The use of conversation maps in the metabolic control of diabetes in Brazilians: a randomized clinical trial

  • Vivian Saraiva Veras
  • Francisco Januário Farias Pereira Filho
  • Márcio Flávio Moura de AraújoEmail author
  • Carla Regina de Souza Teixeira
  • Maria Lúcia Zanetti
Research Article



To evaluate effects of an educative intervention over the self-monitoring of blood glucose (SMBG) at home for metabolic control.


A total of 91 people with diabetes participated, recruited from the home capillary blood glycemia self-monitoring program. Two groups of participants were formed: one group participated in the SMBG program at home and with usual care (control group), while the other group participated in the SMBG at home and with educative intervention (intervention group). In total there were 12 meetings, three for each conversation map in the control of diabetes, during four months in 2011 and 2012. For all the analysis, a significance statistical level of 5% (p ≤ 0.05) was adopted.


Most part of participants were females, married, with an average age of 62.1 years old and schooling from four to seven years of study. In the intervention group, an improvement was observed in the following measures: body mass index, abdominal circumference, diastolic blood pressure, fasting plasma glucose, HDL cholesterol, LDL cholesterol and triglycerides. The control group showed improvement in measures of systolic and diastolic blood pressure, fasting plasma glucose, HDL cholesterol and LDL cholesterol. Moreover, an increase on the values of glycated hemoglobin was observed in both groups.


It was observed that there was not statistical significant improvement of the metabolic control. However, it was possible to confirm that an educative intervention for SMBG at home presented a clinical significance, which in turn, resonates in a special way on the health of participants.


Education Diabetes Blood glucose Self-monitoring 


Compliance with ethical standards

Conflict of interests

The authors declared that they have no conflict of interest.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Vivian Saraiva Veras
    • 1
  • Francisco Januário Farias Pereira Filho
    • 2
  • Márcio Flávio Moura de Araújo
    • 1
    Email author
  • Carla Regina de Souza Teixeira
    • 3
  • Maria Lúcia Zanetti
    • 4
  1. 1.University for International Integration of the Lusophony Afro BrazilianAcarapeBrazil
  2. 2.Walter Cantídio University HospitalFortalezaBrazil
  3. 3.School of Nursing of Ribeirão PretoUniversity of São Paulo / EERP-USPRibeirão PretoBrazil
  4. 4.Department of General and Specialized Nursing, Ribeirão Preto School of NursingSão Paulo UniversityRibeirão PretoBrazil

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