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‣ Quantificação da glicemia através de análises de imagens da íris humana utilizando redes neurais; Blood glucose rate measured through the analysis of the human iris image, using neural networking

Alves, Deise Mota
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 28/08/2007 Português
Relevância na Pesquisa
67.342383%
Este trabalho contribui para o projeto de um sistema não-invasivo capaz de quantificar o nível de glicose no sangue através de imagens da íris humana, o projeto recebeu o nome de GlucoÍris. Este foi desenvolvido pelo Departamento de Engenharia Mecânica (LabMetro), da Universidade Federal de Santa Catarina (UFSC) onde foi concebido e avaliado um sistema óptico/mecânico e um programa de computador para extrair parâmetros quantitativos associados à coloração e estrutura da íris humana. Um primeiro protótipo de dispositivo capaz de adquirir imagens digitais coloridas da íris foi desenvolvido juntamente com uma primeira versão de um programa de computador. Alterações na íris com 24 voluntários foram avaliadas. Os resultados atingidos em trabalhos anteriores mostraram que, de fato, a cor da imagem de uma íris sofre alterações em função de variações no nível de glicose na corrente sanguínea, indicando que é possível medir a glicemia através da íris humana. Partindo-se dos resultados das fases anteriores do projeto, este trabalho se dedicou em desenvolver um sistema, utilizando redes neurais, para se fazer uma estimação/previsão do valor de glicemia através de análises de imagens da íris humana. Com os dados de cor extraídos das imagens e os valores de glicemia conhecidos...

‣ Intervenção educativa sobre automonitorização da glicemia capilar no domicílio, para o controle metabólico de pessoas com diabetes mellitus; Educative Intervention over Self-Monitoring of Blood Glucose at Home on the Metabolic Control of People with Diabetes Mellitus

Veras, Vívian Saraiva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 07/02/2014 Português
Relevância na Pesquisa
67.22456%
Ensaio clínico, aleatorizado, prospectivo, sem cegamento, realizado em duas Unidades Básicas de Saúde, em uma cidade do interior do Estado de São Paulo, em 2011. O estudo teve como objetivo avaliar os efeitos de uma intervenção educativa sobre a automonitorização da glicemia capilar (AMGC) no domicílio, no controle metabólico. Foram constituídos dois grupos de usuários com diabetes mellitus, um grupo que participou do Programa de AMGC no domicílio e em cuidado usual (grupo controle) e um do Programa de AMGC no domicílio e de uma intervenção educativa (grupo intervenção). O estudo foi aprovado pelo Comitê de Ética em Pesquisa e registrado na Clinical Trials.gov (NCT01475422). A população do estudo foi de 342 usuários com DM. O recrutamento foi realizado por meio de convocações por agentes comunitários de saúde, correspondência via correio e contato telefônico. A amostra foi constituída por 91 usuários com DM que aceitaram participar do estudo. A alocação dos grupos foi do tipo aleatorização simples com o uso de um software estatístico. Os grupos controle e intervenção participaram de duas avaliações, uma basal e uma ao final do estudo. A basal consistiu na avaliação das variáveis sociodemográficas...

‣ Avaliação dos níveis glicêmicos, parâmetros hemodinâmicos e analgesia pós-operatória em diabéticos não insulino dependentes com uso de articaína 4% com epinefrina (1:100.000 e 1:200.000) em cirurgias periodontais; Blood glucose levels and hemodynamic parameters in type 2 diabetic patients after use of articaine 4% with epinephrine (1:100.000 and 1:200.000) in periodontal surgeries

