Metas no tratamento do diabetes

Almeida-Pititto, Bianca de; Rodrigues, Monike Lourenço Dias; Moura, Fabio Ferreira de; Lamounier, Rodrigo Nunes; Vencio, Sérgio; Calliari, Luis Eduardo P.; Bertoluci, Marcello Casaccia

doi:10.29327/557753.2022-3

Cited by 24 publications

(23 citation statements)

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“…The independent variables were gender (male and female), age group (60-64, 65-69, 70-74, 75-79, and equal to or greater than 80 years), economic classification (A, B, C, D/ E) 14 , schooling (0, 1-4, and equal to or more than 5 years of study), self-reported tobacco use (yes or no), multimorbidity being the simultaneous occurrence of two or more NCDs 15 (yes or no), self-reported cardiovascular disease (yes or no), self-reported dyslipidemia (yes or no), self-reported overweight/obesity (yes or no), emotional distress in living with T2DM 16 (yes or no), complications resulting from T2DM (yes or no), adherence to drug therapy 17 (yes or no), medications used for T2DM ( oral antidiabetic only, insulin only, oral antidiabetic and insulin), and blood glucose control established with glycated hemoglobin less than 8.0% 18 (yes or no). The smoking burden (packs/year) was calculated by the number of daily cigarettes consumed, divided by 20, and multiplied by the number of smoking years 19 .…”

Section: Methodsmentioning

confidence: 99%

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Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study

Oliveira

Consoli

Godoy

et al. 2023

Ciênc. saúde coletiva

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This cross-sectional study aimed to analyze alcohol abuse in older adults with type 2 diabetes mellitus in primary health care. Household data were collected from March to October 2018 in the Family Health Strategy in Ribeirão Preto, São Paulo through face-to-face interviews with a form application. The pattern of alcohol consumption was estimated with the Alcohol Use Disorders Identification Test-C. A total of 338 older adults with type 2 diabetes mellitus participated, and 19.2% (95%CI 15.0-23.4) engaged in alcohol abuse. Among them, we observed a higher frequency of males (63.1%), aged 60 to 64 years (35.4%), economic class C (49.2%), 1-4 schooling years (53.8%), and multimorbidity (92.3%). There was a negative association between alcohol abuse and drug therapy adherence (PR = 0.55; 95%CI 0.36-0.86). The frequency of alcohol abuse and non-adherence to drug treatment among those with a high consumption pattern is troubling since it can lead to diabetes complications. Therefore, we underscore the importance of multidimensional elderly care and health education in primary care.

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Section: Methodsmentioning

confidence: 99%

“…d 2018 Brazil Economic Classification Criteria 14 . e Glycated hemoglobin less than 8.0%18 . Source: Authors.…”

mentioning

confidence: 99%

Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study

Oliveira

Consoli

Godoy

et al. 2023

Ciênc. saúde coletiva

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“…The glycemic control of individuals was determined by HbA1c, according to therapeutic goal criteria for adults proposed by the American Diabetes Association [11]. Values less than 7% were considered reasonable glycemic control, and values equal to or greater than this were deemed to indicate inadequate glycemic control [12].…”

Section: Data Collectionmentioning

confidence: 99%

Glycemic Control in People With Type 2 Diabetes Mellitus Seen in Primary Care During the Covid-19 Pandemic

VILANOVA

Sporquio

Barcelos

et al. 2023

Preprint

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Purpose: In Brazil, diabetes mellitus represents 8.8% of the population between 20 and 79 years of age. Disease control is associated with adherence to healthy lifestyle habits, promoting adequate glycemic control monitored by glycated hemoglobin. Therefore, the objective of this study was to analyze the glycemic control of people with Type 2 Diabetes Mellitus during the COVID-19 pandemic. Material and methods: The present research was a cross-sectional descriptive study. Through glycated hemoglobin, it evaluated the glycemic control of people with Type 2 Diabetes Mellitus during two periods of the pandemic. The first period was from March 2020 to June 2021, and the second was from July 2021 to February 2022. Results: There was a significant reduction in glycated hemoglobin from 8.4% in the pandemic period to 8% (p=0.035) in the stabilization period. This reduction was most evident in the group with glycated hemoglobin ≥7 in the pandemic period (p=0.007) and among women (p=0.008). The group who reduced their consumption of ultra-processed foods lowered a glycated hemoglobin from 8.3% to 7.6% (p=0.010), and those who used antidepressants decreased it from 7.6% to 7% (p=0.032). Conclusion: A reduction in the glycated hemoglobin of people with Type 2 Diabetes Mellitus occurred during the COVID-19 pandemic.

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“…HbA1c reflects the average blood glucose levels over the last three or four months, with values below 7% being recommended to prevent long-term microvascular and macrovascular complications. Therefore, self-monitoring of capillary glycemia and HbA1c are complementary to glycemic control ( 7 , 17 , 18 ).Studies already show the benefits of CC on HbA1c values and glycemic control. In the systematic review and meta-analysis performed by Vaz et al.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of carbohydrate counting practice associated with adequacy of glycated hemoglobin in adults with type 1 diabetes mellitus in Brazil

Uliana,

Camara,

Paracampo

et al. 2023

Front. Endocrinol.

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BackgroundThe Carbohydrate Counting (CC) is directly associated with achieving glycemic control by people with Type 1 Diabetes Mellitus (T1DM). Therefore, this study aims to analyze characteristics of the CC practice associated with the adequacy of glycated hemoglobin (HbA1c) in adults with T1DM in Brazil.MethodsThe study was cross-sectional, carried out using an online form with questions about knowledge of CC, clinical, anthropometric, sociodemographic data, follow-up with health professionals and understanding of the concepts of CC. Pearson’s chi-square test and binomial logistic regression analysis (p<0.05) were applied.Results173 adults participated, of which 57.2% had increased HbA1c (≥7%). Having the diabetes duration <10 years (p=0.006), performing the CC at lunch (p=0.040) and dinner (p=0.018), using specific applications to perform the CC (p=0.001), having learned to perform CC with a nutritionist (p=0.037) and knowing how to correctly define the concepts of food bolus (p=0.001), correction bolus (p<0.001) and insulin/carbohydrate ratio (p<0.001) was associated with having adequate HbA1c (<7%). Participants who were undergoing CC practice were 3.273 times more likely to have adequate HbA1c and participants with diabetes duration <10 years were 2.686 times more likely to have adequate HbA1c.ConclusionIt was concluded that variables transversal to CC favor adequate HbA1c values in adults with T1DM and that practicing CC and having a diabetes duration of less than 10 years are predictive factors of having adequate HbA1c.

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Metas no tratamento do diabetes

Cited by 24 publications

References 0 publications

Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study

Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study

Glycemic Control in People With Type 2 Diabetes Mellitus Seen in Primary Care During the Covid-19 Pandemic

Characteristics of carbohydrate counting practice associated with adequacy of glycated hemoglobin in adults with type 1 diabetes mellitus in Brazil

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