Better control of diabetes and reducing the complications

Diabetes Destroyer Review

Every day, millions of people with diabetes apply insulin one or more times per day. The application technique is essential for effective glucose control and often health professionals do not provide the appropriate recommendations for its implementation.

In 2010, a study conducted in six referral centers for diabetes in Brazil, sought to raise the mistakes that people make in self-application, analyzing factors such as dose record in the syringe, carrying subcutaneous fold and rotation of application points. Only 10% of patients to self-administration technique has been considered completely correct. It is essential that the professional emphasize the importance of proper needle size, the correct application process, and all other aspects of the technique, as these are crucial factors for the treatment of diabetes and directly impact on glycemic control.

In order to improve clinical practice, ensuring better control of diabetes and reducing the complications in 2009 a meeting was held with the participation of 127 professionals from 27 countries, including physicians, nurses, psychologists and educators. This meeting takes its name from TITAN (Third Injection Technique Workshop in Athens), and sought to propose new application recommendations, based on evidence, written and validated by a large group of experts. For the formulation of these new application recommendations for patients with diabetes, experts relied on a literature review and also were based on data collected by the ITQ survey (Injection Technique Questionnaire) held in 2008 and 2009 with the participation of 16 countries. In 2010, new recommendations were published and since then, fill an important gap in the treatment of diabetes, and are essential to ensuring more comfortable, effective and free of complications applications.

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From 23 to 25 October this year, will take place in Rome, FITTER (Forum for Injection Technique & Therapy Expert Recommendations), which will feature the participation of 150 experts from different countries and aims to create a new set of recommendations and guidelines on technical injection, infusion and safety. The basis for the discussion will be in clinical and data collected in a recent issue of Research ITQ evidence. ITQ search began in November 2013 and the application of the questionnaire aims to know how people perform injections, determine the differences from one individual to another and justify them, and understand the individual perception of the process. This time we have the participation of Brazil, where data collection was performed in 5 reference centers for diabetes (São Paulo, Curitiba, Uberaba, Brasilia and Porto Alegre), which makes updating new recommendations even more impactful for clinical practice in our country, because it will take into account the reality of our patients and professionals. Brazil had important participation in this study, which included more than 150 individuals, placing it in 11th place among the 27 participating countries.