Fonseca, Clarissa Ribeiro
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 27/02/2014 Português
Relevância na Pesquisa
67.28146%
Esse estudo teve como objetivo avaliar as alterações hemodinâmicas e do nível de glicemia decorrentes do uso do anestésico local articaína a 4% com epinefrina nas concentrações 1:100.000 (A100) e 1:200.000 (A200) em cirurgias periodontais na maxila, realizadas em diabéticos. Em relação aos anestésicos, foram avaliados: tempo de início de ação, duração da anestesia sobre os tecidos mole, analgesia pós-operatória, sangramento trans-operatório, qualidade da cicatrização, parâmetros hemodinâmicos e glicemia medidos durante as cirurgias. Para isso, 18 voluntários com idades entre 40 e 65 anos foram selecionados. Destes, 10 não apresentavam alterações sistêmicas (não diabéticos-não DM), enquanto 8 eram portadores de diabetes mellitus não insulinodependentes (DM), todos com condições periodontais semelhantes. Foram submetidos a cirurgias periodontais bilateralmente na região da maxila sob anestesia local com A100 e A200, de forma duplo-cega, randomizada e cruzada. O tempo cirúrgico foi semelhante para todos os grupos, e A100 e A200 mostraram-se igualmente eficazes para cirurgias periodontais. Foi utilizada quantidade idêntica de ambos anestésicos em todas as cirurgias (1 tubete; 1,8ml), o tempo cirúrgico foi semelhante em todos os procedimentos. O tempo de inicio de ação foi similar para todos...

‣ Influência da orientação telefônica sobre os resultados da automonitorização glicêmica de pacientes com diabetes mellitus gestacional; Influence of telephone advice on the results of blood glucose monitoring in patients with gestational diabetes

Sousa, Ana Maria da Silva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 06/11/2014 Português
Relevância na Pesquisa
67.4293%
A Diabetes Mellitus Gestacional é definida como intolerância à glicose durante a gestação, excluídos os casos de diabetes pré-gestacional. A telemedicina tem sido citada como ferramenta útil para proporcionar melhor qualidade à saúde de portadores de doenças crônicas. Objetivo: analisar a influência da orientação telefônica feita por um profissional de saúde sobre os resultados da automonitorização glicêmica em pacientes com diabetes mellitus gestacional. Método: estudo randomizado controlado-cego, longitudinal, com gestantes diagnosticadas com diabetes gestacional, acompanhadas no Setor de Endocrinopatias e Gestação da Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo atendidas no período de agosto de 2012 a maio de 2014. O diagnostico de DMG foi realizado por meio de glicemia de jejum e teste de tolerância à glicose de 75 gramas. As pacientes foram convidadas a participar da pesquisa após receberem instruções de uma equipe multiprofissional. Foram alocadas, de acordo com a randomização em dois grupos: Grupo 1 (receberiam ligação telefônica três dias após as orientações multiprofissionais, n=122) e grupo 2 (não receberiam ligação telefônica n= 122)...

‣ DIABETES AND EXPERIMENTAL PREGNANCY IN RATS - COURSE OF MATERNAL BLOOD-GLUCOSE LEVELS AND ITS REPERCUSSIONS ON THE BLOOD-GLUCOSE LEVELS AND PANCREAS OF NEWBORN PUPS

Rudge, Marilza Vieira Cunha; Calderon, Iracema de Mattos Paranhos; Ramos, M. D.; Rodrigues, MAM
Fonte: Associação Brasileira de Divulgação Científica (ABRADIC) Publicador: Associação Brasileira de Divulgação Científica (ABRADIC)
Tipo: Artigo de Revista Científica Formato: 219-225
Português
Relevância na Pesquisa
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The objective of the present investigation was to determine the course of maternal blood glucose levels in pregnant rats and its repercussions on the glucose levels and pancreas of their newborn pups. Diabetes was induced by alloxan (42 mg/kg body weight) and streptozotocin (40 mg/kg). Sixty-two pregnant Wistar rats weighing 180 to 250 g were divided into a control group and two groups with moderate (120 to 200 mg/dl glucose) and severe diabetes (greater than 200 mg/dl glucose), respectively. Blood glucose levels were measured in the dams on the 1st, 14th, and 21st days of pregnancy and in the pups at birth. The results were pooled for each litter. The fetal pancreases were removed after cesarian section performed on the 21st day of pregnancy, pooled for each litter and processed for histopathologic examination by light microscopy. Maternal blood glucose levels were significantly increased compared with the first day of pregnancy in both normal and diabetic rats starting on the 14th day of pregnancy. Fetal blood glucose levels correlated with maternal levels. The histopathologic changes characterized by vacuolization and basophilia of the cytoplasm of endocrine pancreas of newborn pups from darns with moderate or severe diabetes suggested pancreatic hyperactivity.

