Systematic review of clinical practice guidelines to identify recommendations for sleep in type 2 diabetes mellitus management

Smyth, Aisling; Jenkins, Mark A.; Dunham, Melissa; Kutzer, Yvonne; Taheri, Shahrad; Whitehead, Lisa

doi:10.1016/j.diabres.2020.108532

Cited by 20 publications

(14 citation statements)

References 45 publications

(65 reference statements)

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“…Previous reviews of physical activity guidelines for pregnant women have not evaluated guideline quality by AGREE II 24,26,27 . The AGREE II scores in this review were consistent with guideline reviews in other health areas, such as hyperuricemia and gout, 52 pregnancy hypertension, 53 and sleep in type 2 diabetes 54 . The majority of guideline developers did not meet the criteria for auditing or monitoring or assessing facilitators, barriers in implementation, economic analysis, and practical tools 29 .…”

Section: Discussionsupporting

confidence: 48%

Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review

Yang

Zhao

et al. 2021

J Midwife Womens Health

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Introduction Physical activity is recommended for healthy pregnant women. Clinical practice guidelines vary with regard to initial time, duration, or type of physical activity that is recommended, which is confusing for health care professionals and pregnant women alike. This study aimed to appraise clinical guidelines relevant to physical activity for pregnant women and summarize consensus and discrepant recommendations. Methods The websites of organizations that develop guidelines including those of obstetricians, gynecologists, midwives, and medical sports associations were searched in addition to 9 literature databases for the period from January 2010 through November 2020. Guidelines were included if they were published in a journal or on a website in English or Chinese; were labeled as a recommendation guideline, position paper, practice parameter, or consensus statement; and addressed physical activity for pregnant women. Two authors independently extracted recommendations. Four reviewers independently assessed guideline quality using the AGREE II instrument. Results Thirteen guidelines met the inclusion criteria. The guidelines developed by the World Health Organization and the National Institute for Health and Clinical Excellence were deemed to have the highest methodological quality. The recommendations were consistent with regard to recommended exercise duration, frequency, intensity, and type of physical activity. The main discrepant recommendations included best tools for conducting pre‐exercise screening and assessing intensity of exertion. Guidelines also differ on optimal heart rate during exercise, when in pregnancy to initiate an exercise regimen, and duration or frequency of strengthening exercises. Discussion Of the 13 guidelines, 2 were found to have good methodological quality. The recommendations that were consistent across the differing guidelines can support health care providers in counseling women about physical activity during pregnancy. The recommendations that are discrepant among these guidelines may contribute to confusion and a reluctance to recommend exercise during pregnancy. Research is needed to clarify discrepant recommendations.

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Section: Discussionsupporting

confidence: 48%

Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review

Yang

Zhao

et al. 2021

J Midwife Womens Health

View full text Add to dashboard Cite

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“…Healthy sleep is considered a key lifestyle component in the management of type 2 diabetes (124), with clinical practice guidelines promoting the importance of sleep hygiene (113). Sleep disorders are common in type 2 diabetes and cause disturbances in the quantity, quality, and timing of sleep and are associated with an increased risk of obesity and impairments in daytime functioning and glucose metabolism (114,115).…”

Section: Sleepmentioning

confidence: 99%

Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

et al. 2022

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The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the previous consensus statements on the management of hyperglycemia in type 2 diabetes in adults, published since 2006 and last updated in 2019. The target audience is the full spectrum of the professional health care team providing diabetes care in the U.S. and Europe. A systematic examination of publications since 2018 informed new recommendations. These include additional focus on social determinants of health, the health care system, and physical activity behaviors, including sleep. There is a greater emphasis on weight management as part of the holistic approach to diabetes management. The results of cardiovascular and kidney outcomes trials involving sodium–glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists, including assessment of subgroups, inform broader recommendations for cardiorenal protection in people with diabetes at high risk of cardiorenal disease. After a summary listing of consensus recommendations, practical tips for implementation are provided.

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“…Healthy sleep is considered a key lifestyle component in the management of type 2 diabetes [ 124 ], with clinical practice guidelines promoting the importance of sleep hygiene [ 113 ]. Sleep disorders are common in type 2 diabetes and cause disturbances in the quantity, quality and timing of sleep and are associated with an increased risk of obesity and impairments in daytime functioning and glucose metabolism [ 114 , 115 ].…”

Section: Therapeutic Options: Lifestyle and Healthy Behaviour Weight ...mentioning

confidence: 99%

Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

et al. 2022

View full text Add to dashboard Cite

The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the previous consensus statements on the management of hyperglycaemia in type 2 diabetes in adults, published since 2006 and last updated in 2019. The target audience is the full spectrum of the professional healthcare team providing diabetes care in the USA and Europe. A systematic examination of publications since 2018 informed new recommendations. These include additional focus on social determinants of health, the healthcare system and physical activity behaviours including sleep. There is a greater emphasis on weight management as part of the holistic approach to diabetes management. The results of cardiovascular and kidney outcomes trials involving sodium–glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists, including assessment of subgroups, inform broader recommendations for cardiorenal protection in people with diabetes at high risk of cardiorenal disease. After a summary listing of consensus recommendations, practical tips for implementation are provided. Graphical abstract Supplementary Information The online version of this article (10.1007/s00125-022-05787-2) contains peer-reviewed but unedited supplementary material.

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Systematic review of clinical practice guidelines to identify recommendations for sleep in type 2 diabetes mellitus management

Cited by 20 publications

References 45 publications

Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review

Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review

Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)

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