Wilderness Medical Society Clinical Practice Guidelines for Diabetes Management

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.

Travel with Diabetes: A Comprehensive Review for Clinicians

“…TDM pursuing wilderness have the hazards described in the preceding paragraphs and need similar preparation and planning. The wilderness medical society has issued guidelines for TDM [52] (Table 4).…”