Implementação de ações e serviços multiprofissionais em busca da reversão do quadro de pré-diabetes de usuários de uma microárea de saúde em Cabedelo – Paraíba

Abstract

The term "prediabetes" is used to describe glucose levels that are above the normal range, with a fasting plasma glucose (FPG) level between 100 and 126 mg/dL, a two-hour plasma glucose (2hPG) level between 5.7 and 6.4, or an HbA1c level between 5.7 and 6.4%. However, these levels are below the threshold for diagnosing diabetes. In this instance, it is advisable to adopt a watchful approach rather than making a definitive diagnosis, given the increased risk of developing DM2. It is still possible to intervene, as the situation can be reversed, preventing the progression of the disease and the emergence of complications. It is of the utmost importance to assess, maintain, and/or modify the action plans and treatments aimed at preventing DM2. In this regard, the present study aims to implement multidisciplinary actions and services with the objective of reversing the "pre-diabetes" condition in users of a microarea of health in UBS Renascer II, Cabedelo, PB, over a one-year period. The proposal is for a multidisciplinary intervention, for which professionals from various fields, including nursing, nutrition, physical education, psychology, and pharmacy, will be invited to participate. A control sheet will be utilized to evaluate glycemic control, containing information such as adherence to the MEV and laboratory test results utilized to measure glycemic values, including GJ, HbA1c, and TTGO, at a minimum of four times over the course of one year. The anticipated outcomes of implementing these lifestyle modification strategies are as follows: adherence to a supervised moderate-intensity physical activity program involving 150 minutes of walking per week; a minimum 7% weight loss through the adoption of a healthy diet, resulting in the remission of DM2 and a reduction in HbA1c over a 12-month period.