The purpose of the guidelines of self-care and self-control of type 2 diabetes mellitus proposed by the Brazilian Ministry of Health is to strengthen and qualify users and health care professionals through the integrality and longitudinality of care with this disease. This article aims to present the self-care and self-control of people with type 2 diabetes mellitus in objective terms, taking into account the current recommen-dations based on scientific evidence and also from the subjective point of view, that is, emphasizing the aspects related to experience and subjectivity of these people. Next, we present the essential skills for self-care and self-control of users and professionals working in primary health care.
Currently, in fi sh farming, Nile tilapia farming is one of the most widespread types worldwide and is present on all continents. However, stressors are normal in intensive rearing systems, which triggers immune suppression leading to a higher chance of infection, with Aeromonas hydrophila being one of the main responsible for the frequent diseases. Inhibition of reproductive and growth performance are also frequently observed in these situations. Thus, it is more than necessary to develop effi cient treatments not only against the immune damage generated by stress in fi sh but also to prevent oxidative stress itself as well as against its side effects related to physiology and infections. The mushroom Agaricus brasiliensis is widely recognized in the literature for its immunomodulatory and antioxidant effects, which makes it a potential supplement to counteract the effects of stress on intensive fi sh farming. In this study, we evaluated the effects of supplementation with the mushroom Agaricus brasiliensis through a randomized clinical trial regarding the immunological hematological variables in face of a normal situation and an induced stress situation as well as in the face of an immunological challenge by Aeromonas hydrophila. The mushroom proved to have a positive effect under the tested conditions, however, further studies will be necessary to determine its defi nitive effects.
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