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.
Highlights
The Self-Monitoring of Blood Glucose (SMBG) is considered an integral part of the set of interventions in Diabetes Mellitus (DM), and an essential component of an effective therapeutic strategy for the appropriate control of the disease.[1]
In the light of the above, this study aims to analyze the blood glucose at home, and the number of hypoglycemic and hyperglycemic episodes presented by the service users with DM, at the start of, and after six months’ participation in, the above-mentioned Program
For the Program to achieve excellence, the need is emphasized for the implementation of an educational program such that people with DM may be trained to use the glucometers, to understand the reasons which justify the times at which the test should be undertaken, to interpret the blood glucose results and to recognize when an action needs to be taken according to the glycemic values.[12]
Summary
The Self-Monitoring of Blood Glucose (SMBG) is considered an integral part of the set of interventions in Diabetes Mellitus (DM), and an essential component of an effective therapeutic strategy for the appropriate control of the disease.[1] This procedure allows the person with DM to evaluate their individual response to the therapy instituted, allowing them to evaluate whether the recommended glycemic goals are being effectively achieved. The construction of a glycemic profile facilitates the investigation of the attitudes of the person with DM, which can contribute to the presentation of hypoglycemic or hyperglycemic episodes, as well as other complications of the disease.[1]. SMBG in the home stands out among the interventions for maintaining good glycemic and metabolic control
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