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Objective. To evaluate whether use of a culturally adapted mobile application (app) for adolescents with type 1 diabetes is associated with improved metabolic control. Methods. The Dominican Republic’s National Institute of Diabetes, Endocrinology, and Nutrition and the Learning to Live clinic recruited 23 pediatric participants for the study. Blood tests were performed before and after use of the app for a period of 3 months. Based on the user profile, participants were encouraged to use the app’s bolus insulin calculator after each meal. The app included a list of regionally and culturally specific foods, color-coded to indicate a high glycemic index (GI) as red; medium GI as yellow; and low GI as green. The color-coding was designed to assist participants in making healthier eating choices. Results. There were statistically significant improvements in lipid profile. Mean high-density lipoprotein values rose to acceptable levels, while low-density lipoproteins and triglyceride levels fell to the recommended values. The overall quality of life increased, although glycated hemoglobin levels showed no statistically significant changes. Conclusion. The findings of this study suggest that using this culturally tailored app can help young patients with type 1 diabetes to improve metabolic health.

Objective: to describe nursing professionals' knowledge of preparing and administering insulin to hospitalized children and adolescents. Methods: a cross-sectional study with 64 nursing professionals from a highly complex public children's hospital, recruited by convenience sampling. A questionnaire was used to collect data, and the level of professional knowledge and the quality of care were analyzed using the positivity index. The ethical and legal principles of research were complied with. Results: there was a predominance of women (94.4%) with an average age of 37.16+8.09 years and an average time working in pediatrics of 13.90+8.91 years. Of the 19 items on insulin, those considered poor assistance (eight) prevailed, followed by borderline assistance (five), which may have an impact on the preparation and administration of insulin with glycemic and metabolic repercussions for pediatric inpatients. Conclusion: weaknesses were found concerning nursing professionals' knowledge of various aspects of insulin use in children and adolescents in the hospital environment. Contributions to practice: the study addresses gaps in the nursing team's knowledge of insulin injection, providing opportunities for improvement.

DM1 is a metabolic disorder characterized by the absence of insulin production and secretion due to an autoimmune destruction of pancreatic beta cells. Children have characteristics and needs that dictate different standards of care. The management of diabetes in children must take into account the main differences between children of various ages and adults. Nurses play a significant role in diagnosing diabetes in many healthcare settings, resulting in rapid diagnoses and prompt initiation of treatment. Objective: The objective of this study was to analyze the incidence of children and adolescents with insulin dependence in the municipality of Almenara -MG between 2020 and 2023. Methodology: The work is a descriptive exploratory qualitative study. From the collection of data through access to a database made available virtually in the official notification system e-SUS APS-Secretariat of Primary Health Care, in the period between the years 2020 to 2023, the demographic data to categorize this research were: Gender and Age. A qualitative analysis was carried out on the theme. Data were collected using data obtained from electronic databases such as scientific electronic library online (SCIELO), Google Scholar, and other articles published by the World Health Organization (WHO). Being limited to the period from 1990 to 2021, articles published in Portuguese and English were used. Results: The results show that the age of highest incidence of DM is between 10 and 14 years old and a similar proportion between girls and boys. In 2020, we found only two cases of children under 01 years of age with DM, these cases are simultaneously faced by a male and a female child. The study shows that the number of recent diagnoses of diabetes DM in childrenand adolescents is substantial. More sociodemographic data are needed to expand studies in thestudied region. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT Insulinomas are rare neoplasms of the endocrine pancreas. Minimally invasive treatment options for insulinomas have gained prominence, replacing surgical resection due to its associated morbidity and mortality. Radiofrequency ablation (RFA) has emerged as a relevant treatment option. We present a case of a female patient with neuroglycopenic symptoms and severe hypoglycemic crises. The abdominal magnetic resonance imaging (MRI) showed a small nodular lesion in the pancreatic body. Laparotomy was performed, followed by RFA using a 15-mm active-tipped needle. No complications transpired, and no hypoglycemic episodes were observed during 12 months of follow-up.

