Beneficios del auto-monitoreo de glucosa en sangre para pacientes con Diabetes tipo 2 y su importancia en la Atención Primaria

Autores/as

DOI:

https://doi.org/10.33448/rsd-v13i10.47044

Palabras clave:

Freestyle Libre; Automonitorización de la Glucosa; Diabetes Mellitus Tipo 2.

Resumen

Este artículo tiene como objetivo evaluar el impacto y beneficio de los Monitores Continuos de Glucosa (MCG), específicamente el sistema FreeStyle Libre, en la calidad de vida de pacientes con Diabetes tIpo 2 (DM2), comparando la efectividad de los CGM con los métodos tradicionales de monitoreo de glucosa, como Autocontrol de la glucosa en sangre (SMBG) con capilar, centrándose en reducir los niveles de hemoglobina glucosilada (HbA1c) y reducir las complicaciones agudas y crónicas. La metodología utilizada se basa en una revisión de la literatura con análisis de datos obtenidos de estudios y ensayos clínicos disponibles en las bases de datos PubMed y EBSCO, examinando los efectos de los dispositivos CGM en la reducción de la HbA1c, los eventos de hipoglucemia y las complicaciones vasculares. Los resultados indican que el uso de MCG, como el FreeStyle Libre, proporciona una reducción significativa de los niveles de HbA1c y una disminución de los episodios de hipoglucemia en comparación con la monitorización tradicional. Además, se ha demostrado que los dispositivos CGM son más eficaces para mejorar la calidad de vida de los pacientes. Se concluye que, aunque los MCG tienen un costo inicial mayor, son una opción costo-efectiva a largo plazo debido a la reducción de complicaciones graves y costos asociados. Se recomienda la incorporación de MCG en el tratamiento de la diabetes tipo 2 para optimizar el control glucémico y mejorar el bienestar del paciente.

Citas

Ajjan, R. A., Jackson, N., & Thomson, S. A. (2019). Reduction in HbA1c using professional flash glucose monitoring in insulin-treated type 2 diabetes patients managed in primary and secondary care settings: A pilot, multicentre, randomised controlled trial. Diabetes & vascular disease research, 16(4), 385–395. https://doi.org/10.1177/1479164119827456

American Diabetes Association (2020). 7. Diabetes Technology: Standards of Medical Care in Diabetes-2020. Diabetes care, 43(Suppl 1), S77–S88. https://doi.org/10.2337/dc20-S007

Beck, R. W., Riddlesworth, T. D., Ruedy, K., Ahmann, A., Haller, S., Kruger, D., McGill, J. B., Polonsky, W., Price, D., Aronoff, S., Aronson, R., Toschi, E., Kollman, C., & Bergenstal, R. (2017). Continuous Glucose Monitoring Versus Usual Care in Patients With Type 2 Diabetes Receiving Multiple Daily Insulin Injections. Annals of Internal Medicine, 167(6), 365. https://doi.org/10.7326/m16-2855

Cavalcante, L. T. C. & Oliveira, A. A. S. (2020). Métodos de revisão bibliográfica nos estudos científicos. Psicol. Rev. 26 (1). https://doi.org/10.5752/P.1678-9563.2020v26n1p82-100.

Demidov, N. A. (2021). New possibilities of using the FreeStyle Libre Flash-glucose monitoring system: FreeStyle Libre software ecosystem in Russia. Pharmateca, 42021, 76-83. http://dx.doi.org/10.18565/pharmateca.2021.4.76-83

Gao, Y., Zhou, M., Xu, X., & Chen, W. Y. (2022). Effects of flash glucose monitoring on glycemic control in participants with diabetes mellitus: A meta-analysis of randomized controlled trials. Journal of diabetes and its complications, 36(11), 108314. https://doi.org/10.1016/j.jdiacomp.2022.108314

Haak, T., Hanaire, H., Ajjan, R., Hermanns, N., Riveline, J. P., & Rayman, G. (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 therapy : research, treatment and education of diabetes and related disorders, 8(1), 55–73. https://doi.org/10.1007/s13300-016-0223-6

Haak, T., Hanaire, H., Ajjan, R., Hermanns, N., Riveline, J. P., & Rayman, G. (2017). Use of Flash Glucose-Sensing Technology for 12 months as a Replacement for Blood Glucose Monitoring in Insulin-treated Type 2 Diabetes. Diabetes therapy : research, treatment and education of diabetes and related disorders, 8(3), 573–586. https://doi.org/10.1007/s13300-017-0255-6

Hermanns, N., Ehrmann, D., Schipfer, M., Kröger, J., Haak, T., & Kulzer, B. (2019). The impact of a structured education and treatment programme (FLASH) for people with diabetes using a flash sensor-based glucose monitoring system: Results of a randomized controlled trial. Diabetes research and clinical practice, 150, 111–121. https://doi.org/10.1016/j.diabres.2019.03.003

Hirsch I. B. (2017). Professional flash continuous glucose monitoring as a supplement to A1C in primary care. Postgraduate medicine, 129(8), 781–790. https://doi.org/10.1080/00325481.2017.1383137