‣ Effects of acute heat exposure on respiratory metabolism and blood glucose in freshwater fishes, Prochilodus scrofa (curimbatá) and Cyprinus carpio (carp) acclimatized to tropical winter

Zuim, S.M.Fontes; Macari, Marcos
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 287-289
Português
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1. 1. Routine oxygen consumption and blood glucose were determined from freshwater fishes, Prochilodus scrofa and Cyprinus carpio, exposed at high temperatures for 1 hr. 2. 2. Prochilodus scrofa had a significantly higher rate of oxygen consumption at 30°C than at 25°C, and carp higher at 25°C than at 30°C. 3. 3. Blood glucose was significantly higher for Cyprinus carpio than for Prochilodus scrofa at 25 and 30°C; however, after exposure to these temperatures for 1 hr blood glucose did not change significantly for both species. 4. 4. The results suggest that these interspecific variations may be linked to the differences between native and foreign fishes and their way of life. © 1985.

‣ Effect of an acute β-adrenergic blockade on the blood glucose response during lactate minimum test

Júnior, Pedro Balikian; Neiva, Cassiano Merussi; Denadai, Benedito Sérgio
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 257-265
Português
Relevância na Pesquisa
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The aim of this study was to determine the relationship between blood lactate and glucose during an incremental test after exercise induced lactic acidosis, under normal and acute β-adrenergic blockade. Eight fit males (cyclists or triathletes) performed a protocol to determine the intensity corresponding to the individual equilibrium point between lactate entry and removal from the blood (incremental test after exercise induced lactic acidosis), determined from the blood lactate (Lacmin) and glucose (Glucmin) response. This protocol was performed twice in a double-blind randomized order by ingesting either propranolol (80 mg) or a placebo (dextrose), 120 min prior to the test. The blood lactate and glucose concentration obtained 7 minutes after anaerobic exercise (Wingate test) was significantly lower (p<0.01) with the acute β-adrenergic blockade (9.1±1.5 mM; 3.9±0.1 mM), respectively than in the placebo condition (12.4±1.8 mM; 5.0±0.1 mM). There was no difference (p>0.05) between the exercise intensity determined by Lacmin (212.1±17.4 W) and Glucmin (218.2±22.1 W) during exercise performed without acute β-adrenergic blockade. The exercise intensity at Lacmin was lowered (p<0.05) from 212.1±17.4 to 181.0±15.6 W and heart rate at Lacmin was reduced (p<0.01) from 161.2±8.4 to 129.3±6.2 beats min-1 as a result of the blockade. It was not possible to determine the exercise intensity corresponding to Glucmin with β-adrenergic blockade...

‣ Partner support, social-cognitive variables and their role in adherence to self-monitoring of blood glucose in type 2 diabetes

Costa, Vera; Pereira, M. Graça; Pedras, Susana
Fonte: John Wiley & Sons Publicador: John Wiley & Sons
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
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In Portugal, diabetes affects 11.7% of the population, of whom about 90% have type 2 diabetes. Patients and their partners are affected and the latter have a direct impact on patients’ adaptation to diabetes. A large proportion of patients, at diagnosis, have to readjust their daily routines in order to integrate self-care behaviours related to diabetes. The goal of this study was to analyse the relationship among partner support, social-cognitive variables about self-monitoring of blood glucose (SMBG) (intentions, attitudes, subjective norms, perceived behaviour control, action planning and coping planning), adherence and glycaemic control in type 2 diabetes patients, diagnosed in the past 12 months. A total of 179 people with diabetes participated in the study. The instruments used were: Multidimensional Diabetes Questionnaire; Revised Summary of Diabetes Self-Care Activities Scale; and Planned Behavior Questionnaire – Self-Monitoring of Blood Glucose. Glycaemic control was assessed by HbA1c. The perception of positive support from partners and intention to perform SMBG predicted adherence to SMBG. Furthermore, positive support mediated the relationship between intention and adherence to SMBG. Positive and negative partner support were positively associated with intention...