ABSTRACT Insulinoma is a tumor of pancreatic beta cells that occurs in ferrets and can lead to symptoms such as hypoglycemia, lethargy, and seizures. Prognosis varies depending on the extent of the tumor and response to treatment. This study describes the follow-up, diagnosis, and therapeutic management of two cases of insulinoma in ferrets. Clinical signs of reported animals varied according to the severity and duration of hypoglycemia. Presumptive diagnosis was based on clinical signs, hematological monitoring (evidenced by hypochromic anemia), biochemical analysis (increased alanine aminotransferase enzyme and hypoglycemia), and imaging exams (hepatomegaly and splenomegaly in one case of this study). Treatment varied according to the intensity of clinical signs, but both cases resulted in death. Regular veterinary follow-up and early detection are important to improve animal quality of life.

Objective: to understand the experiences with diabetes mellitus management of people who use insulin, in order to identify possible factors that may influence adherence to self-care and thus define their learning demands for diabetes self-management. Method: this is a qualitative study carried out using individual semi-structured interviews online. The interviews were recorded, transcribed and evaluated using Atlas.ti® software by means of Thematic Content Analysis, using the Health Beliefs Model as a theoretical framework. Results: 11 people living with diabetes and using insulin took part in the study. Four categories were identified: understanding diabetes, how to deal with diabetes, difficulties related to insulin use and emotional adaptation. Conclusion: the perception of the severity of the disease, its complications and the benefits of adhering to treatment positively influences adherence to self-care behaviors. Although the study participants have lived with diabetes for many years, they are not exempt from difficulties related to insulin use and disease management, reinforcing the importance of continuing health education. In this sense, the findings of this study guide important educational themes to be worked on by health professionals to promote autonomy in diabetes self-management.

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Atrophic acne scars result from an abnormal wound-healing response that can be treated with microneedling (MN). Insulin may play a role in wound healing. The effectiveness and safety of combining MN with topical insulin as an alternative therapy for atrophic acne scar revision have not yet been widely reported. We report the case of a 33-year-old woman with an atrophic acne scar on the middle third of her face. The patient was treated with MN and topical insulin for four sessions at two-week intervals. MN plus insulin can be considered an alternative for acne scar revision.

Introduction: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by increased blood glucose concentration (hyperglycemia). Essential oils have constituents that can help control diabetes based on several mechanisms of action (stimulation of insulin production, enzymatic inhibition, among others), emerging as promising antidiabetic candidates, Objective: To evaluate the chemical composition and in vitro antidiabetic activity of essential oils from Algrizea minor and Eugenia brejoensis. Methodology: The essential oils were obtained by hydrodistillation and characterized by gas chromatography coupled to a mass spectrometer (GC-MS) and flame ionization detector (GC-FID). The oils were evaluated for α-amylase and α-glucosidase inhibition by colorimetric methods. Results: It was possible to identify 94.56% of the chemical composition of the essential oil of A. minor, which presented as major components β-pinene, α-pinene, germacrene, bicyclogermacrene, caryophyllene, and limonene; and 96.92% of the chemical composition of the essential oil of E. brejoensis, its major compounds being (E)-caryophyllene, cadinene, Epi-α-muurolol, bicyclogermacrene, α-cadinol, and spathulenol. As for the inhibition of α-amylase and α-glucosidase, the essential oil of A. minor was inhibited, with IC50 values (mean inhibitory concentration) of 0.83±0.00 µg/mL and 9.12±0.12 µg /ml, for said enzymes respectively. The essential oil of E. brejoensis was also able to inhibit enzymes related to carbohydrate metabolism, showing IC50 values of 1.42±0.02 µg/mL and 37.23±0.01 µg/mL for α-amylase and α-glucosidase, respectively. Conclusion: Essential oils can inhibit enzymes related to carbohydrate metabolism and may become a strategic therapeutic tool for the treatment of Diabetes Mellitus (DM). [ABSTRACT FROM AUTHOR]

Objective: To analyze the forms of correct disposal of domestic waste from insulin therapy and develop a technology for patient education (booklet). Methods: Descriptive and exploratory study, integrative review type. The survey of publications was conducted between July and December 2021, from the Latin American Literature in Health Sciences (Lilacs), Scientific Electronic Library Online (Scielo) and Virtual Health Library (VHL) databases, using the following descriptors: Diabetes Mellitus; Insulin; Waste Management. Results: It was identified that the guidance to people with Diabetes Mellitus regarding the correct disposal of needles, syringes, lancets, reagent strips, among others is deficient and that the lack of specific Brazilian legislation for health care waste produced in households is the main problem for the inadequate management of health care waste. From the findings it was possible to develop a technology for education of people using insulin. Conclusion: There is a need to invest in guidance and prevention actions, to reinforce to users the care in the disposal of health services waste. The training of health professionals enables the transfer of appropriate and consistent guidance to users, aiming to protect those who produce waste, the collectors and the environment. [ABSTRACT FROM AUTHOR]

