Wilderness Medical Society Clinical Practice Guidelines for Diabetes Management

被引:1
|
作者
VanBaak, Karin D. [1 ,2 ]
Nally, Laura M. [3 ]
Finigan, Ryan T. [4 ]
Jurkiewicz, Carrie L. [5 ]
Burnier, Andre M. [6 ]
Conrad, Barry P. [7 ]
Khodaee, Morteza [1 ,2 ]
Lipman, Grant S. [5 ]
机构
[1] Univ Colorado, Sch Med, Dept Family Med, Aurora, CO USA
[2] Univ Colorado, Sch Med, Dept Orthoped, Aurora, CO USA
[3] Yale Univ, Sch Med, Dept Pediat Endocrinol, New Haven, CT USA
[4] Travis Family Med Residency, Fairfield, CA USA
[5] Stanford Univ, Sch Med, Dept Emergency Med, Stanford, CA USA
[6] Stanford Kaiser Emergency Med Residency, Stanford, CA USA
[7] Stanford Childrens Hosp, Div Endocrinol, Stanford, CA USA
关键词
athlete; insulin; glucose; complications; altitude; acute mountain sickness; diabetic ketoacidosis; trekking; INSULIN-PUMP THERAPY; ACUTE MOUNTAIN-SICKNESS; HIGH-ALTITUDE; PHYSICAL-ACTIVITY; AMBIENT-TEMPERATURE; ENVIRONMENTAL-TEMPERATURE; ARTIFICIAL PANCREAS; POSITION STATEMENT; INTENSE EXERCISE; PLASMA-GLUCOSE;
D O I
10.1016/j.wem.2019.10.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Wilderness Medical Society convened an expert panel in 2018 to develop a set of evidence-based guidelines for the treatment of type 1 and 2 diabetes, as well as the recognition, prevention, and treatment of complications of diabetes in wilderness athletes. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both routine and urgent therapeutic management of diabetes and glycemic complications. These recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks or burdens for each recommendation.
引用
收藏
页码:S121 / S140
页数:20
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