Diabetes and Metabolism

  • Health care education in people with arterial hypertension and diabetes mellitus

    Introduction: The Hypertension and Diabetes Program (HIPERDIA), established in 2001 by the Ministry of Health, organizes the assistance to people with Hypertension and Diabetes, chronic diseases in evidence in public health. Assistance begins in primary health care, the main gateway to the Unified Health System’s attention network, which has a fundamental role in the prevention and control of diseases, as well as health promotion with multidisciplinary and interdisciplinary care, considering individuals in its completeness. Objectives: To report on the experience of residents of the Integrated Multiprofessional Residency Program in Family Health, in the inclusion of health promotion activities in the HIPERDIA group in a Family Health Unit in the city of Recife-PE. Methodology: This is an experience report, with data collected from the field diaries of activities in the HIPERDIA group, from August to October 2017. The group operates weekly, with 15 to 25 members. Initiated with health education activity, with professionals. The methods used were talk wheels and group dynamics with themes related to health promotion. Results and Discussion: Health education activities contribute through the exchange of experiences, to individuals’ autonomy in the care of their own health, directed to the expanded concept of health, that goes beyond the control of the disease, expecting the improvement of the quality of life and well-being. Conclusion: The activities contributed to an improvement in the quality of life and prevention of the factors conditioning the complications of chronic diseases. Discussions and exchange of knowledge based on the promotion of oral health, mental health, healthy eating, the importance of self-care, among others, have been built that have contributed to increase the bond with other participants of the group and with professionals, building together a care that provides greater autonomy and well-being.

  • The knowledge of users with diabetes mellitus of a basic health unit on diabetic foot

    Introduction: The Diabetic foot is a neuropathy responsible for several alterations and complications, particularly in the lower limbs. The way diabetics behave and how well they know about diabetic foot care is of ultmost importance, considering prior knowledge precedes an effective preventive plan. Objective: This study aims to investigate the knowledge of diabetic pacients, who are users of the Basic Health Unit in the city of Olinda, on the diabetic foot. Methodology: This is an exploratory descriptive study of quantitative methods, with a sample of 50 diabetic patients from BHU users. After signing a Free and Informed Consent Form, a questionnaire was applied and the collected data was consolidated and presented in tables and graphs charts. Results and Discussion: In total, 42% of diabetics users of the BHU reported that they had not heard about diabetic foot, while 93% reported that they knew about the risks of foot amputation; about 88% affirmed to take care of their feet and the main precautions mentioned were: washing their feet (54 %), avoiding to walk barefoot (39 %) wipe the feet properly (32%), 81% didn´t know about risk factors and approximately 69 % reported that they received no professional guidance in the basic health unit regarding foot care. Conclusion: In light of the above, it is noticeable the importance of a greater knowledge of diabetics users on the neuropathic foot and the need for specific care. Therefore, the understanding is essential for prevention of complications, such as amputation of lower limbs, and for decreased morbimortality.

  • Frequently oral alterations in diabetic patients

    Introduction: The number of Brazilians diagnosed with diabetes increased by 61.8% in the last 10 years, from 5.5% to 8.9% in 2016. The patient with diabetes has physical possibilities that reduce their immunological capacity, increasing the susceptibility of infections and, among these, countless mouthfuls. Objectives: Identify oral asbestos caused by diabetes and what the mechanisms of the body to occur and / or bypass them. Methodology: A bibliographic review was done in the virtual libraries SCIELO and PubMed, use the articles: Diabetes and Oral diseases. We used criteria for inclusion of published articles from 2013 to 2017, in the Portuguese and English languages, which relate to diabetes, dental and oral ebert. Results: The research resulted in 5,821 articles, of which 22 were separated by presenting a relation with the theme, but only four attendants to the inclusion criteria. Discussion: Diabetes is associated with loss of calcium by the body and may lead to alveolar bone decalcification. As major oral manifestations are known as glossodynia, erythema, xerostomia and taste disorders. Diabetes increases the acidity of the buccal medium, increases viscosity and reduces the flow of salivary, which are risk factors for caries. Periodontal disease, which results in a potent inflammatory response, is a common dental manifestation in poorly controlled diabetics. There are modifications of the microbiota in floating or adherent bacterial plaques at the base of the periodontal pocket, due to the high levels of glucose in the sulcular fluid. As infections lead to inflammation resulting in a stressful situation, which increases tissue resistance to insulin, making it difficult to control diabetes. It was then observed that periodontal therapy reduced the need for insulin administration by the diabetic. Conclusion: It is extremely necessary to know about a pathophysiology of diabetes to relate causes and effects and to adopt a more careful…