Abstract
to evaluate the contributions of an educational program for capillary blood glucose self-monitoring. 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. 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). 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.
Highlights
Sample, inclusion and exclusion criteriaChronic hyperglycemia of diabetes mellitus (DM) is the main cause of the development of microvascular and macrovascular complications, with involvement in several organs and systems[1,2]
capillary blood glucose self-monitoring (CBGFM) variables were obtained, following the “Instrumento para Avaliar o Autocuidado com a Monitorização da Glicemia Capilar de Pessoas com Diabetes Mellitus”(11). This tool consists of 39 items with four themes: 1 - performance and frequency of monitoring of capillary blood glucose; 2 - knowledge of reference standards, record, and interpretation of results obtained; 3 - preparation, storage, and disposal of materials; and 4 - knowledge of signs/symptoms, prevention, and treatment of hypo and hyperglycemia
35 – Hypoglycemia prevention Frequently performs capillary blood glucose test Follows the regular meal plan Consume protein-rich foods before bed Administers medications correctly Eats before physical activities Avoids ingestion of alcoholic beverages Does not know
Summary
Chronic hyperglycemia of diabetes mellitus (DM) is the main cause of the development of microvascular and macrovascular complications, with involvement in several organs and systems[1,2]. When considering education as the basis for managing disease care, its development should address the person’s current needs In this context, the theoretical assumptions of Self-Efficacy (SE), one of the elements of the Cognitive SocialTheory (CST), were used, which includes the relation between personal belief and its influence in the adoption and maintenance of a new behavior[7,8]. CBGFM is considered an essential care activity to evaluate the efficacy of drug and non-drug treatment, mainly because it includes elements that may influence glycemic control such as diet, physical exercises, medications, emotions, presence of infections, and contribute to the development of care skills and promote the person’s involvement in their self-care[1]. The present study was proposed on the basis of this need for research expansion
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