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Nutrición Clínica y Dietética Hospitalaria is the property of Sociedad Espanola de Dietetica y Ciencias de la Alimentacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to build and validate educational technology on insulin therapy for educational practices of health professionals. Method: methodological study conducted in three stages: construction, between May and September 2019; and content validation and appearance validation, August 2020 to August 2021, in a Public University of Amapá, Brazil. Content validation and appearance validation were performed in single steps with 16 health professionals and with five professionals from other areas respectively. Results: The educational technology was named Serial Album on Insulin Therapy and was available in printed format. It presented a Content Validity Index of 0.91 and an Appearance Validity Index of 1.00. Conclusion: the technology was validated and can be used by primary care health professionals in health educational practices, with a view to promoting teaching-learning about the use of insulin, benefiting the process of care and communication in health care.

ABSTRACT Objectives: to analyze the psychosocial factors correlated with the behavioral intention of people with Type 2 Diabetes Mellitus (T2DM) towards insulin use. Methods: a cross-sectional study; a validated instrument based on the Theory of Planned Behavior was used to identify the direct measures (attitude, subjective norm and perceived control), indirect measures (behavioral, normative and control beliefs) and behavioral intention for the use of insulin. Descriptive analysis and Spearman’s correlation were performed for data analysis. Results: a total of 211 individuals participated in the study, with a positive median of behavioral intention. Attitude, normative and behavioral beliefs were the psychosocial factors that presented a significant correlation (r=0.16, r=-0,15 and r=0.25, respectively; p

Objective: To describe the experience of in-service education with nursing professionals from a hospital emergency room, in the operationalization of a protocol for glycemic control and insulin treatment in critically ill patients. Method: Experience report, conducted by undergraduate nursing students of a Public University of the State of Bahia, Brazil. Experienced in the Red Room of a public hospital, between November/2019 and March/2020. The Situational Strategic Planning was used as a theoretical and methodological reference. Results: The in-service education actions were planned according to the “explanatory”, “normative”, “strategic”, and “tactical-operational” phases. It counted with the participation of 12 Nursing professionals. The training occurred through an individual approach about the proper use of the insulin therapy protocol. Conclusion: this study may contribute to promote further discussions in the academic and hospital environment, as well as raise awareness among professionals about the importance of the correct use of the insulin therapy protocol

Copyright of Revista Saúde is the property of Revista Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Atrophic acne scars are persistent and undesirable sequelae that have a negative cosmetic and psychosocial impact on patients. This issue becomes more delicate when such scars are located in the presternal region due to the risk of hypertrophic scars appearing when performing these procedures in the area. The literature has long recognized the role of insulin in promoting protein and fat synthesis. Insulin properties as a growth factor to treat these sequelae seems logical and has proved cosmetically satisfying, with quality of life improvement.

Abstract Background: Hidradenitis suppurativa is a chronic inflammatory skin disease of terminal follicular acroinfundibulum. Objectives: This study aimed to evaluate serum irisin, plasma glucose, insulin, and lipid levels in hidradenitis suppurativa, and elucidate possible associations with disease activity, inflammatory, or metabolic parameters. Methods: This case-control study included 37 patients (M/F: 9/28) and 37 sex-, age- and body mass index -matched healthy controls (M/F: 11/26). Demographic data, Hurley stage of disease, fasting glucose, insulin, total cholesterol, high density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, C-reactive protein levels, erythrocyte sedimentation rate, hematologic parameters, and serum irisin were assessed. Results: The hidradenitis suppurativa group had significantly higher waist circumference than controls (p < 0.001). Insulin resistance, defined as a homeostatic model assessment for insulin resistance value greater than 2.5, was observed in 45.9% of patients and 8.1% of controls (p = 0.003), whereas metabolic syndrome was observed in 32.4% of patients and 5.4% of controls (p < 0.001). Furthermore, plasma triglycerids, glucose, and insulin levels were significantly higher in the hidradenitis suppurativa (p = 0.013, p = 0.001, and p = 0.004), respectively. Mean irisin level was insignificantly higher in the hidradenitis suppurativa group (37.4 ± 32.6) than in controls (26.2 ± 24.7, p = 0.217). Study limitation: Physical activity and the exercise levels of participants were not documented. Conclusion: This study indicates that hidradenitis suppurativa patients have higher serum irisin, fasting plasma glucose, insulin, and triglycerides levels than healthy controls. Thus, the authors suggest that hidradenitis suppurativa patients should be evaluated for insulin resistance and metabolic syndrome, and monitored accordingly.

