Avaliação de dois esquemas de monitorização domiciliar em pacientes com diabetes mellitus do tipo 1.

Abstract

The goal of this study was to evaluate the effectiveness of two monitoring schemes(blood and urine) in the metabolic control of type 1 diabetic patients, in biweekly therapeutic adjustments, along 6 months of participation in the educational groups. A sample of 34 patients was divided in two groups. The interventions proposed to group A were daily blood glucose monitoring, during three consecutive days for each period (before breakfast, before lunch, before dinner and before bed) and biweekly in the dawn. For the other group B was proposed daily urine glucose monitoring, during three consecutive days for each period (before breakfast, before lunch, before dinner and before bed). These schemes were used to construct glycemic profile and to determine the therapeutic adjustments. The results evidenced that there was no significant statistical difference in the metabolic control after proposed intervention in each group. In spite of this, the monitoring facilitated the educational process and the considerations about the use of more intensive monitoring schemes.