Posição de consenso da Sociedade Brasileira de Diabetes: insulinoterapia intensiva e terapêutica com bombas de insulina

• Autor(a) principal: Malerbi, Domingos
• Data de Publicação: 2006
• Outros Autores: Damiani, Durval, Rassi, Nelson, Chacra, Antonio Roberto [UNIFESP], Niclewicz, Edgar D'avila, Silva Filho, Ruy Lyra Da, Dib, Sergio Atala [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27302006000100018; http://repositorio.unifesp.br/handle/11600/2902
• topic: Diabetes; Self-monitoring; Multiple-dose insulin therapy; Insulin pumps; Diabetes; Auto-monitorização; Insulinoterapia intensiva; Bombas de insulina

This article reports the Brazilian Diabetes Society consensus statement on intensive insulin therapy and insulin pump therapy, arrived at during an update symposium held in 2003 for this specific purpose. The concepts underlying these modalities of diabetes treatment are outlined, their fundaments are given, and practical issues about their indications, feasibility, limits, techniques and cost-benefit relationships are analyzed. The techniques comprise the suggested self-monitoring schedules and the insulin doses, types, forms of administration and correction factors used in each modality of intensive treatment, for both type 1 and 2 diabetes. The roles of SBD in the implementation of these treatments and of the different professionals involved are discussed and commented. The conclusions are based on consensual answers to some orienting questions formulated during the symposium's presentation.