Abstract Objective: To identify factors related to tissue complications resulting from insulin therapy. Method: This is a descriptive, cross-sectional study carried out in a capital of northeastern Brazil. A semi-structured form and an observation guide were applied to assess the performance of insulin preparation and administration techniques. Descriptive statistics, association test, and multivariate logistic regression were used for data analysis. Results: Most participants were female (74.2%), aged between 51 and 70 years (50.0%), and had nine to eleven years of education (36.7%). The presence of some type of local complication in 73.5% of the participants and the failure to rotate the injection sites in 82.3% are highlighted. Being single/widowed and not rotating insulin application sites were related to local complications and increased the chances of their occurrence by 3.51 and 6.70 times, respectively. Conclusion: Marital status and nonrotation of injection site were related to the increased chances of tissue complications resulting from insulin therapy.

Obesity prevention and weight loss are not simple issues, and any accurate model of obesity must include known physiological processes that hinder weight loss and promote weight gain. Despite all the advances in science, there is an increase in obesity, which is still associated with insulin resistance and metabolic syndrome. There is evidence that low carbohydrate diets help in the remission of Type 2 Diabetes Mellitus, with an improvement in the lipid profile and reduction in liver fat. Insulin has the function of coordinating the use of glucose and free fatty acids, exerting anabolic control, and reducing the circulating concentration of all metabolic fuels. Such physiological action guided the insulin model of obesity to point out that diets rich in carbohydrates would increase weight by increasing insulin secretion. This literature review aimed to study how insulin modulation through the consumption of dietary carbohydrates can promote effects on adipose tissue during weight loss. Based on the available literature, it can be concluded that carbohydrate-restricted diets are useful tools in some clinical situations, but they are overestimated in helping to lose weight. High- quality published meta-analyses point to little or no difference, indirectly discarding the hypothesis that modulation of insulin levels by carbohydrate consumption would further reduce adipose tissue. It is recommended, if this dietary pattern is prescribed, monitoring adherence, in an effort to make it nutritionally complete and to avoid possible emergence of eating disorders. [ABSTRACT FROM AUTHOR]

The aim was to assess the occurrence of hyperglycemia in critically ill patients receiving enteral nutrition therapy (ENT). This cross-sectional, observational study included adult and elderly critically ill patients of both sexes who received exclusive ENT via tube or ostomy for = 72 hours while hospitalized in the intensive care unit. The total sample consisted of 66 patients aged 18 to 87 years, with the majority being older men. The main reason for hospitalization was neurological diseases. Significant associations were found with the diagnosis of diabetes mellitus (p = 0.002), medications (p < 0.004), insulin administration protocol (p < 0.001), and diet (p < 0.001). No associations were observed with clinical outcomes (p = 0.119) or length of hospital stay (p = 0.279). Among patients with strict glycemic control, a prevalence of mortality (80%) was observed, which was significantly associated (p = 0.022). All hyperglycemic patients who received glucose control formulations showed a significant improvement in blood glucose levels (p < 0.001). The high occurrence of hyperglycemia in critically ill patients receiving ENT is influenced by the characteristics of the provided diet and the use of an insulin protocol. [ABSTRACT FROM AUTHOR]

Copyright of Minas Gerais Medical Journal / Revista Médica de Minas Gerais is the property of Associacao Medica de Minas Gerais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Objective To evaluate the factors associated with the need for insulin as a complementary treatment to metformin in pregnant women with gestational diabetes mellitus (GDM). Methods A case-control study was performed from April 2011 to February 2016 with pregnant women with GDM who needed complementary treatments besides diet and physical exercise. Those treated with metformin were compared with those who, in addition to metformin, also needed the combination with insulin. Maternal characteristics and glycemic control were evaluated. Multinomial logistic regression models were developed to evaluate the influence of different therapies on neonatal outcomes. Results A total of 475 pregnant women who needed pharmacological therapy were evaluated. Of these, 366 (77.05%) were submitted to single therapy with metformin, and 109 (22.94%) needed insulin as a complementary treatment. In the analysis of the odds ratio (OR), fasting glucose (FG)

