Summary of the best evidence for prevention strategies of exercise-related hypoglycemia in type 1 diabetes mellitus children after discharge
10.3760/cma.j.cn115682-20211031-04907
- VernacularTitle:1型糖尿病患儿院外运动相关低血糖预防策略最佳证据总结
- Author:
Xumei WANG
1
;
Zhi LI
;
Qin YANG
;
Huifeng WANG
;
Chunli WANG
;
Rui WANG
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院内分泌遗传代谢病房，北京 100045
- Keywords:
Diabetes mellitus, type 1;
Child;
Hypoglycemia;
Exercise management;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2022;28(23):3081-3089
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and analyze evidence on exercise-related hypoglycemia prevention in children with type 1 diabetes mellitus (T1DM) and summarize the best evidence.Methods:BMJ Best Practice, UpToDate, NICE, JBI, SIGN, Cochrane Library, RNAO, IDF, ADA, Web of Science, PubMed, Embase, Medlive, Wanfang database, China National Knowledge Infrastructure (CNKI) and China Biology Medicine disc (CBM) were searched by computer for guidelines, evidence summary, recommended practice, systematic review, clinical decision-making and expert consensus on the prevention of exercise-related hypoglycemia in children with T1DM in the recent 6 years (2015-2020) .Results:A total of 13 papers were included, including 6 guidelines, 3 expert consensus papers and 4 clinical decision papers. Finally, 32 pieces of best evidence were formed, including 7 aspects such as characteristics of exercise-related hypoglycemia, the prevention strategies of hypoglycemia before, during and after exercise, and nocturnal hypoglycemia, hypoglycemia prevention strategies and health education.Conclusions:The best evidence of exercise-related hypoglycemia prevention strategy for T1DM children selected in this study is comprehensive and specific, based on which nursing staff can conduct health education on exercise-related hypoglycemia prevention for out-of-hospital type 1 diabetes children and their parents.