Hirsch, I. B., & Wright, E. E., Jr (2019). Using Flash Continuous Glucose Monitoring in Primary Practice. Clinical diabetes : a publication of the American Diabetes Association, 37(2), 150–161. https://doi.org/10.2337/cd18-0054

Jendle, J., Eeg-Olofsson, K., Svensson, A. M., Franzen, S., Lamotte, M., & Levrat-Guillen, F. (2021). Cost-Effectiveness of the FreeStyle Libre® System Versus Blood Glucose Self-Monitoring in Individuals with Type 2 Diabetes on Insulin Treatment in Sweden. Diabetes therapy : research, treatment and education of diabetes and related disorders, 12(12), 3137–3152. https://doi.org/10.1007/s13300-021-01172-1

Kieu, A., King, J., Govender, R. D., & Östlundh, L. (2023). The Benefits of Utilizing Continuous Glucose Monitoring of Diabetes Mellitus in Primary Care: A Systematic Review. Journal of diabetes science and technology, 17(3), 762–774. https://doi.org/10.1177/19322968211070855

Lin, R., Brown, F., James, S., Jones, J., & Ekinci, E. (2021). Continuous glucose monitoring: A review of the evidence in type 1 and 2 diabetes mellitus. Diabetic medicine : a journal of the British Diabetic Association, 38(5), e14528. https://doi.org/10.1111/dme.14528

McMorrow, R., Thuraisingam, S., Furler, J., & Manski-Nankervis, J. A. (2021). Professional flash glucose monitoring and health service utilisation in type 2 diabetes: A secondary analysis of the GP-OSMOTIC study. Primary care diabetes, 15(1), 178–183. https://doi.org/10.1016/j.pcd.2020.08.001

Nauck, M. A., Haastert, B., Trautner, C., Müller, U. A., Nauck, M. A., Heinemann, L., & Clinical Trials Study Group of the German Association for the Study of Diabetes (Deutsche Diabetes-Gesellschaft) (2014). A randomised, controlled trial of self-monitoring of blood glucose in patients with type 2 diabetes receiving conventional insulin treatment. Diabetologia, 57(5), 868–877. https://doi.org/10.1007/s00125-014-3168-1

Ogawa, W., Hirota, Y., Osonoi, T., Tosaki, T., Kato, Y., Utsunomiya, K., Nishimura, R., & Nakamura, J. (2021). Effect of the FreeStyle Libre™ flash glucose monitoring system on glycemic control in individuals with type 2 diabetes treated with basal-bolus insulin therapy: An open label, prospective, multicenter trial in Japan. Journal of diabetes investigation, 12(1), 82–90. https://doi.org/10.1111/jdi.13327

Oliveira, Y. S. G. de, Costa Júnior, J. D. da, Santos-Leonardo, A., & Morais, K. S. de. (2015). Comparação entre os métodos laboratorial e portátil na análise da glicemia em felinos com amostras de sangue venoso central e capilar. Ciência Animal Brasileira, 16(2), 279–286. https://doi.org/10.1590/1089-6891v16i231266

Oyagüez, I., Gómez-Peralta, F., Artola, S., Carrasco, F. J., Carretero-Gómez, J., García-Soidan, J., Gómez-Huelgas, R., Merino-Torres, J. F., & Pérez, A. (2021). Cost Analysis of FreeStyle Libre® 2 System in Type 2 Diabetes Mellitus Population. Diabetes therapy : research, treatment and education of diabetes and related disorders, 12(9), 2329–2342. https://doi.org/10.1007/s13300-021-01064-4

Park, C., & Le, Q. A. (2018). The Effectiveness of Continuous Glucose Monitoring in Patients with Type 2 Diabetes: A Systematic Review of Literature and Meta-analysis. Diabetes Technology & Therapeutics, 20(9), 613–621. https://doi.org/10.1089/dia.2018.0177

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Unger, J., Kushner, P., & Anderson, J. E. (2020). Practical guidance for using the FreeStyle Libre flash continuous glucose monitoring in primary care. Postgraduate medicine, 132(4), 305–313. https://doi.org/10.1080/00325481.2020.1744393

Yaron, M., Roitman, E., Aharon-Hananel, G., Landau, Z., Ganz, T., Yanuv, I., Rozenberg, A., Karp, M., Ish-Shalom, M., Singer, J., Wainstein, J., & Raz, I. (2019). Effect of Flash Glucose Monitoring Technology on Glycemic Control and Treatment Satisfaction in Patients With Type 2 Diabetes. Diabetes care, 42(7), 1178–1184. https://doi.org/10.2337/dc18-0166

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Publicado

12/10/2024

Cómo citar

GALHARDO, A. C.; GARCIA, E. P. L. .; BACCARIN, C. S. .; GYOTOKU, L. C. . Beneficios del auto-monitoreo de glucosa en sangre para pacientes con Diabetes tipo 2 y su importancia en la Atención Primaria. Research, Society and Development, [S. l.], v. 13, n. 10, p. e52131047044, 2024. DOI: 10.33448/rsd-v13i10.47044. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/47044. Acesso em: 3 jul. 2025.

Número

Sección

Ciencias de la salud