RELATIONSHIP BETWEEN RECURRENT CANDIDIASIS AND ELEVATED BLOOD GLUCOSE LEVELS

Abstract

Recurrent vulvovaginal candidiasis (RVVC) is a fungal infection caused primarily by the uncontrolled proliferation of Candida albicans, affecting millions of women worldwide. It is defined as the occurrence of four or more episodes in one year and is often associated with discomfort and impaired quality of life. One of the main risk factors for its recurrence is elevated blood glucose levels, especially in women with diabetes mellitus. Hyperglycemia creates a favorable environment for the proliferation of the fungus, increasing the risk of infection. In addition to elevated blood glucose, factors such as prolonged use of antibiotics, hormonal contraceptives and stress also contribute to the development of candidiasis. Common symptoms include itching, burning, whitish discharge and pain during urination or sexual intercourse. Diagnosis is based on clinical analysis and laboratory tests, while treatment includes antifungals and strict blood glucose control. Considering the global increase in the prevalence of diabetes, RVVC associated with hyperglycemia becomes a relevant public health problem. The aim of this study was to identify and discuss the evidence that links recurrent vulvovaginal candidiasis with high blood glucose levels, especially in women with diabetes mellitus. This study conducted an integrative literature review to investigate this relationship, using databases such as PubMed, Scielo and Lilacs, with rigorous selection criteria to ensure the timeliness and quality of the information. The analysis of the results showed that adequate glycemic control is essential for the prevention and effective management of RVVC. Therefore, educational and treatment strategies that integrate metabolic control are essential to improve the health and quality of life of affected women.