dc.creator | Carvajal-Moreno, Lidia | es |
dc.creator | Coheña Jiménez, Manuel | es |
dc.creator | García-Ventura, Irene | es |
dc.creator | Pabón Carrasco, Manuel | es |
dc.creator | Pérez Belloso, Ana Juana | es |
dc.date.accessioned | 2023-11-13T17:29:46Z | |
dc.date.available | 2023-11-13T17:29:46Z | |
dc.date.issued | 2022-03-21 | |
dc.identifier.citation | Carvajal-Moreno, L., Coheña Jiménez, M., García-Ventura, I., Pabón Carrasco, M. y Pérez Belloso, A.J. (2022). Prevention of peripheral distal polyneuropathy in patients with diabetes: a systematic review. JOURNAL OF CLINICAL MEDICINE, 11 (6). https://doi.org/DOI: 10.3390/jcm11061723. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/150571 | |
dc.description.abstract | Background: Diabetic peripheral neuropathy (DPN) is the most frequent chronic complica-
tion and is that which generates the highest disability and mortality in diabetes mellitus (DM). As
it is currently the only microvascular complication of DM without a specific treatment, prevention
is essential. The aim of this study was to determine the most effective preventive strategy to avoid
or delay the appearance and/or development of DPN in patients with DM. Methods: A systematic
search was carried out in the main health science databases (PubMed, Scopus, CINAHL, PEDro and
The Cochrane Library) from 1 January 2010 to 31 August 2020. The study selection was conducted by
two independent reviewers and data extraction was performed by the author. The eligibility criteria
included randomized clinical trials (RCTs) and cohort studies from RCTs. Results: Eleven studies
were selected that included 23,595 participants with DM. The interventions evaluated were intensive
or standard glycemic control, the use of drugs to achieve glycemic control, and the promotion of a
healthy lifestyle and exercise. Intensive glucose control achieved a significant reduction in the devel-
opment of DPN in TIDM patients, and lifestyle modifications and exercise achieved it moderately in
TIIDM patients. Conclusions: The main preventive strategy for DPN is intensive glycemic control
with a target HbA1c < 6% in patients with TIDM and standard control of 7.0–7.9 in patients with
TIIDM, incorporating lifestyle modifications. | es |
dc.format | application/pdf | es |
dc.format.extent | 27 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | JOURNAL OF CLINICAL MEDICINE, 11 (6). | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Diabetes mellitus | es |
dc.subject | Diabetic complications | es |
dc.subject | Diabetic neuropath | es |
dc.subject | Prevention and control | es |
dc.subject | Evidence | es |
dc.subject | Systematic review | es |
dc.title | Prevention of peripheral distal polyneuropathy in patients with diabetes: a systematic review | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Podología | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Enfermería | |
dc.relation.publisherversion | https://www.mdpi.com/2077-0383/11/6/1723 | es |
dc.identifier.doi | DOI: 10.3390/jcm11061723 | es |
dc.journaltitle | JOURNAL OF CLINICAL MEDICINE | es |
dc.publication.volumen | 11 | es |
dc.publication.issue | 6 | es |