Comportamentos e comorbidades associados às complicações microvasculares do diabetes

Cecílio, Hellen Pollyanna Mantelo; Arruda, Guilherme Oliveira de; Teston, Élen Ferraz; Santos, Aliny Lima; Marcon, Sônia Silva

doi:10.1590/1982-0194201500020

Cited by 15 publications

(13 citation statements)

References 15 publications

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“…As complicações crônicas se dividem em microvasculares (englobando a nefropatia, retinopatia e neuropatia diabética) e macrovasculares, resultantes de alterações em grandes vasos, podendo acarretar infarto agudo do miocárdio, acidente vascular encefálico e doença vascular periférica. Tais complicações crônicas do DM decorrem principalmente do longo tempo de evolução da doença, do controle inadequado e de fatores genéticos associados (CECILIO, et al, 2015;TSCHIEDEL, 2014;BARBOSA;OLIVEIRA;SEARA, 2009). A doença micro e macrovascular nos diabéticos prejudica o processo de cicatrização, sendo a isquemia um importante fator contribuinte para a amputação nesses pacientes, estando presente em cerca de 90% dos casos (BOADA, 2012).…”

Section: Introductionunclassified

“…Nesse sentido, o paciente deve ser estimulado a desenvolver uma postura proativa e correta em relação ao seu autocuidado (ROCHA; ZANETTI; SANTOS, 2009). Entende-se que, com ações conjuntas entre os serviços de saúde, profissionais que nele atuam, indivíduos e famílias, é possível o desenvolvimento de estratégias para identificar precocemente fatores de risco para o pé diabético, e assim evitá-los e/ou controlá-los (CECILIO et al, 2015).…”

Section: Introductionunclassified

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Educar Para Prevenir: A Importância Da Informação No Cuidado Do Pé Diabético

et al. 2017

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ResumoO artigo é referente a um estudo descritivo, transversal, oriundo do projeto de extensão intitulado "Cuidado e informação: atenção multiprofissional permanente as afecções dermatológicas em pés de pacientes diabéticos", com o objetivo de identificar alterações dermatológicas nos pés e oferecer informações e recomendações ao diabético para prevenção do pé diabético.O estudo foi realizado com 212 pacientes diabéticos atendidos no ambulatório de endocrinologia e clínica médica de um Hospital Universitário, através de entrevista e o exame físico dos pés, que mostrou o baixo nível de conhecimento sobre a Síndrome do pé diabético etambém uma associação significativa entre o maior tempo de Diabetes Mellitus e presença de lesões dermatológicas (p=0,01), com destaque a xerose (55,2%), onicomicoses (43,9%) e

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Section: Introductionunclassified

Educar Para Prevenir: A Importância Da Informação No Cuidado Do Pé Diabético

et al. 2017

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“…In addition to the 415 million adults diagnosed with diabetes, there are 318 million adults with glucose intolerance, resulting in a high risk of aggravating the condition and improving future disease development [1]. In Brazil, the number increased from 4.5 million in 2000 to 11.3 million in 2013, with an estimated range of 19.2 million by 2035 [2].…”

Section: Introductionmentioning

confidence: 99%

Immediate Effect of Whole-Body Vibration on Skin Temperature and Lower-Limb Blood Flow in Older Adults with Type 2 Diabetes: Pilot Study

et al. 2020

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The purpose of this study was to evaluate the response of a single whole-body vibration (WBV) training session to peripheral skin temperature and peripheral blood flow of older adults with type 2 diabetes. A double-blind, controlled clinical trial was conducted following the Consolidated Standards of Reporting Trials (CONSORT) guidelines. A single session of WBV (24 Hz; amplitude 4 mm; vibration time 45 s, with a series of eight repetitions with recovery between repetitions of 30 s; total time of 10 min) or sham vibration on the Kikos P204 Vibrating Platform was employed. To assess skin temperature, the FLIR E40bxs thermographic camera and the ultrasonic vascular Doppler for flow velocity were used. Evaluation occurred before and after a WBV or sham intervention. The sample consisted of three men and 17 women. In the WBV group, there was a decrease in the temperature from 29.7 °C (±1.83) to 26.6 °C (±2.27), with p = 0.01. Temperature following sham decreased from 28.6 °C (±1.84) to 26.3 °C (±2.49), with p = 0.01. Regarding blood flow, there was a decrease in the analyzed arteries, especially the left posterior tibial artery, where there was a statistically significant flow reduction from 27.1 m/s (±25.36) to 20.5 m/s (±19.66), post WBV (p = 0.01). In the sham group, an increased flow velocity was observed for all the arteries analyzed, except for the left dorsal artery. Immediately following a full-body vibration session, peripheral skin temperature and lower-limb blood flow tend to decrease in diabetic patients. However, from the design of study developed, we cannot infer the maintenance of this effect in the medium and long term.

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“…Diabetes Mellitus (DM) is one of the most common chronic noncommunicable conditions worldwide, whose prevalence is increasing due to an aging population and the major lifestyle changes characterized by a sedentary lifestyle and obesity, which have occurred as a consequence of economic development and urbanization. This is one of the most important chronic diseases affecting the public health system, due to the high morbidity and mortality rates and to the high costs of metabolic control and treatment of its microvascular complications [1].…”

Section: Introductionmentioning

confidence: 99%

Palmar strength and sociodemographic, clinical-functional, and psycho-cognitive factors in elderly with Diabetes Mellitus

et al. 2019

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Introduction: An important consequence of the aging of people with DM2 is physical disability, particularly the loss of mobility. Objective: To determine sociodemographic, clinical-functional, and psycho-cognitive factors related to the reduction in hand grip strength (HGS) in elderly patients with type 2 diabetes mellitus (DM2) and to verify the relationship between HGS and fragility. Method: This is an observational cross-sectional study with 156 elderly individuals aged 60 years and over, both male and female, diagnosed with DM2. The participants were assessed according to sociodemographic, clinical-functional, psycho-cognitive, and functional mobility data. HGS was evaluated using a manual dynamometer. The tests performed were: Mann-Whitney or Kruskal-Wallis, and Chi-square. The level of significance was set at 5% (p < 0.05). Results: A significant relationship was observed between HGS and each of the following: sex (p < 0.001), age range (p = 0.04), marital status (p = 0.004), physical activity (p = 0.06), number of conditions diagnosed (p = 0.002), use of insulin therapy (p = 0.03), complaint of pain in lower limb power (p < 0.001), falls in the last year (p = 0.004), fear of falling (p = 0.003), Mini-Mental State Examination (p = 0.01), Geriatric Depression Scale (p = 0.008), fragility phenotype (p < 0.001). Conclusion: HGS was reduced in elderly women with DM2, those who did not have a marital life had five or more diseases diagnosed with insulin therapy, did not engage in regular physical activity, complained of lower limb pain, had a history of two or more falls in the last year, had a fear of falling, had a cognitive deficit, had depressive symptoms, and were fragile.

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Comportamentos e comorbidades associados às complicações microvasculares do diabetes

Cited by 15 publications

References 15 publications

Educar Para Prevenir: A Importância Da Informação No Cuidado Do Pé Diabético

Educar Para Prevenir: A Importância Da Informação No Cuidado Do Pé Diabético

Immediate Effect of Whole-Body Vibration on Skin Temperature and Lower-Limb Blood Flow in Older Adults with Type 2 Diabetes: Pilot Study

Palmar strength and sociodemographic, clinical-functional, and psycho-cognitive factors in elderly with Diabetes Mellitus

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