The use of conversation maps in the metabolic control of diabetes in Brazilians: a randomized clinical trial
- 8 Downloads
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.
KeywordsEducation Diabetes Blood glucose Self-monitoring
Compliance with ethical standards
Conflict of interests
The authors declared that they have no conflict of interest.
- 9.Pimazoni-Netto A, Rodbard D, Zanella MT. Behalf of The Diabetes Education and Control Group. Rapid improvement of glycemic control in type 2 diabetes using weekly intensive multifactorial interventions: structured glucose monitoring, patient education, and adjustment of therapy - a Randomized Controlled Trial. Diabetes Technol Ther. 2011;13:997–1004.CrossRefGoogle Scholar
- 11.Carlisle K, Warren R, Scuffham P, Cheffins T. Randomised controlled trial of an in-home monitoring intervention to improve health outcomes for type 2 diabetes: study protocol. Stud Health Techn Inform. 2012;182:43–51.Google Scholar
- 19.Tan MY, Magarey JM, Chee SS, Lee LF, Tan MH. A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes. Diabetes Educ. 2011;26:896–907.Google Scholar
- 27.Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes. DC: Author; 2016.Google Scholar
- 29.Chidum E, Agbai D, Fidelis O, Teppany S, Martina R, Rian E, et al. Self-monitoring of blood glucose improved glycaemic control and 10-year coronary heart disease risk profile of type 2 diabetic patients. Chin Med J. 2011;124:166–71.Google Scholar
- 30.Stewart GL, Tambascia M, Rosas Guzmán J, Etchegoyen F, Ortega Carrión J, Artemenko S. Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America. Rev Panam Salud Publica. 2007;22:12–20.Google Scholar
- 35.Worth R, Johnston DG, Anderson J, Ashworth I, Burrin JM, Appleton D, et al. Intensive attention improves glycaemic control in insulin-dependent diabetes without further advantage from home blood glucose monitoring: results of a controlled trial. Br Med J (Clin Res Ed). 1982;285:1233–40.CrossRefGoogle Scholar