关键词: 胰腺外分泌疾病糖尿病, 3c型糖尿病, 血糖监测, 血糖管理, 循证护理学, 证据总结

Abstract:

Objective To retrieve，evaluate and summarize the best evidence for blood glucose monitoring and management in patients with diabetes of the exocrine pancreas（DEP），and to provide evidence-based basis for clinical practice. Methods According to the “6S” evidence model，relevant evidence on blood glucose management in patients with DEP was searched from computer decision support systems，guideline networks，professional association websites and databases from top to bottom，covering clinical decision-making，clinical practice guidelines，evidence summaries，systematic reviews，expert consensuses，and randomized controlled trials. The search scope was from the establishment of the databases to June 30，2024. Totally 2 researchers independently evaluated the quality of the included literature，and extracted data and summarized evidence that met the criteria. Results A total of 10 articles were included，including 3 guidelines，1 expert consensus，2 systematic reviews，1 clinical decision，1 RCT，and 2 cohort studies. Finally，26 pieces of best evidence were formed from 5 aspects，including blood glucose management team construction and goals，blood glucose monitoring methods，glucose control medication management，lifestyle health education and treatment of hypoglycemia. Conclusion This study summarizes the best evidence for blood glucose monitoring and management in DEP patients，which can provide resource preparation for clinical translation and a basis for medical staff to carry out blood glucose management in DEP patients.

Key words: Diabetes of the Exocrine Pancreas, Type 3c Diabetes Mellitus, Blood Glucose Monitoring, Blood Glucose Management, Evidence-Based Nursing, Summary of Evidence