Evidence summary on prediabetes management in high risk population with gestational diabetes mellitus
10.3760/cma.j.cn115624-20201106-00779
- VernacularTitle:妊娠期糖尿病高危人群病前管理证据总结
- Author:
Xiaojing GUO
1
;
Lili WEI
;
Jingyuan WANG
;
Yan ZHANG
;
Kai CHEN
;
Wen LI
;
Yujiao ZOU
;
Lü BOHAN
Author Information
1. 青岛大学附属医院重症医学科,青岛 266000
- Keywords:
Gestational diabetes mellitus;
High risk population;
Evidence based nursing;
Evidence summary
- From:
Chinese Journal of Health Management
2021;15(4):356-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate and summarize the evidence on prediabetes management in high-risk population with gestational diabetes mellitus (GDM).Methods:Two researchers independently screened the evidence according to the inclusion criteria and exclusion criteria. The quality of the included evidence was evaluated by the clinical guideline research and evaluation system (AGREE Ⅱ). The quality of the evidence and the strength of recommendation were graded by the GRADE system. According to the clinical nursing practice guidelines for gestational diabetes mellitus, the recommendations for GDM high-risk groups were extracted.Results:A total of 14 pieces of evidence were included, including 4 guidelines, 2 consensus, 5 practice guidelines and 3 diagnosis and treatment standards. 29 pieces of recommendations for prediabetes management of high-risk population with gestational diabetes mellitus were summarized from five aspects, including disease risk assessment, prenatal examination guidance, management objectives of gestational weight and blood glucose, diet guidance and exercise guidance.Conclusion:The evidence of prediabetes management of high-risk population with gestational diabetes mellitus is scientific and reliable.