Innovative practices in the management of Type 1 Diabetes: a systematic review
DOI:
https://doi.org/10.33448/rsd-v11i12.34579Keywords:
Diabetes Mellitus; Therapeutics; Quality of life.Abstract
The number of people affected by the catabolic disease diabetes mellitus (DM) grows worldwide, which demands the development of new therapeutic and monitoring technologies to assist in the treatment and reduce the chances of complications arising from the decompensation of the clinical picture. Thus, the objective was to carry out a literature review seeking the effects of innovations in improving treatment and quality of life for diabetics. For this, an integrative bibliographic review of literature of a qualitative nature was carried out, in the SciELO, LILACS and PubMed databases, with the descriptors in health sciences (DeCS) associated with the boolean operator AND, as follows: “Diabetes Mellitus AND Inovações”, “Diabetes Mellitus AND Tecnologia”, “Diabetes Mellitus AND Continuous Glucose Monitoring”, “Diabetes Mellitus AND Infusion Pump”, “Diabetes Mellitus AND Artificial Pancreas”. After analyzing 13 articles, it was identified that flash glucose monitoring (FGM), carbohydrate counting, artificial pancreas, MiniMed 670G, iLet Bionic Pancreas and continuous infusion system for insulin are the main components by technological categories indicated for glycemic control and quality of life of people with type 1 diabetes mellitus, however, most health professionals and patients affected by DM are unaware of these therapeutic innovations. It is concluded that it is necessary to promote more health education activities among the interdisciplinary health team and the general population, regarding care and reduction of metabolic decompensation among diabetics.
References
Calixto, A. A. S., et al. (2018). Protocolo e Diretrizes de Atendimento da Rede Municipal de Saúde. Linha de cuidado: Hipertensão e Diabetes. Secretaria Municipal da Saúde de Ribeirão Preto. Ribeirão Preto: 2018. https://www.ribeiraopreto.sp.gov.br/portal/saude/hipertensao-e-diabetes.
Castellanos., et al. (2021). Performance of the Insulin-Only iLet Bionic Pancreas and the Bihormonal iLet Using Dasiglucagon in Adults With Type 1 Diabetes in a Home-Use Setting. Diabetes Care, EUA, 44(6):118-120, https://diabetesjournals.org/care/article/44/6/e118/138677/Performance-of-the-Insulin-Only-iLet-Bionic
Castro, R. M. F., et al. (2021). Diabetes mellitus e suas complicações - uma revisão sistemática e informativa. Brazilian Journal of Health Review, Curitiba, 4(1):3349-3391. https://www.brazilianjournals.com/index.php/BJHR/article/view/24958
Cobas, R., & Gomes, M. B. (2015). Diabetes: recordando uma história. Revista HUPE, Rio de Janeiro, 14(4):34-36. https://www.e-publicacoes.uerj.br/index.php/revistahupe/article/view/20069.
CONITEC - Comissão Nacional de Incorporação de Tecnologias no SUS. (2019). Protocolo Clínico e Diretrizes Terapêuticas do Diabete Melito Tipo 1. Ministério da Saúde. http://conitec.gov.br/images/Relatorios/2019/Relatrio_PCDT-Diabetes-Mellitus-Tipo-1_2019.pdf.
Fioravanti, C. (2021). A descoberta da insulina. Revista Pesquisa FAPESP, São Paulo, 302:90-93. Disponível em: https://revistapesquisa.fapesp.br/a-descoberta-
Franc., et al. (2021). No more hypoglycaemia on days with physical activity and unrestricted diet when using a closed-loop system for 12 weeks: A post hoc secondary analysis of the multicentre, randomized controlled Diabeloop WP7 trial. Diabetes Obesity and Metabolism, Corbeil-Essonnes, 23(9), 2170-2176. https://dom-pubs.onlinelibrary.wiley.com/doi/10.1111/dom.14442da-insulina/
Galvao, T. F., & Pereira, M. G. (2014). Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiol. Serv. Saúde, 23(1):183-184, Brasília, <http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid=S1679-49742014000100018&lng=pt&nrm=iso>.
Garcia-Tirado., et al. (2021). Advanced hybrid artificial pancreas system improves on unannounced meal response - In silico comparison to currently available system. Computer Methods and Programs in Bomedicine, v. 211. https://pubmed.ncbi.nlm.nih.gov/34560603/
Haak, T., et al. (2017). Flash Glucose-Sensing Technology as a Replacement for Blood Glucose Monitoring for the Management of Insulin-Treated Type 2 Diabetes: a Multicenter, Open-Label Randomized Controlled Trial. Diabetes Ther, 8(1):55-73. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306122/
Horowitz., et al. (2021). An analysis of Medtronic MiniMed 670G insulin pump use in practice and the impact on glycemic control, quality of life, and compliance.clinical. Journal of the Endocrine Society, EUA, 5:455-456. https://doi.org/10.1210/jendso/bvab048.930.