ABSTRACT: The aim of the present study was to describe the dynamics of glucose and insulin curves in pregnant mares, and to evaluate the curves according to body condition score, identifying the presence of insulin resistance and correlating these values with the weight, height and clinical changes of the neonates. For this, pregnant mares were evaluated and then grouped according to body condition score during the gestation length until lactation. GrM corresponds to mares with moderate body score (BCS 5-6); GrOv were mares with overweight body score (BCS 7) and GrOb were obese mares (BCS 8-9). A two-step oral sugar test (OST) was used to determine the data. Cortisol analysis was performed with 300-320 days of gestation, at foaling and after parturition. For evaluation of the neonate, a general clinical examination and, weight and height measurements were performed. The results showed hyperglycemia in response to OST with normal insulin values at foaling with a subsequent fall in both values at lactation disregarding group division. Baseline glucose was decreased in GrM compared to GrOv and GrOb with 70-100 days of gestation and with 130-160 days of gestation. With 270-300 days of gestation and post-partum GrOb had increased baseline glucose than GrM. After OST, glucose at foaling day in GrOb presented increased values than GrM. Baseline insulin values did not differ between groups. Post OST insulin levels were higher in GrOb than GrM and GrOv at parturition. No difference in cortisol between moments was identified. GrOb and GrOv maintained increased concentrations after foaling while GrM had a decrease. No correlation was found between maternal glucose and insulin values with foal weight and height, however, a lower ratio between neonatal weight and mare’s weight in GrOb and GrOv was identified in relation to the GrM. At foaling, mares presented glucose dysregulation, with obese and overweight mares presenting a greater response to OST.

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to analyze the effect of educational intervention on insulin delivery technique. Methods: randomized clinical trial, carried out with 79 patients with Diabetes Mellitus, in two groups, 42 from the control group and 37 from the intervention. Four telephone calls were made in two months to the intervention group. The control group received only conventional follow-up. Results: when comparing the application of insulin in the pre and post-test, there was no significant difference (p>0.05) in the control group, but an improvement of 80.0% in the correct answers on the appropriate technique, with p

ABSTRACT: Background: From 2006 to 2017, the Brazilian federal government provided free of charge traditional insulins for diabetes treatment. This involved public tendering by the Department of Health Logistics of the Ministry of Health (DLOG-MOH) and the reimbursement after direct contracting for supply with commercial private retailers (Brazilian Popular Pharmacy Program - PFPB). Objective: We aim to describe the budget of the Brazilian federal government committed to for the acquisition of insulin, as well as corresponding prices and treatment availability from 2009 to 2017. Methods: Insulin volume and expenditure data were obtained in official administrative databases and in the Electronic System of the Information Service to Citizens. Data were analyzed according to the total provision by the federal government, DLOG-MOH and PFPB. Moreover, data were presented according to insulin type. Volumes were calculated in number of defined daily doses (DDD)/1,000 inhabitants/day. Results: Budgetary commitments due to insulin over nine years amounted to U$1,027 billion in 2017, with an approximate average of U$114.1 million per year. DLOG-MOH was the main insulin provider, despite the increase in PFPB provision along period. DLOG-MOH and PFBP together provided an average of 6.08 DDD/1000 inhabitants/day for nine years. Average prices in PFPB were higher than those in the DLOG series, with a downward trend over the years, narrowing to 2.7 times in 2017, when compared to 2009. Conclusions: Brazil evidenced a moderately sustainable and effective, albeit imperfect, policy for public provision of traditional insulins in the period preceding mandatory free supply of insulin analogues. Future studies must address treatment availability and financial sustainability in the new scenario.