‣ Effect of the ingestion of a mousse with cinnamon C. Burmannii on the postprandial blood glucose response of healthy subjects and its antioxidant power

Amaral, Catarina Medeiros
Fonte: Instituto Superior de Ciências da Saúde Egas Moniz Publicador: Instituto Superior de Ciências da Saúde Egas Moniz
Tipo: Dissertação de Mestrado
Publicado em /09/2013 Português
Relevância na Pesquisa
67.266313%
Dissertação para obtenção do grau de Mestre em Nutrição Clínica; Background: Cinnamon has been shown to reduce postprandial glycaemia and enhance insulin sensitivity in healthy adults.; Aims: To study the effect of C. burmannii on the postprandial blood glucose response of healthy subjects and its antioxidant capacity in a semi-solid food.; Design: Twenty four apparently healthy subjects participated in this study. They were randomly assigned in group A (reference meal) or group B (test meal). The blood glucose concentrations were measured before the ingestion of the meals and 30, 60, 90 and 120 minutes after the start of the meal. The test meal used consisted of 100 g of mousse mixed with 3 g of cinnamon.; Results: The addition of 3 g of cinnamon to the mousse had no significant effect in blood glucose response in terms of the areas under the curve (AUC) and in the different postprandial times (p>0,05). The mean Cmax was significantly lower after the ingestion of the reference meal than after the ingestion of the mousse with 3 g of C.burmannii (96 mg/dl VS 104,42 mg/dl; p=0,011). The chemical analysis showed that the mousse with 3 g of cinnamon has a much higher phenolic content and antioxidant capacity than the mousse without cinnamon.; Conclusions: The inclusion of cinnamon in the mousse increased the antioxidant capacity of this semi-solid food...

‣ Self-care among patients enrolled in a self-monitoring blood glucose program

Veras,Vivian Saraiva; Santos,Manoel Antônio dos; Rodrigues,Flavia Fernanda Luchetti; Arrelias,Clarissa Cordeiro Alves; Pedersoli,Tatiane Aparecida Martins; Zanetti,Maria Lúcia
Fonte: Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Publicador: Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 Português
Relevância na Pesquisa
67.22456%
This cross-sectional study checks specific self-care activities of patients with diabetes mellitus enrolled in a self-monitoring blood glucose program from August to December 2012 in two Primary Health Care units in the interior of São Paulo, Brazil. The sample was composed of 74 female and male individuals, aged 18 years old or older. The Summary of Diabetes Self-Care Activities Questionnaire was used. It contains six dimensions: general diet, specific diet, physical activity, blood glucose monitoring, foot care, medication usage, plus three items about smoking. Eight out of the 15 self-care activities were within desirable levels, namely: healthy diet, not eating sweets, blood glucose testing and as frequently as recommended, drying between toes after washing feet, and taking medications (three items). The results enabled the identification of gaps in specific self-care activities among patients with diabetes mellitus.

‣ High ‘‘normal’’ blood glucose is associated with decreased brain volume and cognitive performance in the 60s: The PATH through life study

Mortby, Moyra E.; Janke, Andrew L.; Anstey, Kaarin J.; Sachdev, Perminder S.; Cherbuin, Nicolas
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica Formato: 9 pages
Português
Relevância na Pesquisa
67.448477%
Context: Type 2 diabetes is associated with cerebral atrophy, cognitive impairment and dementia. We recently showed higher glucose levels in the normal range not to be free of adverse effects and to be associated with greater hippocampal and amygdalar atrophy in older community-dwelling individuals free of diabetes. Objective: This study aimed to determine whether blood glucose levels in the normal range (,6.1 mmol/L) were associated with cerebral volumes in structures other than the hippocampus and amygdale, and whether these glucose-related regional volumes were associated with cognitive performance. Design, Setting and Participants: 210 cognitively healthy individuals (68–73 years) without diabetes, glucose intolerance or metabolic syndrome were assessed in the large, community-based Personality and Total Health Through Life (PATH) study. Main Outcome Measure: Baseline blood glucose levels in the normal range (3.2–6.1 mmol/l) were used to determine regional brain volumes and associated cognitive function at wave 3. Results: Higher blood glucose levels in the normal range were associated with lower grey/white matter regional volumes in the frontal cortices (middle frontal gyrus, inferior frontal gyrus precentral gyrus). Moreover...

