The best evidence summary for blood glucose management in patients with end-stage diabetic kidney disease undergoing hemodialysis
10.3760/cma.j.cn211501-20230601-01331
- VernacularTitle:终末期糖尿病肾病血液透析患者血糖管理最佳证据总结
- Author:
Hongmei ZHANG
1
;
Ning ZHANG
;
Yujiao SUN
;
Lili SHEN
;
Yi LU
;
Shiyu HAN
Author Information
1. 南京鼓楼医院内分泌科，南京 210008
- Keywords:
Diabetic nephropathies;
Hemodialysis;
Whole process glycemic management;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2024;40(1):43-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and integrate the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, so as to provide a basis for clinical evidence-based nursing practice.Methods:BMJ Best Clinical Practice, Cochrane, OVID, Scopus, UpToDate, CNKI, Wanfang Database, Medical Pulse database, and other guideline networks and professional association websites and databases were searched for blood glucose management in hemodialysis patients with end-stage diabetic kidney disease. The search time limit was from the establishment of the database to May 10, 2023.Results:A total of 14 articles were included, including 1 clinical decision, 5 guidelines, 6 systematic reviews, 1 randomized controlled trial, and 1 expert consensus. The best evidences for blood glucose management in hemodialysis patients were summarized, including 8 aspects of pre-dialysis assessment, pre-dialysis blood glucose management, blood glucose management during dialysis, blood glucose management during dialysis interval, diet and nutrition, exercise management, lifestyle intervention and health education, with 25 pieces of evidence.Conclusions:This study summarizes the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, and provides evidence-based basis for clinical practice for medical staff.