Abstract Objective: To identify the scientific evidence on the frequency of handling errors of conventional and smart pump infusions in intravenous insulin therapy in intensive care units. Method: A systematic review with meta-analysis conducted in the Virtual Health Library, MEDLINE via PubMed, Scopus and Web of Science databases. Articles were assessed regarding the level of evidence by applying the Oxford Center for Evidence-Based Medicine Evidence Scale. Results: Twelve (12) publications were selected which met the eligibility criteria. The programming error rate using the conventional infusion pump ranged from 10% to 40.1%, and the smart pump technology error rate ranged from 0.3 to 14%. The meta-analysis of two studies favored the smart pump in reducing the relative risk of programming errors by 51%. Conclusion: Based on selected articles, the smart pump reduces the risk of programming errors.

Introduction: Evidence has demonstrated clinical or prescriptive inertia along with an increased prescription of insulin, causing a delay in the change of prescription. Objective: To determine the prescription pattern and clinical inertia of insulin use in the treatment of patients with type 2 diabetes mellitus (DM2) enrolled in a diabetes program at a primary health care institution of Cartagena, Colombia. Materials and methods: Pharmacoepidemiology study that addresses drug utilization based on data collected through a review of medical records of 331 patients with DM2, aged 18 and older, who had at least 6 months of control. Results: 64.4% of patients were treated with long-acting insulin analogues and 18.4% used insulin; 52.7% of the patients in which insuline use was required did not have a prescription of this drug. Conclusions: There is clinical inertia related to insulin prescription. Strategies should be implemented to overcome prescriptive inertia for people with DM2 in order to achieve therapeutic goals earlier and effectively prevent the development and progression of chronic complications.

Objective: to evaluate how insulin therapy reflects in the daily lives of people with diabetes mellitus. Method: the data were collected with a total sample of 70 patients with a previous diagnosis of diabetes mellitus using insulin. Questionnaires on socioeconomic profile and quality of life were applied using the Brazilian version of the PAID scale. After collection, the D’Agostino-Pearson test was used for statistics, being performed with the aid of the BioEstat 5.5 program. Results: the protocol used observed that the majority of patients were female (64.3%), attended elementary school (44.3%) and had an income of up to 1 minimum wage (75.7%). The average time of diagnosis was 12.4 years, using insulin for at least 5 years. It was observed that the majority (64.3%) of the patients had a high B-PAID score (≥40), which indicates a high level of emotional distress related to diabetes. Conclusion: a negative impact on the quality of life of the study participants, pointing out the need for better clinical and emotional support was identified. [ABSTRACT FROM AUTHOR]

Objective: to evaluate individual and collective quality and safety in the use of insulin by the aged population in a large city of southern Brazil. Method: a cross-sectional population-based study conducted in 2016-2017 was measured by the way in which syringes and needles were used and disposed of. Descriptive analysis was performed by calculating the data proportions and projections for the older adults in the municipality. Results: 735 older adults were interviewed. The prevalence of diabetes was 20.0%, and 13.8% made use of injectable insulin. Syringes and needle reuse was reported by 55.0%, and 65.0% mentioned discarding the material directly in regular garbage. Conclusions: the quality and safety of the older adults in insulin therapy are compromised, and it is necessary to implement health education strategies aimed at improving knowledge and access to the appropriate guidelines. [ABSTRACT FROM AUTHOR]

Copyright of Revista Enfermagem Digital Cuidado e Promoção da Saúde is the property of Revista Enfermagem Digital Cuidado e Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this study was to analyze the insulin storage inside domestic refrigerators. Temperatures of insulin flasks were verified on 7 locations in the fridge, being performed 10 measurements with a duration of 12 hours in each refrigerator space using digital thermometers which were able to register maximum and minimum temperatures. The best locations for insulin storage identified in this research were the third refrigerator shelf and the vegetable drawer, besides the refrigerator door has been revealed as the worst space for this purpose. From an analysis of the test results, it was observed that the storage locations and daily interferences inside the fridge can adversely affect the temperatures of insulin flasks. This research shows the more or less preferable locations for insulin storage by becoming clear temperatures inside domestic refrigerators, contributing to the planning of practices in health education directed to patients with diabetes mellitus (DM). [ABSTRACT FROM AUTHOR]