‣ Physiological changes in blood glucose affect appetite and pyloric motility during intraduodenal lipid infusion

Andrews, J.; Rayner, C.; Doran, S.; Hebbard, G.; Horowitz, M.
Fonte: American Physiological Society Publicador: American Physiological Society
Tipo: Artigo de Revista Científica
Publicado em //1998 Português
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67.398657%
We evaluated the effects of varying blood glucose concentration within the normal postprandial range and its interaction with small intestinal nutrients on antropyloric motility and appetite. Eight healthy males (19–40 yr) underwent paired studies, with a blood glucose level of 5 or 8 mmol/l. Manometry and visual analog scales were used to assess motility and appetite, during fasting and intraduodenal lipid infusion (1.5 kcal/min). In the fasting state, antral waves were suppressed at 8 mmol/l compared with 5 mmol/l (P = 0.018). However, pyloric motility was no different between the two blood glucose concentrations. Hunger was no different at 5 mmol/l compared with 8 mmol/l, but fullness was greater at 8 mmol/l (P = 0.01). During intraduodenal lipid infusion, antral waves were suppressed (P < 0.035) and isolated pyloric pressure waves (IPPWs) were stimulated (P < 0.02) compared with during the fasting state, with no difference between blood glucose concentrations, although the temporal patterning of IPPWs varied between blood glucose concentrations. The amplitude of IPPWs was greater at 5 mmol/l compared with 8 mmol/l (P < 0.001), and hunger decreased at 8 mmol/l compared with 5 mmol/l (P = 0.02). We conclude that “physiological” hyperglycemia modifies gastric motor and sensory function and that synergy exists between blood glucose concentration and small intestinal nutrients in modulating gastric motility and appetite.; J. M. Andrews...

‣ Appetite regulation by carbohydrate: role of blood glucose and gastrointestinal hormones.

Lavin, J.; Wittert, G.; Sun, W.M.; Horowitz, M.; Morley, J.; Read, N.
Fonte: AMER PHYSIOLOGICAL SOC Publicador: AMER PHYSIOLOGICAL SOC
Tipo: Artigo de Revista Científica
Publicado em //1996 Português
Relevância na Pesquisa
67.34906%
To investigate the mechanisms by which intestinal carbohydrate affects eating behavior, seven fasted, healthy male volunteers received intraduodenal infusions of glucose or saline over a 90-min period while blood glucose levels were matched by use of intravenous glucose and saline infusions. A second study examined the effect of intraduodenal glucose on eating behavior when the gastrointestinal hormone response was inhibited by intravenous octreotide. Intravenous glucose infusion did not affect hunger or satiety. In contrast, intraduodenal infusion of glucose suppressed hunger, increased fullness and satiety ratings, reduced energy intake, and resulted in higher plasma insulin responses compared with the intravenous glucose infusion. Octreotide abolished the plasma insulin response to intraduodenal glucose and reversed the changes in ratings and eating behavior. This study has shown that the effects of intestinal glucose on appetite are not mediated via an increase in blood glucose but are likely to reflect small intestinal stimulation of release of either insulin or intestinal incretins.; J. H. Lavin, G. Wittert, W. M. Sun, M. Horowitz, J. E. Morley and N. W. Read; Copyright © 1996 by American Physiological Society

‣ Gastrointestinal motor function in diabetes mellitus. Relationship to blood glucose concentrations

