Minimizing postprandial hypoglycemia in Type 1 diabetes patients using multiple insulin injections and capillary blood glucose self-monitoring with machine learning techniques

2019 ◽  
Vol 178 ◽  
pp. 175-180 ◽  
Author(s):  
Silvia Oviedo ◽  
Ivan Contreras ◽  
Arthur Bertachi ◽  
Carmen Quirós ◽  
Marga Giménez ◽  
...  
Keyword(s):  
Machine Learning ◽  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Capillary Blood ◽  
Machine Learning Techniques ◽  
Capillary Blood Glucose ◽  
Self Monitoring ◽  
Learning Techniques ◽  
Blood Glucose Self Monitoring

Frequency and motives of blood glucose self-monitoring in type 1 diabetes

2009 ◽  
Vol 85 (2) ◽  
pp. 183-188 ◽  
Author(s):  
M.V. Hansen ◽  
U. Pedersen-Bjergaard ◽  
S.R. Heller ◽  
T.M. Wallace ◽  
Å.K. Rasmussen ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Self Monitoring ◽  
Blood Glucose Self Monitoring

Metabolic and appetite effects of fructose and glucose in subjects with type 1 diabetes: a randomized crossover clinical trial

2020 ◽  
Vol 16 ◽  
Author(s):  
Érika dos Santos Lima ◽  
Débora Lopes Souto ◽  
Melanie Rodacki ◽  
Joana Rodrigues Dantas Pereira ◽  
Lenita Zajdenverg ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Laboratory Tests ◽  
Capillary Blood ◽  
University Hospital ◽  
Postprandial Blood Glucose ◽  
Capillary Blood Glucose ◽  
Post Infusion ◽  
Overnight Fasting

Background: Fructose has been widely used for producing lower post-infusion glucose increase than other carbohydrates, but seems that it promotes an increase in post-infusion triglycerides. Objective: The present study investigated the effects of fructose and glucose in metabolic variables and appetite sensations in patients with type 1 diabetes mellitus (T1DM). Methods: This is a single-blind, randomized and crossover study (washout of 1-5 weeks), which has evaluated 16 adult T1DM patients, accompanied at University Hospital. After eight hours overnight fasting, were assessment of capillary blood glucose, anthropometric variables, appetite sensations and laboratory tests (glycemia, lipemia, leptin and glucagon). Subsequently, they received 200mL of solutions with water and 75g of crystal fructose or glucose. Appetite sensations and capillary blood glucose were evaluated in different post-infusion times. Blood was drawn after 180 minutes for the laboratory tests. Results: Blood glucose increased after the intake of both solutions, but the glucose induced a higher elevation. None of them increased triglycerides or glucagon. Glucagon maintenance was similar among the solutions. Furthermore, both solutions reduced leptin and increased fullness, but only fructose increased lack of interest in eating sweets. Conclusions: Fructose induced smaller increase in postprandial blood glucose than glucose, without changes in triglycerides and glucagon. In addition, leptin levels and appetite sensations were similar to glucose. Other studies are needed in order to confirm these findings, especially in the long term, so that their use becomes really reliable.

scholarly journals Evaluation of the Capillary Blood Glucose Self-monitoring Program

2014 ◽  
Vol 22 (5) ◽  
pp. 801-809 ◽  
Author(s):  
Mariana Cristina Augusto ◽  
Maria José Trevizani Nitsche ◽  
Cristina Maria Garcia de Lima Parada ◽  
Maria Lúcia Zanetti ◽  
Maria Antonieta de Barros Leite Carvalhaes
Keyword(s):  
Blood Glucose ◽  
Monitoring Program ◽  
Cross Sectional Study ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Process And Outcome ◽  
Blood Glucose Self Monitoring

OBJECTIVE: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city.METHOD: epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics.RESULTS: most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively.CONCLUSION: the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.

scholarly journals Knowledge and Practices of Users With Diabetes Mellitus on Capillary Blood Glucose Self-Monitoring at Home / Conhecimento e Práticas de Usuários com Diabetes Mellitus Sobre a Automonitorização da Glicemia Capilar no Domicilio

2018 ◽  
Vol 10 (3) ◽  
pp. 737
Author(s):  
Valesca Patriota de Souza ◽  
Ellen Cristina Barbosa Dos Santos ◽  
Rebeca Coelho De Moura Angelim ◽  
Carla Regina De Souza Teixeira ◽  
René Duarte Martins
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Self Monitoring ◽  
Blood Glucose Self Monitoring ◽  
At Home

