ABSTRACT
O estudo teve como objetivo identificar e comparar os resultados de glicemia de pacientes adultos com diabetes tipo 2 por meio de duas técnicas, laboratorial e capilar. Estudo comparativo foi desenvolvido no período de setembro a dezembro de 2007. A população foi constituída de 36 pacientes adultos residentes no município de Planaltina do Paraná, PR. A pesquisa foi realizada no laboratório de análises clínicas municipal. Para o exame laboratorial foi usado o sangue venoso e para o teste capilar o sangue da ponta do dedo. A maioria dos pacientes (63,9%) era do gênero feminino, idade média de 62,4 anos. Quanto à escolaridade, 41,6% dos pacientes possuíam menos de 8 anos de estudo. Em relação aos níveis glicêmicos, o p-valor do teste Kappa foi significativo em todas as categorias (p< 0,001, p=0,005 e p=0,001), mostrando concordância. Os dados indicam elevada precisão e acurácia dos resultados de glicemia obtidos por meio do glicosímetro, quando comparada ao teste padrão obtido em laboratório.
The goal of this research was to measure the blood glucose levels of type 2 diabetic adult patients and compare the results obtained by two techniques, the standard laboratory (venous) and portable glucometer (capillary) tests. A comparative longitudinal study was conducted from September to December 2007. The study population consisted of 36 resident adult patients in the town of Planaltina do Paraná in upstate Paraná, Brazil. The tests were performed in the local health authority clinical laboratory. For the lab test, venous blood from the arm was used, and for the glucometer test, capillary blood from the fingertip. Most of the patients (63.9%) were women and the average age was 62.4 years. Regarding education, 41.6% of the patients had studied for less than 8 years. Comparing the glucose measurements, the results of the Kappa test were significant in all categories (p<0.001, p=0.005 and p=0.001), showing very good agreement between the methods. The findings indicate a high level of precision and accuracy for the blood glucose readings obtained with the glucometer, compared with the standard test carried out in the laboratory.
Subject(s)
Humans , Male , Female , Aged , Blood Chemical Analysis/methods , Capillaries , Blood Glucose/analysisABSTRACT
Naomi Shinomiya Hell was the first researcher to investigate the physiological adaptations to a meal-feeding scheme (MFS) in Brazil. Over a period of 20 years, from 1979 to 1999, Naomi's group determined the physiological and metabolic adaptations induced by this feeding scheme in rats. The group showed the persistence of such adaptations even when MFS is associated with moderate exercise training and the performance to a session of intense physical effort. The metabolic changes induced by the feeding training were discriminated from those caused by the effective fasting period. Naomi made an important contribution to the understanding of the MFS but a lot still has to be done. One crucial question still remains to be satisfactorily answered: what is the ideal control for the MFS?