Horowitz, M.; Rayner, C.; Kong, M.F.; Jones, K.; Wishart, J.; Sun, W.M.; Fraser, R.
Fonte: Blackwell Publishing Publicador: Blackwell Publishing
Tipo: Artigo de Revista Científica
Publicado em //1998 Português
Relevância na Pesquisa
67.22456%
The application of novel investigative techniques has established that there is a high prevalence of disordered gastrointestinal motor function in patients with diabetes mellitus and has provided insights into its pathogenesis and clinical significance. Acute changes in the blood glucose concentration, even within the normal postprandial range, affect both gastrointestinal motor function and the perception of sensations arising from the gastrointestinal tract. Gastric emptying is slower during hyperglycaemia and accelerated during hypoglycaemia; the perception of gastric distension is greater during hyperglycaemia than euglycaemia. The pathways mediating the effects of the blood glucose concentration on gut motility and sensation are poorly defined. The rate of gastric emptying is an important determinant of postprandial blood glucose concentrations and there is increasing evidence that gastric emptying can be modulated therapeutically in order to optimize glycaemic control in patients with diabetes.; Michael Morowitz, Chris Rayner, Marie-France Kong, Karen Jones, Judith Wishart, Wei-Ming Sun, Robert Fraser

‣ Gastric and small intestinal motor function in health and disease - implications for glucose absorption, incretin hormone release, and postprandial blood glucose regulation.

Kuo, Paul
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2010 Português
Relevância na Pesquisa
67.49586%
The human digestive tract is a complex system that, in addition to the digestion and absorption of nutrients, serves an important neuroendocrine role. The focus of this thesis is to examine how changes in the motor function of the gastroduodenal region influence glucose absorption, gut hormone secretion, and postprandial blood glucose regulation, in different human populations, including the healthy young and those with cystic fibrosis. The studies included utilise a mix of established and novel techniques to evaluate gastroduodenal motor function and glucose absorption, and provide insights into the function of the human gut. Strict overall glycaemic control dramatically reduces the incidence and progression of micro-, and probably macrovascular, complications associated with type 1 and type 2 diabetes. Postprandial glycaemia is now recognised as an important determinant of overall glycaemia, as indicated by the glycated haemoglobin (HbA1c). The rate of glucose absorption after a meal has a major influence on postprandial glycaemia and has, therefore, been a focus of increasing research interest in recent years. Postprandial blood glucose concentrations are a poor indicator of glucose absorption due to peripheral glucose uptake and hepatic glucose release. The glucose analogue 3-O-methylglucose (3-OMG) is absorbed in the small intestine by the same mechanism as glucose...

‣ Gastric motor function in health and diabetes: implications for incretin hormone release and postprandial blood glucose regulation.

Chang, Jessica Lee Sing
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2012 Português
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67.37195%
This thesis focuses on gastric motor function in patients with longstanding diabetes, and the role of gastric emptying and gastrointestinal hormones in the regulation of glycaemia in health and patients with type 2 diabetes mellitus. Diabetes is a common chronic disorder worldwide, with the prevalence of type 2 diabetes escalating due to an increasingly sedentary lifestyle and rising rates of obesity. Diabetes is associated with micro- and macrovascular complications, particularly in the context of poor glycaemic control (1993, 1998). Another complication of type 1 and 2 diabetes is gastroparesis (Horowitz et al., 2001, Horowitz M, 1986, Horowitz et al., 1989, Horowitz et al., 1991) (delayed gastric emptying in diabetes) and there is limited information about the natural history and prognosis of this condition. While the prognosis of diabetic gastroparesis has been assumed to be poor, limited data in a small cohort followed for a mean period of 12 years suggest otherwise, with neither deterioration in the rate of gastric emptying (Jones et al., 2002) nor increased mortality due to the condition itself (Kong et al., 1999). The study reported in Chapter 3 evaluated the longitudinal progression of gastric emptying in patients with longstanding diabetes over a 25 year period to determine if there is a progressive slowing of gastric emptying or whether gastric emptying is relatively stable with a good prognosis from the outset...

‣ Glycemic profile of persons with Diabetes mellitus in a home blood glucose self-monitoring program

Veras,Vívian Saraiva; Teixeira,Carla Regina de Sousa; Santos,Manoel Antônio dos; Torquato,Maria Teresa da Costa Gonçalves; Rodrigues,Flávia Fernanda Luchetti; Zanetti,Maria Lúcia
Fonte: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Publicador: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2014 Português
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67.35478%
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.

