home

Objetivo: Analisar o conhecimento e as práticas de usuários com Diabetes Mellitus (DM) acerca da Automonitorização da Glicemia Capilar (AMGC) realizada no domicílio. Métodos: Estudo descritivo-exploratório, com metodologia qualitativa, desenvolvido em abril e maio 2013, com usuários com DM atendidos pelo sistema público de saúde de um interior pernambucano. Os dados foram coletados por meio de entrevistas e verificados por análise categorial temática, a amostra foi selecionada por meio da saturação do discurso totalizando 12 usuários com DM que realizam a AMGC no domicílio. Resultados: A análise de conteúdo dos dados possibilitou identificar três categorias: Realização da AMGC de forma não racional; Ausência de programas educativos para orientar sobre a realização da AMGC; Disponibilização insuficiente de insumos aos usuários que realizam a AMGC. Conclusão: Apesar dos avanços legalmente alcançados pelas políticas públicas, os usuários com DM desconhecem a legislação e como está interfere diretamente na realização da AMGC.

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Self-care of users with diabetes mellitus entered into a program of capillary blood glucose self-monitoring / Autocuidado de usuários com diabetes mellitus inseridos em um programa de automonitorização da glicemia capilar

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.rpcfo.v13.7985 ◽

2021 ◽

Vol 13 ◽

pp. 737-743

Author(s):

Juliana de Oliveira Pimentel ◽

Ivânia Maria dos Santos ◽

Augusto Cesar Barreto Neto ◽

Valesca Patriota de Souza

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Self Care ◽

Capillary Blood ◽

Capillary Blood Glucose ◽

Self Monitoring ◽

Blood Glucose Self Monitoring

Objetivo: Avaliar o desempenho das atividades de autocuidado de usuários com diabetes mellitus inseridos em um programa de automonitorização da glicemia capilar no domicílio. Método: Estudo transversal, descritivo, com abordagem quantitativa, realizado no domicílio de usuários com diabetes mellitus que realizam a automonitorização da glicemia capilar, totalizando uma amostra de 279 usuários. Na avaliação das atividades de autocuidado utilizou-se o Questionário de Atividades de Autocuidado com o Diabetes, e para coleta dos dados sociodemográficos e clínico foi aplicado um roteiro sistematizado. Resultados: Os dados revelaram que as dimensões alimentação específica, atividade física e monitorização glicêmica demostra comportamento de autocuidado não desejável, enquanto adesão medicamentosa apresentou o melhor comportamento de autocuidado desejável. Conclusão: Os usuários com diabetes mellitus que realizam a automonitorização da glicemia capilar no domicílio necessitam de um acompanhamento específico, acrescido de práticas educativas contínuas que estimulem a participação efetiva nas atividades de autocuidado.

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Nocturnal Hypoglycaemia in Patients with Diabetes Mellitus: Database Analysis of a Cohort Using Telemedicine Support for Self-Monitoring of Blood Glucose over a 10-Year-Long Period

Medicina ◽

10.3390/medicina57020167 ◽

2021 ◽

Vol 57 (2) ◽

pp. 167

Author(s):

Gyorgy Jermendy ◽

Agnes Kecskes ◽

Attila Nagy

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Significant Risk ◽

Clinical Importance ◽

Capillary Blood ◽

Nocturnal Hypoglycaemia ◽

Capillary Blood Glucose ◽

Self Monitoring ◽

Support Materials ◽

Patients With Diabetes

Background and Objectives: In patients with diabetes mellitus, hypoglycaemic episodes, especially during night hours, carry a significant risk. Data about the occurrence of nocturnal hypoglycaemia in real-world settings are of clinical importance. The aim of our study was to evaluate the occurrence of nocturnal hypoglycaemia among patients with diabetes using self-monitoring of blood glucose (SMBG) with telemedicine support. Materials and Methods: We retrospectively analysed the central database of an internet-based supportive system between 2010 and 2020 when 8190 SMBG users uploaded nearly 10 million capillary blood glucose values. Nocturnal hypoglycaemia was defined as capillary blood glucose < 3.0 mmol/L measured between 00:00 and 05:59 h. Results: The database contained 914,146 nocturnal blood glucose values from 7298 users; 24,623 (2.7%) glucose values were below the hypoglycaemic threshold and 2363 patients (32.4%) had at least one hypoglycaemic glucose value. Nocturnal hypoglycaemia was more often found in patients with type 1 vs. type 2 diabetes (n = 1890 (80.0%) vs. n = 387 (16.4%), respectively). Hypoglycaemic blood glucose values were most frequently observed in the age group of 10.0–19.9 years (n = 481 (20.4%)). Patients with nocturnal hypoglycaemia were mostly on insulin treatment (1854 (78.5%) patients with 20,727 (84.1%) hypoglycaemic glucose values). Only 356 patients (15.1%) with nocturnal hypoglycaemia performed a retest within 120 min. Within a one-day-long (1440 min) timeframe, the elapsed median time until a retest, yielding a safe blood glucose value (>3.9 mml/L), was 273 min (interquartile range: 157–300 min). Conclusions: Nocturnal hypoglycaemia should be considered as a persisting challenge to antihyperglycaemic treatment in patients living with diabetes. Continuous efforts are needed to improve both antihyperglycaemic treatment and patient education for preventing nocturnal hypoglycaemia, and to act adequately if hypoglycaemic values are detected.

