O impacto do uso de dispositivos de monitoramento contínuo de glicose no controle glicêmico e na qualidade de vida de pessoas vivendo com diabetes tipo 2

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Luany Gomes Ferreira dos Santos
Victória Goelzer Ferreira Lasch Corrêa
Beatriz Dias Paredes
Ana Carla Maia Rodrigues de Paula
Kristian Cavalcanti Santos
Sophia Lorenzato de Souza
Érica Domiciano Fabiano
Leonardo Pizzolatti Miranda Ramos
Marina de Souza Simioni
Amanda Carolina Zicatti da Silveira

Resumo

Objetivo: Analisar o impacto do uso de dispositivos de monitoramento contínuo de glicose no controle glicêmico e na qualidade de vida de pessoas vivendo com diabetes tipo 2. Métodos: Por meio da plataforma de base de dados PubMed, foi realizada uma Revisão Integrativa, com o intento de localizar fontes relevantes para tal. A pesquisa foi realizada sob o uso dos descritores “Blood Glucose Self-Monitoring", “Continuous Glucose Monitoring”, “Diabetes Mellitus, Type 2" e "Diabetes Mellitus, Type 1", em associação aos operadores booleanos “AND” e "OR" e "NOT”, para a busca dos artigos, resultando em 853 artigos iniciais. Dentro desses números, devido aos critérios de inclusão e exclusão, apenas 23 foram selecionados. Resultados: Os estudos apontam estreita ligação entre o monitoramento contínuo de glicose e a redução do risco e da frequência de episódios de hipoglicemia e hiperglicemia, além de redução e/ou manutenção da HbA1c e prevenção da deterioração glicêmica em pacientes com DM2. Considerações Finais: O uso do monitoramento contínuo de glicose em pacientes com DM2 auxilia na regulação glicêmica, minimiza a incidência de episódios hiperglicêmicos e hipoglicêmicos e otimiza o estilo de vida do paciente, contudo não aparenta reduzir o desconforto geral causado pelo diabetes.

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Como Citar
SantosL. G. F. dos, CorrêaV. G. F. L., ParedesB. D., PaulaA. C. M. R. de, SantosK. C., SouzaS. L. de, Fabiano Érica D., RamosL. P. M., SimioniM. de S., & SilveiraA. C. Z. da. (2023). O impacto do uso de dispositivos de monitoramento contínuo de glicose no controle glicêmico e na qualidade de vida de pessoas vivendo com diabetes tipo 2. Revista Eletrônica Acervo Saúde, 23(12), e15090. https://doi.org/10.25248/reas.e15090.2023
Seção
Revisão Bibliográfica

Referências

1. BREYTON AE, et al. CGMS and Glycemic Variability, Relevance in Clinical Research to Evaluate Interventions in T2D, a Literature Review. Front Endocrinol (Lausanne), 2021; 12: 666008.

2. CHEN M, et al. Flash Glucose Monitoring Improves Glucose Control in People with Type 2 Diabetes Mellitus Receiving Anti-diabetic Drug Medication. Exp Clin Endocrinol Diabetes, 2021; 129(12): 857-863.

3. FURLER J, et al. Use of professional-mode flash glucose monitoring, at 3-month intervals, in adults with type 2 diabetes in general practive (GP-OSMOTIC): a pragmatic, open-label, 12-month, randomised controllled trial. Lancet Diabetes Endocrinal, 2020; 8(1): 17-26.

4. GUNAWARDENA KC, et al. The Influence of the Smart Glucose Manager Mobile Application on Diabetes Management. J Diabetes Sci Technol, 2019; 13(1): 75-81.

5. IDA S, et al. Utility of Real-Time and Retrospective Continuous Glucose Monitoring in Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. J Diabetes Res, 2019: 4684815.

6. JACKSON MA, et al. Type 2 Diabetes and the Use of Real-Time Continuous Glucose Monitoring. Diabetes Technology & Therapeutics, 2021; 23: 27-34.

