Development of a mobile application for monitoring glycemic levels obtained by capillary measurements and subcutaneous sensor
DOI:
https://doi.org/10.33448/rsd-v10i4.14400Keywords:
Glucose; Diabetes Mellitus; Mobile application.Abstract
One of the challenges for patients with diabetes mellitus (DM) is to control glycemic concentrations and, there is an improvement in clinical results when using mobile applications to perform their self-care. Blood glucose monitoring by capillary technique provides only intermittent data on metabolic control, preventing a complete view of the patient's glycemic profile. With Continuous Glucose Monitoring (MCG), it is possible to accurately assess glycemic variations throughout the day, with more effective therapeutic intervention. Given these premises, this research aimed to promote the development of a mobile application, called UP GLICEMIA, for glucose monitoring by CGM through the subcutaneous sensor and GC, which generate simultaneous graphical reports. The glycemic values when measured and registered in the application, are informed to the user in the form of alert patterns for normoglycemia, tolerable, hyperglycemia and hypoglycemia, presented in green, yellow, red and purple, respectively. This application also generates daily, weekly and monthly graphical reports for the two techniques of glycemic measurements by means of individual and associated graphs, which may assist in the therapeutic conduct. It was an applied, exploratory research for application development, with a new perspective for glycemic control. It is expected that the use of UP GLICEMIA for patients with type 1 and type 2 DM and by the health professional can help in a better understanding of the glucose monitoring of the user, demonstrating the glycemic profile completely and enabling glycemic control.
References
Abbott. (2016). FreeStyler Libre. https://www.freestylelibre.com.br.
Alencar, I. G. M., Muniz, G. G., & Medeiros, C. M. (2018). Monitorização glicêmica de adolescentes brasileiros com diabetes tipo 1. Revista de enfermagem UFPE. 12(7), 2012-2020.
Arrais, R. F., & Crotti, P. L. R. (2015). Revisão: aplicativos para dispositivos móveis (“Apps”) na automonitorização em pacientes diabéticos. Journal of Health Informatics. 7(4), 127-133.
Arnhold, M., Quade, M., & Kirch, W. (2014). Mobile applications for diabetics: a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age 50 years or older. J Med Internet Res. 16(4), e104.
Bellei, E. A., Biduski, D., Cechetti, N. P., & De Marchi, A. C. B. (2018). Diabetes Mellitus in-Health Applications: A Systematic Review of Features and Fundamentals. Telemedicine and e-Health. 24(11):839-852. 10.1089/tmj.2017.0230.
Barra, D. C. C, Paim, S. M. S., Sasso, G. T. M. D., & Colla, G. W. (2017). Métodos para desenvolvimento de aplicativos móveis em saúde: revisão integrativa de literatura. Texto Contexto Enfermagem, 26(4), 1-12.
Bessa, T., & Arthaud, D. D. B. (2018). Metodologias ágeis para o desenvolvimento de softwares. Ciência e Sustentabilidade – CeS, 4(2), 173-213.
Boland, E. A., & Tamborlane, V. W. (2000). Continuous glucose monitoring in youth with type 2 diabetes: overcoming barriers to successful treatment. Diabetes Technology Therapeutics. 2(1), 53-59.
Catalan, V. M., Denise, T. S., Agnes, L. N., Luísa, H. M. M., & Gilberto, C. de M. B. (2011). Sistema NAS: nursingactivities score em tecnologia móvel. Revista da Escola de Enfermagem da USP. 45(6), 1419-1426.
Chiang, J. L., Kirkman, M. S., Laffel, L. M., & Peters, A. L. (2014). Type 1 Diabetes Sourcebook Authors. Type 1 diabetes through the life span: a position statement of the American Diabetes Association. Diabetes Care, 37(7), 2034-2054.
Chomutare, T., Fernandez-Luque, L., Arsand, E., & Hartvigsen, G. (2011). Features of mobile diabetes applications: review of the literature and analysis of current applications compared against evidence-based guidelines. Journal of Medical Internet Research, 13(3), 65-76.
Curioni, C. C., Brito, F. D. S. B., & Boccolini, C. S. (2013). O uso de tecnologias de informação e comunicação na área da Nutrição. Jornal Brasileiro de TeleSSaúde. 2(3), 103-111.
Ferraz, D. P., Maia, F. F. R., & Araújo, L. R. (2004). Glicemia capilar em ponta do dedo versus lóbulo de orelha: estudo comparativo dos valores resultantes e preferências dos pacientes. Arquivos Brasileiros de Endocrinologia & Metabologia, 48, 389-393.
Ferreira, L. T., Saviolli, I. H., Valentini, V. E., & Abreu, L. C. (2011). Diabetes melito: hiperglicemia crônica e suas complicações. Arquivo Brasileiro de Ciências e Saúde, 36(3), 182-188.
Geloneze, B., Lamounier, R. N., & Coleho, O. R. (2006). Hiperglicemia pós-prandial: tratamento do seu potencial aterogênico. Arquivo brasileiro de cardiologia. 87(5), 660-670.
Goyotá, S. L. T., Chaves, E. de C. L. C., Andrade, M. B. T., Pereira, R. J. S., & Brito, T. R. P. (2012). Ensino do processo de enfermagem a graduandos com apoio de tecnologias da informática. Acta paulista de enfermagem. São Paulo, 25(2), 243-248.
Guillen, S., Sanna, A., Ngo, J., Meneu, T., Hoyo, E., & Demeester, M. (2009). New technologies for promoting a healthy diet and active living. Nutrition Reviews. 67(1), 100-107.
