Diretrizes para o acompanhamento dos usuários diabéticos na Estratégia Saúde da Família

Abstract

This paper describes guidelines for the monitoring of diabetic patients in the Family Health Strategy (FHS) in the municipality of Quissamã / RJ. Interest in this subject arose due to the high number of admissions for complications of diabetes mellitus in the city, leading to reflection on the process of monitoring of diabetic patients carried out by ESF. In my practice as a supervisor of family health teams, I have noticed a gap in monitoring that user. This study aimed to identify literature on the main actions that should be present in the diabetic care, the Family Health Strategy and to propose guidelines for monitoring user diabetic by the Family Health Strategy. A narrative review from the literature on recommendations for monitoring such patients for primary care, particularly the Family Health, was carried out. The studies found that address the Diabetes Mellitus in Primary Care highlighted the need for a strict metabolic control in conjunction with relatively simple and effective measures to prevent chronic complications of diabetes mellitus, or delay them. The quality of care should be measured by better integration of services, enhancing the communication between the sectors, with assurance of comprehensive health care for those users. The Family Health Teams have an important role in controlling chronic diseases. Finishing was possible see that in case of Diabetes Mellitus, control and prevention of its complications becomes a challenge for professionals and users, taking into account the changing habits and lifestyle of the bearer of Diabetes. A flowchart of assistance of Family Health Teams to diabetic patients was prepared.