Implementation of the provision of devices for self-monitoring of capillary blood glucose in patients with type 2 diabetes mellitus on insulin: an experience report

Abstract

Objective: To evaluate the process of implementing the provision of devices for monitoring capillary blood glucose in patients with type 2 diabetes mellitus (DM 2) who are receiving insulin treatment in a Basic Health Unit (UBS) located in Piraquara-PR. Methods: This is a descriptive observational study. Individuals over eighteen years old were included; diagnosed with DM 2; on insulin treatment; and assisted by the UBS participating in the study. Data collection took place through medical records, a list of registered people and through the GlicoSYS software. Data were analyzed regarding sociodemographic characteristics (gender, age, education and race), adherence to self-monitoring of blood glucose and available measurements of blood glucose in eligible patients. In addition, a questionnaire was applied to health professionals in order to know the barriers and facilitators for the implementation of the Glucoleader glucometer. Results: Among the 31 users included in the survey, 74.2% were female. The most predominant age group was 31 to 59 years (58.1%), and the level of education was marked by individuals with low education, highlighting a complete primary education (45.2%). As for race, there was a predominance of white individuals (77.4%). Among the 21 patients included in the analysis of self-monitoring adherence, six had glycemic values ​​within the therapeutic goal and target measurements above 50%. The questionnaire was answered by seven health professionals. Final Considerations: Due to the low adherence to self-monitoring of capillary blood glucose and the absence of DM 2 control observed by blood glucose values ​​above the therapeutic goal, it appears that self-monitoring of blood glucose needs the involvement of patients with the health team, in order to avoid complications resulting from DM 2 in the long term and provide an increase in quality of life.