Dispositivos implantáveis para monitorização glicêmica em pacientes diabéticos: uma revisão de escopo

Abstract

INTRODUCTION: Diabetes mellitus (DM) is one of the chronic non-communicable diseases (NCDs) with high associated morbidity and mortality. Early diagnosis and monitoring of glycemic indexes are essential in preventing complications. Monitoring with implantable devices, although not yet widespread, points to important benefits in the management of diabetes. Given this, the research question arose: “What does the literature say about the use of implantable devices to control blood glucose in patients with diabetes mellitus? ” OBJECTIVE: To map, through a scoping review, what the literature reports on the use of implantable devices to control blood glucose in patients with diabetes mellitus. MATERIALS AND METHODS: A scoping review of the literature was carried out with works published in the databases Public/Publisher Medline (PubMed), Scientific Electronic Library Online (SciELO), Excerpta Medica Database (EMBASE), Latin American and Caribbean Literature in Health Sciences (LILACS), Cochrane Database of Systematic Reviews and Scopus. The descriptors Diabetes Mellitus, Glycemic Control, Implantable devices and Blood glucose selfmonitoring connected by the Boolean operator AND were used. Randomized and nonrandomized, case-control and cohort clinical trials in Portuguese or English from the last 5 years were included, excluding studies that were not relevant to the objective of the study or that were not available free of charge. RESULTS: 62 studies were found, including 11 that met the research eligibility criteria, correlated with the use of implantable devices for blood glucose control. FINAL THOUGHTS: Implantable blood glucose control devices have the potential to revolutionize diabetes care, providing patients and healthcare professionals with powerful tools to improve glycemic control, prevent complications and improve quality of life. However, it is essential to carry out additional studies to assess the long-term safety of these devices, improve their accuracy and reliability, and make them more affordable..