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Wilderness Environ Med ; 30(4S): S121-S140, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31753543

ABSTRACT

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.


Subject(s)
Diabetes Mellitus, Type 1/therapy , Diabetes Mellitus, Type 2/therapy , Wilderness Medicine/standards , Athletes , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Humans , Hyperglycemia/prevention & control , Hypoglycemia/prevention & control , Practice Patterns, Physicians' , Societies, Medical , Sports Medicine/methods , Wilderness Medicine/methods
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