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Evaluation of the Capillary Blood Glucose Self-monitoring Program

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3282.2483 ◽

2014 ◽

Vol 22 (5) ◽

pp. 801-809 ◽

Cited By ~ 3

Author(s):

Mariana Cristina Augusto ◽

Maria José Trevizani Nitsche ◽

Cristina Maria Garcia de Lima Parada ◽

Maria Lúcia Zanetti ◽

Maria Antonieta de Barros Leite Carvalhaes

Keyword(s):

Blood Glucose ◽

Monitoring Program ◽

Cross Sectional Study ◽

Capillary Blood ◽

Capillary Blood Glucose ◽

Anthropometric Measures ◽

Cross Sectional ◽

Self Monitoring ◽

Process And Outcome ◽

Blood Glucose Self Monitoring

OBJECTIVE: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city.METHOD: epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics.RESULTS: most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively.CONCLUSION: the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.

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Minimizing postprandial hypoglycemia in Type 1 diabetes patients using multiple insulin injections and capillary blood glucose self-monitoring with machine learning techniques

Computer Methods and Programs in Biomedicine ◽

10.1016/j.cmpb.2019.06.025 ◽

2019 ◽

Vol 178 ◽

pp. 175-180 ◽

Cited By ~ 4

Author(s):

Silvia Oviedo ◽

Ivan Contreras ◽

Arthur Bertachi ◽

Carmen Quirós ◽

Marga Giménez ◽

...

Keyword(s):

Machine Learning ◽

Type 1 Diabetes ◽

Blood Glucose ◽

Capillary Blood ◽

Machine Learning Techniques ◽

Capillary Blood Glucose ◽

Self Monitoring ◽

Learning Techniques ◽

Blood Glucose Self Monitoring

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

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072014002610012 ◽

2014 ◽

Vol 23 (3) ◽

pp. 609-616 ◽

Cited By ~ 3

Author(s):

Vívian Saraiva Veras ◽

Carla Regina de Sousa Teixeira ◽

Manoel Antônio dos Santos ◽

Maria Teresa da Costa Gonçalves Torquato ◽

Flávia Fernanda Luchetti Rodrigues ◽

...

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Monitoring Program ◽

Early Morning ◽

Metropolitan Region ◽

Postprandial Blood Glucose ◽

Blood Capillary ◽

Self Monitoring ◽

Blood Glucose Self Monitoring ◽

In The Beginning

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.

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Safe threshold of capillary blood glucose for predicting early future neonatal hypoglycaemia in babies born to mothers with gestational diabetes mellitus, an observational, retrospective cohort study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03973-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Esther H. G. Park ◽

Frances O’Brien ◽

Fiona Seabrook ◽

Jane Elizabeth Hirst

Keyword(s):

Diabetes Mellitus ◽

Cohort Study ◽

Blood Glucose ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Capillary Blood ◽

Capillary Blood Glucose ◽

Neonatal Hypoglycaemia

Abstract Background There is increasing pressure to get women and babies home rapidly after birth. Babies born to mothers with gestational diabetes mellitus (GDM) currently get 24-h inpatient monitoring. We investigated whether a low-risk group of babies born to mothers with GDM could be defined for shorter inpatient hypoglycaemia monitoring. Methods Observational, retrospective cohort study conducted in a tertiary maternity hospital in 2018. Singleton, term babies born to women with GDM and no other risk factors for hypoglycaemia, were included. Capillary blood glucose (BG) testing and clinical observations for signs of hypoglycaemia during the first 24-h after birth. BG was checked in all babies before the second feed. Subsequent testing occurred if the first result was < 2.0 mmol/L, or clinical suspicion developed for hypoglycaemia. Neonatal hypoglycaemia, defined as either capillary or venous glucose ≤ 2.0 mmol/L and/or clinical signs of neonatal hypoglycaemia requiring oral or intravenous dextrose (lethargy, abnormal feeding behaviour or seizures). Results Fifteen of 106 babies developed hypoglycaemia within the first 24-h. Maternal and neonatal characteristics were not predictive. All babies with hypoglycaemia had an initial capillary BG ≤ 2.6 mmol/L (Area under the ROC curve (AUC) 0.96, 95% Confidence Interval (CI) 0.91–1.0). This result was validated on a further 65 babies, of whom 10 developed hypoglycaemia, in the first 24-h of life. Conclusion Using the 2.6 mmol/L threshold, extended monitoring as an inpatient could have been avoided for 60% of babies in this study. Whilst prospective validation is needed, this approach could help tailor postnatal care plans for babies born to mothers with GDM.

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