Hsu, W. C., Lau, K. H. K., Huang, R., Ghiloni, S., Le, H., Gilroy, S., Abrahamson, M., & Moore, J. (2016). Utilization of a Cloud-Based Diabetes Management Program for Insulin Initiation and Titration Enables Collaborative Decision Making Between Healthcare Providers and Patients. Diabetes Technology Therapeutics, 18(2), 59-67.
Insel, R. A., Dunne, J. L., Atkinson, M. A., Chiang, J. L., Dabelea, D., Gottlieb, P. A., Greenbaum, C. J., Herold, K. C., Krischer, J. P., Lernmark, A., Ratner, R E., Rewers, M. J., Schatz, D. A., Skyler, J. S., Sosenko, J. M., & Ziegler, A. (2015). Staging presymptomatic type 1 diabetes: a scientific statement of JDRF, the Endocrine Society, and the American Diabetes Association. Diabetes Care, 38(10), 1964-1974.
Kaufman, F. R. (2000). Role of continuous glucose monitoring in pediatric patients. Diabetes Technology & Therapeutics, 2(1), 49-52.
Leslier, R. D., Palmer, J., Schloot, N. C., & Lernmark, A. (2016). Diabetes at the crossroads: relevance of disease classification to pathophysiology and treatment. Diabetologia, 59(1), 13-20.
Maia, M. M., Rodrigues, M. B., Morais, H. C. C., & Oliveira, C. P. (2018). Informatização de diretriz para auxílio no diagnóstico por imagem de incidentalomas adrenais. Revista Expressão Católica Saúde, 3(1), 47-57.
Arnhold, M., Quade, M., & Kirch. W. (2014). Mobile Applications for Diabetics: A Systematic Review and Expert-Based Usability Evaluation Considering the Special Requirements of Diabetes Patients Age 50 Years or Older. Journal of Medical Internet Research, 16(4), 104-122.
Martínez-Pérez, B., De La Torre-Díez, I., & López-Coronado, M. (2013). Mobile health applications for the most prevalent conditions by the World Health Organization: review and analysis. Journal of Medical Internet Research, 15(6), e120.
Medivo. Ontrack Diabetes. (2015). https://play.google.com/store/apps/details?id=com.gexperts.ontrack&hl=pt_BR
Nundy, S., Dick, J. J., & Peek, M. E. (2013). Developing a behavioral model for mobile phone-based diabetes interventions. Patient Education and Counseling, 90(1), 125-132.
Oliveira, T. R., & Costa, F. M. (2012). Desenvolvimento de aplicativo móvel de referência sobre vacinação no Brasil. Journal Health Information, 4(1), 23-27.
Pressmn, R. S. (2011). Engenharia de software: uma abordagem profissional. Bookman, (7a ed.), 87p.
Quasar. Telemedicina Gliconline. 2014. https://play.google.com/store/apps/details?id=br.com.quasar.gliconline&hl=pt_BR
Queiroz, P.C., Aguia, D. C., Pinheiro, R. P., Moraes, C. C., Pimentel, I. R. S., Ferraz, C. L. H., & Ferraz, T. M. B. L. (2011). Prevalência das complicações micro e macrovasculares e de seus fatores de risco em pacientes com diabetes mellitus e síndrome metabólica. Revista Brasileira de Clínica Médica, 9(4), 254-258.
Queiroz, F. M., Aroldi, J. B. C., Oliveira, G. D. S., Peres, H. H. C., & Vera Lúcia Conceição de Gouveia Santos, V. L. C. G. (2012). Úlcera venosa e terapia compressiva para enfermeiros: desenvolvimento de curso online*. Acta Paul Enferm, 25(3), 435-440.
Rossen, Varbanov. Diabetes M. 2015. https://play.google.com/store/apps/details?id=com.mydiabetes&hl=pt_BR
SBD - Sociedade Brasileira de Diabetes. (2019) . Posicionamento Oficial SBD no01/2019. https://www.diabetes.org.br/publico/images/pdf/sbd_dm2_ 2019_2.pdf
SBD - Sociedade Brasileira de Diabetes. (2019). Diretrizes da Sociedade Brasileira de Diabetes (2015-2016).
SBD - Sociedade Brasileira de Diabetes. (2017). Diretrizes da Sociedade Brasileira de Diabetes 2017-2018 / Organização José Egídio Paulo de Oliveira, Renan Magalhães Montenegro Junior, Sérgio Vencio. São Paulo: Editora Clannad, 383p.
SBD – Sociedade Brasileira de Diabetes. (2018). Diagnóstico e Tratamento. http://www.diabetes.org.br/ publico/diabetes/diagnostico-e-tratamento.
SBD – Sociedade Brasileira de Diabetes. (2020). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Editora Clannad.
Squaremed Software Gmbh. (2015). Diabetes Plus. https://play.google.com/store/apps/details?id=com.squaremed.diabetesplus.typ1&hl=pt_BR.
Tibes, C. M., Dias, J. D., & Zem-Mascarenhas, S. H. (2014). Aplicativos móveis desenvolvidos para a área da saúde no Brasil: revisão integrativa da literatura. Revista Mineira de Enfermagem, 18(2), 479-486.
OMS - Organização Mundial da Saúde. (2016). Global reporton diabetes. https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pd f,jsessionid=4C745C0 0C4E7B93587C EB298 68FFE131?sequence=1.
Zimmet, P., Alberti, K. G., & Shaw, J. (2001). Global and societal implicationsofthe diabetes epidemic. Nature, 414(6865), 782-787.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Rosângela Simões Gonçalves; Guilherme Benjamin Brandão Pitta ; Roseli de Souza Santos da Costa; Felipe Roberto Eloi Moura; Simone Regina Alves de Freitas Barros; Caroline Simões Gonçalves Castilho; Daniel Simões Gonçalves Castilho; Aruska Kelly Gondim Magalhães Araújo; Ailton Mota do Nascimento Galvão
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