Objetivo: Analisar o conhecimento e as práticas de usuários com Diabetes Mellitus (DM) acerca da Automonitorização da Glicemia Capilar (AMGC) realizada no domicílio. Métodos: Estudo descritivo-exploratório, com metodologia qualitativa, desenvolvido em abril e maio 2013, com usuários com DM atendidos pelo sistema público de saúde de um interior pernambucano. Os dados foram coletados por meio de entrevistas e verificados por análise categorial temática, a amostra foi selecionada por meio da saturação do discurso totalizando 12 usuários com DM que realizam a AMGC no domicílio. Resultados: A análise de conteúdo dos dados possibilitou identificar três categorias: Realização da AMGC de forma não racional; Ausência de programas educativos para orientar sobre a realização da AMGC; Disponibilização insuficiente de insumos aos usuários que realizam a AMGC. Conclusão: Apesar dos avanços legalmente alcançados pelas políticas públicas, os usuários com DM desconhecem a legislação e como está interfere diretamente na realização da AMGC. 

scholarly journals Self-care of users with diabetes mellitus entered into a program of capillary blood glucose self-monitoring / Autocuidado de usuários com diabetes mellitus inseridos em um programa de automonitorização da glicemia capilar

2021 ◽  
Vol 13 ◽  
pp. 737-743
Author(s):  
Juliana de Oliveira Pimentel ◽  
Ivânia Maria dos Santos ◽  
Augusto Cesar Barreto Neto ◽  
Valesca Patriota de Souza
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Self Care ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Self Monitoring ◽  
Blood Glucose Self Monitoring

Objetivo: Avaliar o desempenho das atividades de autocuidado de usuários com diabetes mellitus inseridos em um programa de automonitorização da glicemia capilar no domicílio. Método: Estudo transversal, descritivo, com abordagem quantitativa, realizado no domicílio de usuários com diabetes mellitus que realizam a automonitorização da glicemia capilar, totalizando uma amostra de 279 usuários. Na avaliação das atividades de autocuidado utilizou-se o Questionário de Atividades de Autocuidado com o Diabetes, e para coleta dos dados sociodemográficos e clínico foi aplicado um roteiro sistematizado. Resultados: Os dados revelaram que as dimensões alimentação específica, atividade física e monitorização glicêmica demostra comportamento de autocuidado não desejável, enquanto adesão medicamentosa apresentou o melhor comportamento de autocuidado desejável. Conclusão: Os usuários com diabetes mellitus que realizam a automonitorização da glicemia capilar no domicílio necessitam de um acompanhamento específico, acrescido de práticas educativas contínuas que estimulem a participação efetiva nas atividades de autocuidado.

scholarly journals Good Metabolic Control in Children with Type 1 Diabetes Mellitus: Does Glycated Hemoglobin Correlate with Interstitial Glucose Monitoring Using FreeStyle Libre?

2021 ◽  
Vol 10 (21) ◽  
pp. 4913
Author(s):  
Rocio Porcel-Chacón ◽  
Cristina Antúnez-Fernández ◽  
Maria Mora Loro ◽  
Ana-Belen Ariza-Jimenez ◽  
Leopoldo Tapia Ceballos ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Metabolic Control ◽  
Glycated Hemoglobin ◽  
Glucose Monitoring ◽  
Capillary Blood ◽  
Capillary Blood Glucose ◽  
Good Metabolic Control ◽  
One Year

Background: Good metabolic control of Type 1 diabetes (T1D) leads to a reduction in complications. The only validated parameter for establishing the degree of control is glycated hemoglobin (HbA1c). We examined the relationship between HbA1c and a continuous glucose monitoring (CGM) system. Materials and methods: A cohort prospective study with 191 pediatric patients with T1D was conducted. Time in range (TIR), time below range (TBR), coefficient of variation (CV), number of capillary blood glucose tests, and HbA1c before sensor insertion and at one year of use were collected. Results: Patients were classified into five groups according to HbA1c at one year of using CGM. They performed fewer capillary blood glucose test at one year using CGM (−6 +/− 2, p < 0.0001). We found statistically significant differences in TIR between categories. Although groups with HbA1c < 6.5% and HbA1c 6.5–7% had the highest TIR (62.214 and 50.462%), their values were highly below optimal control according to CGM consensus. Groups with TBR < 5% were those with HbA1c between 6.5% and 8%. Conclusions: In our study, groups classified as well-controlled by guidelines were not consistent with good control according to the CGM consensus criteria. HbA1c should not be considered as the only parameter for metabolic control. CGM parameters allow individualized targets.

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