Horowitz., et al. (2021). An analysis of Medtronic MiniMed 670G insulin pump use in practice and the impact on glycemic control, quality of life, and compliance.clinical. Journal of the Endocrine Society, EUA, 5:455-456. https://doi.org/10.1210/jendso/bvab048.930.
Lemes, W. C. S. S., & Pereira, E. A. A. (2018). Diabetes Mellitus Tipo 2: diagnóstico e tratamento. Revista da Associação Brasileira de Nutrição, São Paulo.
Mcvean, J., & Miller, J. (2021). Sistema de bomba de insulina MiniMed TM 780G com conectividade para smartphone para o tratamento de diabetes tipo 1: visão geral de sua segurança e eficácia. Expert Review of Medical Devices, EUA, 18(e.06):499-504. https://www.tandfonline.com/doi/full/10.1080/17434440.2021.1926984?scroll=top&needAccess=true
Méndez, Y. R., et al (2018). Complicaciones agudas de la Diabetes mellitus, visión práctica para el médico en urgencias: Revisión de tema. Revista Cuarzo, Colombia, 24(2):27-43. https://revistas.juanncorpas.edu.co/index.php/cuarzo/article/view/352/392
Moraes, H. A. B., et al. (2020). Fatores associados ao controle glicêmico em amostra de indivíduos com diabetes mellitus do Estudo Longitudinal de Saúde do Adulto, Brasil, 2008 a 2010. Epidemiologia e Serviços de Saúde, Brasília, 29(3), 2020. https://doi.org/10.5123/S1679-49742020000300017
Muzy, J., et al. (2021). Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cadernos de Saúde Pública, 37(5), e00076120. https://doi.org/10.1590/0102-311X00076120
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. (1ª edição). Biblioteca Central da UFSM, Santa Maria. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Ruedy, K. J., et al. (2017). Continuous Glucose Monitoring in Older Adults with Type 1 and Type 2 Diabetes Using Multiple Daily Injections of Insulin: Results from the DIAMOND Trial. Journal of Diabetes Science and Technology, 11(6):1138-1146, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951040/
Sá, J. M., et al. (2021). Sistema Flash de Monitoramento de glicose: impacto no controle glicêmico e índice de massa corporal em diabetes mellitus tipo 1. Arco. Endocrinol. Metab., Braga, 65(5):640-647. https://www.aem-sbem.com/article/flash-glucose-monitoring-system-impact-on-glycemic-control-and-body-mass-index-in-type-1-diabetes-mellitus/
SBD - Sociedade Brasileira de Diabetes. (2018). SBEM - Departamento de Diabetes da Sociedade Brasileira de Endocrinologia e Metabologia. Insulinas análogas de ação prolongada para tratamento de Diabetes Mellitus Tipo 1.
SBD - Sociedade Brasileira de Diabetes (2019). Diretrizes Sociedade Brasileira de Diabetes: 2019-2020. São Paulo: Clannad. https://portaldeboaspraticas.iff.fiocruz.br/biblioteca/diretrizes-da-sociedade-brasileira-de-diabetes-2019-2020/
Silva, G. A., et al. (2020). Oral glucose tolerance tet: unnecessary requests and suitable conditions for the test. Jornal Brasileiro de Patologia e Medicina Laboratorial [online], Bahia, 56:1-7. < https://www.scielo.br/j/jbpml/a/XkYsh8gcTFGhLB6jwGMjVnk/?lang=pt
Souza, R. D., et al. (2019). Impacto das tecnologias inovadoras na vida de diabéticos adultos: revisão integrativa. Rev. enferm. UERJ, Rio de Janeiro, 27, e. 39055, 1-9. https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/39055/30992
Tschiedel, B. (2014). Complicações crônicas do diabetes. JBM, Porto Alegre, 102(5):7-12.
UNA-SUS (2013). Eventos Agudos na Atenção Básica: Diabetes. Florianópolis: UFSC. Disponível em: https://ares.unasus.gov.br/acervo/handle/ARES/807
Zoppi, D., & Santos, J. C. (2018). Estado Hiperglicêmico Hiperosmolar (EHH) e Cetoacidose Diabética (CAD) na Sala de Urgência. Revista Qualidade HC, p. 1-7, Ribeirão Preto.
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