VanBaak Karin D, Nally Laura M, Finigan Ryan T, Jurkiewicz Carrie L, Burnier Andre M, Conrad Barry P, Khodaee Morteza, Lipman Grant S
Department of Family Medicine and Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO.
Department of Pediatric Endocrinology, Yale University School of Medicine, New Haven, CT.
Wilderness Environ Med. 2019 Dec;30(4S):S121-S140. doi: 10.1016/j.wem.2019.10.003. Epub 2019 Nov 18.
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.
荒野医学会于2018年召集了一个专家小组，以制定一套基于证据的指南，用于治疗1型和2型糖尿病，以及识别、预防和治疗荒野运动员糖尿病并发症。我们对糖尿病的分类、病理生理学、规划和预防措施的循证指南，以及糖尿病和血糖并发症的常规与紧急治疗管理的最佳实践建议进行了综述。这些建议根据支持证据的质量以及每项建议的益处与风险或负担之间的平衡进行分级。
