Research progress on minimally invasive and non-invasive blood glucose detection methods / 生物医学工程学杂志

Blood glucose monitoring has become the weakest point in the overall management of diabetes in China. Long-term monitoring of blood glucose levels in diabetic patients has become an important means of controlling the development of diabetes and its complications, so that technological innovations in blood glucose testing methods have far-reaching implications for accurate blood glucose testing. This article discusses the basic principles of minimally invasive and non-invasive blood glucose testing assays, including urine glucose assays, tear assays, methods of extravasation of tissue fluid, and optical detection methods, etc., focuses on the advantages of minimally invasive and non-invasive blood glucose testing methods and the latest relevant results, and summarizes the current problems of various testing methods and prospects for future development trends.

Acidentes perfurocortantes e avaliação do impacto de um dispositivo de segurança para a sua prevenção em um hospital geral terciário do Rio de Janeiro (2001-2011) / Impact of a safety-engineered device on the prevention of percutaneous accidental exposures in a tertiary general hospital in Rio de Janeiro (2001-2011)

Introdução Os trabalhadores da saúde estão expostos a riscos biológicos no exercício da profissão, particularmente os agentes transmitidos por sangue e secreções, através de acidentes perfurocortantes. A maioria dos países implantou normatizações ou leis visando proteger estes profissionais, entre outros através da introdução de dispositivos de segurança. Desde a publicação da NR.32 em novembro 2005, as novas diretrizes vêm sendo implementadas nas unidades de saúde brasileiras, com dificuldades. Objetivos: (1) Principal: Verificar as alterações na incidência e no perfil dos acidentes perfurocortantes após a introdução de dispositivos de segurança (lanceta retrátil e catéteres para punção venosa periférica) no Hospital Federal dos Servidores do Estado a partir de 2009 em relação ao período anterior (2001-2008). (2) Secundários: – Determinar os tipos de acidentes que sofreram redução. - Determinar a(s) categoria(s) profissional (is) beneficiadas pela introdução do(s) dispositivo(s) – Estimar a relação entre os acréscimos de custos devidos à aquisição do(s) dispositivo(s) e a redução teórica das despesas obtida com diminuição dos acidentes. Métodos. Análise retrospectiva de um arquivo contendo os dados dos acidentes biológicos registrados entre janeiro de 2001 e dezembro de 2011 quanto a natureza do acidente, categoria profissional, tempo de profissão, tipo de instrumento, causa e/ou circunstância. Foram comparados os índices ao longo do tempo, particularmente até 2008 e de 2009 a 2011. Estimou-se também, com a ajuda de um modelo teórico, o impacto eventual de uma lanceta retrátil para coleta da glicemia capilar no orçamento da instituição. Resultados. A proporção dos acidentes perfurocortantes diminuiu a partir de 2009 em comparação com o período anterior (P<0,001). Evidenciou-se uma relação inversa entre a média do tempo de experiência dos profissionais e o número absoluto dos acidentes perfurocortantes...

Background Healthcare workers are exposed to bloodborne pathogens through occupationalinjuries and the replacement of sharps by safety-engineered devices has been recommended asa key preventive measure. This recommendation has been difficult to implement in Brazil.Objectives: (1) Primary. To evaluate the impact of safety-engineered devices (SEDs)introduced since 2008, on the profile of percutaneous exposures reported in a tertiary generalhospital in Rio de Janeiro. (2) Secondary. To determine the nature of avoided exposures, theoccupational group(s) benefited by the SEDs and the hypothetical impact of purchasing thedevice(s) on costs for the institution. Methods. Retrospective study of a database of blood andbody fluid exposures reported from January 2001 through December 2011 in a public generalhospital in Rio de Janeiro where, from the end of 2009, along with SEDs for IV usage, asafety lancet for blood glucose testing (BGT) was introduced. A log-Poisson regression modelwas used to determine the effect of selected co-variates on total percutaneous injuries (PIs)and PIs during BGT. The hypothetical impact of purchasing the safety lancet on costs wasalso analyzed. Results. An inverse relation was apparent between average length ofprofessional experience and absolute number of PIs. Nursing staff had a significant reductionin rate of PIs per 100 full-time equivalents from 2007 to 2011 (P<0.001), while medicalresidents had the highest rate throughout the same period...

A Survey of Blood Glucose Testing, Medication, Diet, and Exercise Adherence in Korean Patients with Type2 Diabetes / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the adherence to diabetes control recommendations (blood glucose testing, medication, diet, exercise) in patients with type 2 diabetes at home and to analyse the correlation between adherence and blood glucose level. METHOD: Participants, numbering 214, were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The data were collected by a self report adherence questionnaire. Glycosylated haemoglobin (HbA1c) was determined by the high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. RESULT: Medication adherence was higher than diet or exercise adherence. The frequency of blood glucose testing was lower for middle school graduates than college graduates. Diet adherence was significantly lower for participants who were obese, who did not have a spouse, and who had hyperglycemia. Medication and diet adherence were negatively correlated with HbA1c. CONCLUSION: A diet education program should be developed for patients with type 2 diabetes who are obese, who do not have a spouse, and who have hyperglycemia.

Depression and Blood Glucose Testing in Women Type2 Diabetic Patients / 여성건강간호학회지

PURPOSE: The purpose of this study was to investigate the depression and the frequency of blood glucose testing in women type2 diabetic patients. METHOD: 114 Participants were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. Depression was measured by visual analogue scale. Blood glucose testing was measured the frequency during past 1 week. RESULT: Depression was higher in hyperglycemia patient (fasting blood glucose> or =110mg/dl) than in normoglycemia patient(fasting blood glucose <110mg/dl). The blood glucose testing frequency as lower in 50-59 years old than in less than 39 years old. And it was lower in middle school graduate than in college graduate. The blood glucose testing was negatively correlated with patient's age. CONCLUSION: The depression program should be developed for hyperglycemia diabetic patients. And the blood glucose testing education program should be developed for aged and low educational level patients.