Clinical Researches
Best evidence summary of nutrition management in patients with type 2 diabetes mellitus
Zhou Ruhua, Gu Zejuan, Xu Jingjing, Yu Jian
Published 2022-03-16
Cite as Chin J Mod Nurs, 2022, 28(8): 1034-1041. DOI: 10.3760/cma.j.cn115682-20211007-04513
Abstract
ObjectiveTo summarize the best evidence for nutrition management of type 2 diabetes mellitus (T2DM) , so as to provide a reference for formulating nutrition management plans.
MethodsAccording to the "6S" evidence model, evidence-based guidelines, expert consensus, and systematic reviews on nutrition management for T2DM were systematically searched and screened in professional group websites, clinical practice guideline websites and databases. The Appraisal of Guidelines for Research and Evaluation (AGREE) Ⅱwas used to assess the methodological quality of the guideline. Quality evaluation of systematic reviews and expert consensus was conducted according to the appraisal system of the Australian Joanna Briggs Institute (JBI) Evidence-based Health Care Center. The recommended items with the same or similar content were synthesized according to the principle of evidence synthesis, and group discussion was carried out on evidence of conflicting conclusions. The recommendations for nutrition management of T2DM suitable for our national conditions were selected.
ResultsA total of 5 399 domestic and foreign articles were searched, and 19 articles were finally included, including 8 guidelines, 1 expert consensus, and 10 systematic reviews. The quality evaluation results of 1 guideline were grade A, and 7 guidelines were grade B, and the results of systematic review and expert consensus evaluation were both recommended. According to the principle of evidence synthesis, the recommendations were synthesized, including 5 aspects, namely nutrition management methods, nutrition screening and assessment, energy requirements, macronutrient intake, and micronutrient intake, with a total of 29 pieces of best evidence.
ConclusionsEvidence on nutrition management of adults with T2DM is extensive but limited. Macronutrients have similar recommendations. However, there is still a lack of high-quality evidence for micronutrients, especially in terms of whether routine micronutrient supplementation is necessary and the specific intake. Extensive practical exploration and scientific research are needed to enrich the relevant evidence in the field of T2DM.
Key words:
Diabetes mellitus, type 2; Nutrition management; Nutrients; Evidence-based nursing
Contributor Information
Zhou Ruhua
School of Nursing, Nanjing Medical University, Nanjing 211166, China
Gu Zejuan
School of Nursing, Nanjing Medical University, Nanjing 211166, China
Xu Jingjing
Endocrinology Department, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210019, China
Yu Jian
Endocrinology Department, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210019, China
