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Manejo De Las Crisis Glucémicas En Pacientes Adultos Con Diabetes Mellitus: Guía De Práctica Clínica Basada En Evidencia, Lima - Perú / Management of glycemic crises in adult patients with diabetes mellitus: Evidence-based Clinical Practice Guideline, Lima - Peru
Gil Olivares, Fradis Eriberto; Manrique Hurtado, Helard Andrés; Castillo Bravo, Luis; Perez Tazzo, Laura; Campomanes Espinoza, Giovanny Carel; Aliaga Llerena, Karina; Lagos Cabrera, José Humbert; Aguilar Cartagena, Alfredo; Umpierrez, Guillermo.
  • Gil Olivares, Fradis Eriberto; Unidad de Guías de Práctica Clínica, AUNA. Lima. PE
  • Manrique Hurtado, Helard Andrés; Servicio de Endocrinología, AUNA. Lima. PE
  • Castillo Bravo, Luis; Servicio de Medicina Intensiva, AUNA. Lima. PE
  • Perez Tazzo, Laura; Unidad de Guías de Práctica Clínica, AUNA. Lima. PE
  • Campomanes Espinoza, Giovanny Carel; Servicio de Laboratorio, AUNA,. Lima. PE
  • Aliaga Llerena, Karina; Unidad de Guías de Práctica Clínica, AUNA. Lima. PE
  • Lagos Cabrera, José Humbert; Dirección Científica Académica, AUNA. Lima. PE
  • Aguilar Cartagena, Alfredo; Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Emory. Atlanta. US
  • Umpierrez, Guillermo; Unidad de Guías de Práctica Clínica, AUNA. Lima. PE
Rev. Fac. Med. Hum ; 21(1): 50-64, Ene.-Mar. 2021.
Article in English, Spanish | LILACS-Express | LILACS | ID: biblio-1147155
ABSTRACT
The manuscript summarizes the process of elaboration of the Clinical Practice Guide (CPG) for the management of glycemic crises in adult patients with diabetes mellitus of the AUNA Clinic Network. A multidisciplinary team of medical assistants and methodologists carried out the development of the CPG and then there was an external review by a specialist in the field. The Elaboration Group of the CPG (GEG) concluded on 10 PICO questions. A systematic search for CPG, systematic reviews and primary studies was carried out to answer these PICO questions. To make recommendations we used the "GRADE-Adolopment" methodology and the guidelines of the national regulations. Ten recommendations were made (nine strong and one weak), 18 points of good clinical practice and two flowcharts for management (one for diagnosis and the other for the treatment of glycemic crises), 04 consensus tables on management and 01 table for surveillance and monitoring. The topics covered by the recommendations for the management of glycemic crises were hyperglycemic crises (glycosylated hemoglobin evaluation; b-hydroxybutyrate evaluation; insulin, potassium, 0.9% sodium chloride, phosphorus, sodium bicarbonate treatments) and hypoglycemic crises (carbohydrate administration, monitoring, educational program to avoid reentry)


Full text: Available Index: LILACS (Americas) Type of study: Practice guideline Country/Region as subject: South America / Peru Language: English / Spanish Journal: Rev. Fac. Med. Hum Journal subject: Ciˆncias da Sa£de / Medicina Year: 2021 Type: Article Affiliation country: Peru / United States Institution/Affiliation country: Dirección Científica Académica, AUNA/PE / Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Emory/US / Servicio de Endocrinología, AUNA/PE / Servicio de Laboratorio, AUNA,/PE / Servicio de Medicina Intensiva, AUNA/PE / Unidad de Guías de Práctica Clínica, AUNA/PE

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Full text: Available Index: LILACS (Americas) Type of study: Practice guideline Country/Region as subject: South America / Peru Language: English / Spanish Journal: Rev. Fac. Med. Hum Journal subject: Ciˆncias da Sa£de / Medicina Year: 2021 Type: Article Affiliation country: Peru / United States Institution/Affiliation country: Dirección Científica Académica, AUNA/PE / Division of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine, Emory/US / Servicio de Endocrinología, AUNA/PE / Servicio de Laboratorio, AUNA,/PE / Servicio de Medicina Intensiva, AUNA/PE / Unidad de Guías de Práctica Clínica, AUNA/PE