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ConScientiae Saúde is the property of Nove de Julho University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gestational diabetes mellitus (GDM) is characterized by glucose intolerance during pregnancy, affects about 3% to 25% of pregnant women, and is considered a public health problem, considering the consequences for mother and the fetus health. Considering the relevance of the theme, the objectives of this study are population awareness about the GDM importance and, through information, to promote the scenario improvement. Data collection was performed on the Scielo, Pubmed, Medline and Lilacs platforms and selected articles from the period 2003 to 2019 using the descriptors diabetes, gestation and insulin. Hyperglycaemia during pregnancy can affect the children, increasing the risk to develop obesity, metabolic syndrome and diabetes. As consequence of this increase in blood glucose levels, it is also possible to observe an increase in insulin levels, a hormone that acts directly on fetal growth, and may lead to adverse outcomes for the child's health. Therefore, the screening of this condition in the prenatal period is extremely relevant for an early and adequate diagnosis and treatment, in order to prevent possible maternal and fetal complications. [ABSTRACT FROM AUTHOR]

Gestational diabetes mellitus (GDM) is characterized by glucose intolerance during pregnancy, affects about 3% to 25% of pregnant women, and is considered a public health problem, considering the consequences for mother and the fetus health. Considering the relevance of the theme, the objectives of this study are population awareness about the GDM importance and, through information, to promote the scenario improvement. Data collection was performed on the Scielo, Pubmed, Medline and Lilacs platforms and selected articles from the period 2003 to 2019 using the descriptors diabetes, gestation and insulin. Hyperglycaemia during pregnancy can affect the children, increasing the risk to develop obesity, metabolic syndrome and diabetes. As consequence of this increase in blood glucose levels, it is also possible to observe an increase in insulin levels, a hormone that acts directly on fetal growth, and may lead to adverse outcomes for the child's health. Therefore, the screening of this condition in the prenatal period is extremely relevant for an early and adequate diagnosis and treatment, in order to prevent possible maternal and fetal complications. [ABSTRACT FROM AUTHOR]

Objective: To know the perceptions of diabetes mellitus type 1adolescents on the use of the insulin injection pen in daily life. Materials and Methods: A qualitative research was carried out involving fifteen diabetic adolescents aged 13 to 18 years-old enrolled in a university extension program. The young men and women attending at least three meetings a year in group activities were invited to participate in the study. Semi-structured interviews were performed before and after the routine use of the insulin pen. The data were analyzed and interpreted through content analysis proposed by Bardin. The ethics committee of FURB approved the project under the protocol number 99/10. Results: Nine adolescents with diabetes, four female and five male, revealed that they feel helpless in the face of the changes caused by the disease and the consequent loss of control over their lives. In addition, the condition of having diabetes and needing to apply insulin with a syringe and needle was pointed out as one of the difficulties of the treatment. Regarding the pen, all adolescents prefer it considering the practicality in the development of daily activities. Conclusion: In this study, it was perceived that the use of the insulin injection pen contributes to the improvement on the quality of life of the adolescent with diabetes, deserving more attention by professionals and health public management aiming to promote self-care. [ABSTRACT FROM AUTHOR]

This study aims to evaluate the factors associated with insulin omission as a weight loss strategy and the differences between adults with type 1 diabetes mellitus (DM1) and without diabetes regarding body image and eating behavior. The sample of this research consists of 34 individuals with DM1, aged between 18 and 55 years old (M=3 5.14, SD=10.08). Participants were asked about the insulin administration and the reasons associated with not administering insulin. The Three Factor Eating Questionnaire (TFEQ-R21) was also used to assess eating behavior and the Body Appreciation Scale-2 (BAS-2) to assess body image. In this sample Diabulimia is more common in women (88.2%). Significant differences were found between adults with DM1 and without diabulimia and those with DM1 and with diabulimia in body image. There were no differences between the two groups in terms of food control. The identification of diabulimia is crucial for the good management of Diabetes, as this phenomenon is poorly studied and may pose a risk to its control. [ABSTRACT FROM AUTHOR]

Copyright of Scientia Medica is the property of EDIPUCRS - Editora Universitaria da PUCRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gestational diabetes is classified as any carbohydrate intolerance, first diagnosed during gestation. Its incidence has increased gradually due to the epidemic of obesity currently installed. The first-choice treatment is insulin, but its management is surrounded by obstacles such as poor adherence and frequent events of maternal hypoglycaemia. Oral antihyperglycaemic agents are an attractive option and are presented as the preference of pregnant women, however it is known that these drugs can cross the placental barrier and the risks of this long-term exposure still require further studies. [ABSTRACT FROM AUTHOR]