‣ NURSING CARE PATIENT CRITICAL BLOOD GLUCOSE WITH UNSTABLE RISK RELATED TO INADEQUATE MONITORING: SYSTEMATIC LITERATURE REVIEW

da Silva, Luana Souza; Professional Nursing; Cruz, Isabel CF da; Professional Nursing Master Pro
Fonte: Universidade Federal Fluminense Publicador: Universidade Federal Fluminense
Tipo: Peer-reviewed Article; systematic review Formato: text/html
Publicado em 13/05/2015 Português
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Diabetes mellitus is a major public health problem, and the micro- and macrovascular complications common squeal to long-term disease. It is important for nurses to maintain an adequate monitoring of blood glucose in critically ill patients, to prevent any unstable blood glucose risk of complications. The objective of this research is to identify the nursing scientific production, using the PICO strategy to find the best evidence available to prevent the risk of unstable blood glucose related to inadequate monitoring of blood glucose in patients in intensive care unit (ICU). Methodology: This study was performed using computerized literature search in a virtual environment, in the case of a systematic review of the literature. Were selected as the data source 10 articles in national and international nursing journals from 2009 to 2014 that met the inclusion criteria from the study. Responding to the clinical question: The best found nursing intervention is the nurse intensivist perform adequate monitoring of blood glucose every hour initially and after every 2 hours, assessing signs of hyperglycemia and hypoglycemia, facilitating therapeutic change, while within the customer in the intensive care unit (ICU). Conclusion: Therefore it is noteworthy that this study based on scientific evidence contributes to the work of nurses about the need to manage...

‣ Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Müller,Uta; Hämmerlein,Andrea; Casper,Annette; Schulz,Martin
Fonte: Pharmacy Practice (Granada) Publicador: Pharmacy Practice (Granada)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2006 Português
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Self-monitoring of blood glucose (SMBG) is clearly correlated with increased life expectancy and quality of life in type 2 diabetic patients. Objective: The objective of our study was to record and assess the errors patients make in preparing, performing, and processing self-monitoring of blood glucose (SMBG). Furthermore, the study aimed to determine to what extent a single standardized SMBG instruction session in a community pharmacy might reduce the number of patients making errors or the number of errors per patient. Methods: Between May and October 2005, SMBG of 462 randomly selected patients with type 2 diabetes was monitored in 32 pharmacies specialized in diabetes care. The patients performed blood glucose self-tests using their own blood glucose meters. Self-testing was monitored using a standardized documentation sheet on which any error made during the performance of the test was recorded. If necessary, patients were instructed in the accurate operation of their meter and the use of the necessary equipment. Additionally, patients obtained written instructions. Six weeks later, assessment of the quality of patient’s SMBG was repeated. Results: During the first observation, 383 patients (83%) made at least one mistake performing SMBG. By the time of the second observation...

‣ Quality assessment of patients´self-monitoring of blood glucose in community pharmacies

Kjome,Reidun L. S.; Granas,Anne G.; Nerhus,Kari; Sandberg,Sverre
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2010 Português
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Objective: To evaluate diabetes patients´ self-monitoring of blood glucose using a community pharmacy-based quality assurance procedure, to investigate whether the procedure improved the quality of the patient performance of self monitoring of blood glucose, and to examine the opinions of the patients taking part in the study. Methods: The results of patient blood glucose measurements were compared to the results obtained with HemoCue Glucose 201+ by pharmacy employees in 16 Norwegian community pharmacies. Patient performance was monitored using an eight item checklist. Patients whose blood glucose measurements differed from pharmacy measurements by more than 20% were instructed in the correct use of their glucometer. The patients then re-measured their blood glucose. If the results were still outside the set limits, the control procedure was repeated with a new lot of glucometer strips, and then with a new glucometer. The patients returned for a follow-up visit after three months. Results: During the first visit, 5% of the 338 patients had measurements that deviated from pharmacy blood glucose values by more than 20% and user errors were observed for 50% of the patients. At the second visit, there was no significant change in the analytical quality of patient measurements...