scholarly journals Evaluation of the Capillary Blood Glucose Self-monitoring Program

2014 ◽  
Vol 22 (5) ◽  
pp. 801-809 ◽  
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.

scholarly journals 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

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. 

scholarly journals 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

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.

scholarly journals Imputing HbA1c from capillary blood glucose levels in patients with type 2 diabetes in Sri Lanka: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e038148
Author(s):  
Monica Choo ◽  
Gregory E. Hoy ◽  
Sarah P. Dugan ◽  
Laura N. McEwen ◽  
Naresh Gunaratnam ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Sri Lanka ◽  
Glycaemic Control ◽  
Cross Sectional Study ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo develop a population-specific methodology for estimating glycaemic control that optimises resource allocation for patients with diabetes in rural Sri Lanka.DesignCross-sectional study.SettingTrincomalee, Sri Lanka.ParticipantsPatients with non-insulin-treated type 2 diabetes (n=220) from three hospitals in Trincomalee, Sri Lanka.Outcome measureCross-validation was used to build and validate linear regression models to identify predictors of haemoglobin A1c (HbA1c). Validation of models that regress HbA1c on known determinants of glycaemic control was thus the major outcome. These models were then used to devise an algorithm for categorising the patients based on estimated levels of glycaemic control.ResultsTime since last oral intake other than water and capillary blood glucose were the statistically significant predictors of HbA1c and thus included in the final models. In order to minimise type II error (misclassifying a high-risk individual as low-risk or moderate-risk), an algorithm for interpreting estimated glycaemic control was created. With this algorithm, 97.2% of the diabetic patients with HbA1c ≥9.0% were correctly identified.ConclusionsOur calibrated algorithm represents a highly sensitive approach for detecting patients with high-risk diabetes while optimising the allocation of HbA1c testing. Implementation of these methods will optimise the usage of resources devoted to the management of diabetes in Trincomalee, Sri Lanka. Further external validation with diverse patient populations is required before applying our algorithm more widely.

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

2019 ◽  
Vol 72 (6) ◽  
pp. 1601-1608 ◽  
Author(s):  
Marcelo Henrique Barbosa Baptista ◽  
Fernanda Cristina Dourado ◽  
Danielle dos Santos Gomides ◽  
Carla Regina de Souza Teixeira ◽  
Maria Cristina Foss de Freitas ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Experimental Study ◽  
Blood Glucose ◽  
Educational Program ◽  
Capillary Blood ◽  
Postprandial Blood Glucose ◽  
Capillary Blood Glucose ◽  
Self Monitoring ◽  
Blood Glucose Self Monitoring ◽  
Quasi Experimental

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.

scholarly journals Effectiveness of exclusive self-monitoring of fasting capillary blood glucose in the treatment of diabetes

2015 ◽  
Vol 37 (2) ◽  
pp. 189
Author(s):  
Henrique Amancio Ferreira ◽  
Gabriel Luís Silva Lima ◽  
Helena Moretti Bressane ◽  
Alessandra Cristina Pupin Silvério ◽  
Ciderleia Castro de Lima
Keyword(s):  
Blood Glucose ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Self Monitoring ◽  
Treatment Of Diabetes

scholarly journals Predictors of elevated capillary blood glucose in overweight railway French employees: a cross-sectional analysis

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Emminarie Luisiana Lucas Garcia ◽  
David Debensason ◽  
Loïc Capron ◽  
Antoine Flahault ◽  
Jeanine Pommier
Keyword(s):  
Blood Glucose ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Gingival Crevicular Blood as a Potential Screening Tool: A Cross Sectional Comparative Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7356
Author(s):  
Biagio Rapone ◽  
Elisabetta Ferrara ◽  
Luigi Santacroce ◽  
Skender Topi ◽  
Ilaria Converti ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Screening Tool ◽  
Capillary Blood ◽  
Blood Levels ◽  
Diabetic Patients ◽  
Capillary Blood Glucose ◽  
Cross Sectional ◽  
Finger Stick

Background: Diabetes is known to be one of the major global epidemic diseases, significantly associated with mortality and morbidity worldwide, conferring a substantial burden to the health care system. The epidemiological transition of this chronic disease tends to worsen unless preventive health strategies are implemented. Appropriate screening devices and standardized methods are crucial to prevent this potentially inauspicious life condition. Currently, the glucometer is the conventional device employed for blood glucose level determination that outputs the blood glucose reading. Glucometer performed in the dental office may be an important device in screening diabetes, so it can be addressed during a periodontal examination. Because gingival blood is a useful source to detect the glucose level, the focus is placed on the opportunity that might provide valuable diagnostic information. This study aimed to compare gingival crevicular blood with finger-stick blood glucose measurements using a self-monitoring glucometer, to evaluate whether gingival crevicular blood could be an alternative to allow accurate chairside glucose testing. Methods: A cross-sectional comparative study was performed among a 31–67-year-old population. Seventy participants with diagnosed type 2 diabetes and seventy healthy subjects, all with positive bleeding on probing, were enrolled. The gingival crevicular blood was collected using a glucometer to estimate the blood glucose level and compared with finger-stick blood glucose level. Results: The mean capillary blood glucose and gingival crevicular blood levels from all samples were, respectively, 160.42 ± 31.31 mg/dL and 161.64 ± 31.56 mg/dL for diabetic participants and 93.51 ± 10.35 mg/dL and 94.47 ± 9.91 mg/dL for healthy patients. In both groups, the difference between gingival crevicular blood and capillary blood glucose levels was non-significant (P < 0.05). The highly significant correlation between capillary blood glucose and gingival crevicular blood (r = 0.9834 for diabetic patients and r = 0.8153 for healthy participants) in both the groups was found. Conclusions: Gingival crevicular blood test was demonstrated as a feasible and useful primary screening tool test for detecting diabetes and for glucose estimation in non-diabetic patients. Use of gingival crevicular blood for screening is an attractive way of identifying a reasonable option of finger-stick blood glucose measurement under the appropriate circumstances. Rapid assessment may precede diagnostic evaluation in diabetic as well as healthy patients with acute severe bleeding. In addition, gingival crevicular blood levels may be needed to monitor the diabetic output.

scholarly journals 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 ◽  
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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