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Introduction: Glucose self-monitoring by diabetes mellitus patients is important for the prevention of clinical complications. Objective: To compare the pain intensity in punctures at earlobe and fingertip and to evaluate the interference of the puncture site on the values of capillary blood glucose test. Method: Descriptive and exploratory quantitative study. We evaluated 70 diabetes mellitus patients. The monitoring was randomly carried out, with G-TECH Free glucometer 1®. To assess pain intensity, it was used a numerical scale graded in 0 (absent), 1 (mild), 2 (mild), 3 ( moderate), and 4 (severe). Results: For patients with Type 1 diabetes mellitus, the average blood glucose was 274.38±22.64 mg/dL for earlobe and 298.33±4.58 mg/dL for fingertip. For Type 2 diabetes mellitus, results were 187.19±9.85 mg/dL for earlobe and 195.41±10.47 mg/dL for fingertip. There was correlation between blood glucoses measured in both puncture sites. For patients with Type 1 diabetes mellitus, there was no pain (0) in earlobe, and fingertip was 1.86±0.12. For patients with Type 2 diabetes mellitus, it was found that the average pain intensity for earlobe was 0.06±0.03 and for fingertip, 1.75±0.09. Conclusion: There was a statistical difference regarding the glycemic index generated by different sites. Lower pain intensity was observed when the test was done on the earlobe, as a good choice for test site.
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Collet-Solberg PF. Cetoacidose diabética em crianças: revisão da fisiopatologia e tratamento com o uso do “método de duas soluções salinas”. J Pediatr. 2001;77(1):9-16. http://dx.doi.org/10.1590/S0021-75572001000100006
Burge MR. Lack of compliance with home blood glucose monitoring predicts hospitalization in diabetes. Diabetes Care. 2001;24(8):1502-3.
Sociedade Brasileira de Diabetes [Internet]. Diretrizes SDB 2009. Disponível em: http://www.diabetes.org.br/para-profissionais/diretrizes-da-sbd. Acesso em: 10 set. 2012.
Jacobson AM, Groot M, Samson JA. The evaluation of two measures of quality of life in patients with type 1 and type 2 diabetes. Diabetes Care. 1994;17(4):267-74.
Ravel R. Laboratório clínico: aplicações clínicas dos dados laboratoriais. Rio de Janeiro: Guanabara Koogan; 1995.
Anzalone P. Equivalence of earlobe site blood glucose testing with finger stick. Clin Nurs Res. 2008;17(4):251-61.
Carley SD, Libetta C, Flavin B, Butler J, Tong N, Sammy I. An open prospective randomised trial to reduce the pain of blood glucose testing: ear versus thumb. BMJ. 2000;321(7252):20. http://dx.doi.org/10.1136/bmj.321.7252.20
Toledo FG, Taylor A. Alternative site testing at the earlobe tip: reliability of glucose measurements and pain perception. Diabetes Care. 2004;27(2):616-7. http://dx.doi.org/10.2337/diacare.27.2.616-a
Bina DM, Anderson RL, Johnson MS, Bergenstal RM, Kendall DM. Clinical impact of prandial state exercise and site preparation on the equivalence of alternative-site blood glucose testing. Diabetes Care. 2003;26(4):981-5.
Peled N, Wong D, Gwalani SL. Comparison of glucose levels in capillary blood samples obtained from a variety of body sites. Diabetes Technol Ther. 2002;4(1):35-44. http://dx.doi.org/10.1089/15209150252924067
Mira GS, Candido LM, Yale JF. Performance de glicosímetros utilizados no automonitoramento glicêmico de portadores de diabetes mellitus tipo 1. Arq Bras Endocrinol Metab. 2006;50(3):541-9.
Lent R. Cem bilhões de neurônios: conceitos fundamentais de neurociências. São Paulo: Atheneu; 2005.
Ferraz DP, Maia FF, Araújo LR. Glicemia capilar em ponta de dedo versus lóbulo de orelha: estudo comparativo dos valores resultantes e preferências dos pacientes. Arq Bras Endocrinol Metab. 2004;48(3):389-93.
Viana AG, Lins D, Jacob RS, Liberman B. Locais alternativos de coleta de sanguínea na automonitorização da glicemia: um estudo comparativo. Arq Bras Endocrinol Metab. 2003;47(2):S179.