7. JANAPALA RN, et al. Continuous Glucose Monitoring Versus Self monitoring of Blood Glucose in Type 2 Diabetes Mellitus: A Systematic Review with Meta-analysis. Cureus, 2019; 11(9): e5634.

8. KARTER AJ, et al. Continuous Glucose Monitor Use Prevents Glycemic Deterioration in Insulin-Treated Patients with Type 2 Diabetes. Diabetes Technol Ther, 2022; 24(5): 332-337.

9. KEBEDE MM, et al. Effectiveness of Digital Interventions for Improving Glycemic Control in Persons with Poorly Controlled Type 2 diabetes: A Systematic Review, Meta-analysis, and Meta-regression Analysis. Diabetes Technology & Therapeutics, 2018; 20(11): 767-782.

10. KIEU A, et al. The Benefits of Utilizing Continuous Glucose Monitoring of Diabetes Mellitus in Primary Care: A Systematic Review. J Diabetes Sci Technol, 2023; 17(3): 762-774.

11. LEE SK, et al. Effect of Diabetes Education Through Pattern Management on Self-Care and Self-Efficacy in Patients with Type 2 Diabetes. Int J Environ Res Public Health, 2019; 16(18): 3323.

12. MANFREDO J, et al. Short-term use of CGM in youth onset type 2 diabetes is associated with behavioral modifications. Frontiers, 2023; 14: e1182260.

13. MILLER E, et al. What Role Might There Be for Continuous Glucose Monitoring in the Assessment of Diabetes Risk?. Diabetes Technol Ther, 2023; 25(S3): S14-S20.

14. MONTERO AR, et al. Implications of remote monitoring Technology in Optimizing Traditional Self-Monitoring of blood glucose in adults with T2DM in primary care. BMC Endocrine Disorders, 2021; 21(1): 1-8.

15. OGAWA W, et al. 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. J Diabetes Investig, 2021; 12(1): 82-90.

16. OSER TK, et al. Personal Continuous Glucose Monitoring Use Among Adults with Type 2 Diabetes: Clinical Efcacy and Economic Impacts. Current Diabetes Reports, 2021; 21: 1-16.

17. PAGLIALUNGA S, et al. Tracking the Sugar Rush: Incorporating Continuous Glucose Monitoring Into Multisite Early Clinical Research With Type 2 Diabetes Subjects. Clinical Pharmacology in Drug Development, 2018; 7(7): 676-683.

18. RIVERA-ÁVILA DC, et al. The effects of professional continuous glucose monitoring as an adjuvante educational tool for improving glycemic control in patients with type 2 diabetes. BMC Endocrine Disorders, 2021; 21: 1-9.

19. WANDA E, el al. Flash glucose monitoring helps achieve better glycemic control than conventional self-monitoring of blood glucose in non-insulin-treated type 2 diabetes: a randomized controlled trial. BMJ Open Diabetes Res Care, 2020; 8(1): e001115.

20. WRIGHT EE, SUBRAMANIAN S. Evolving Use of Continuous Glucose Monitoring Beyond Intensive Insulin Treatment. Diabetes Technology & Therapeutics, 2021; 23: 12-18.

21. XU Y, et al. Evaluating the impact of self-monitoring of blood glucose frequencies on glucose control in patients with type 2 diabetes who do not use insulin: A systematic review and meta-analysis. Int J Clin Pract, 2019; 73(7): e13357.

22. YARON M, et al. Effect of Flash Glucose Monitoring Technology on Glycemic Control and Treatment Satisfaction in Patients With Type 2 Diabetes. Diabetes Care, 2019; 42(7): 1178-1184.

23. ZHENG M, et al. Barriers and facilitators of diabetes management by continuous glucose monitoring systems among adults with type 2 diabetes: a protocol of qualitative systematic review. BMJ Open, 2021; 11(10): e046050.

24. ZHENG M, et al. Comparing effects of continuous glucose monitoring systems (CGMs) and self-monitoring of blood glucose (SMBG) amongst adults with type 2 diabetes mellitus: a systematic review protocol. Syst Ver, 2020; 9(1): 1-6.