نکات آموزشی در پیشگیری از دیابت نوع یک و عوارض ناشی از آن

Title

Educational points for prevention of type 1diabetes and its complications: a systematic review

English Abstract

Background/Objectives Type 1diabetes is perceived as a chronic immune-mediated disease with a subclinical prodromal period characterized by selective loss of insulin-producing _-cells in the pancreatic islets in genetically susceptible subjects. To systematically review the evidence for the prevention of type 1 diabetes and its complications by vitamin D&E supplementation, diet and exercise and educational interventions. Methods This was a systematic review –from 1996 to 2012-using Medline, EMBASE, CINHAL, Cochrane Central Register of Controlled Trials and reference lists of retrieved articles. The main outcome measure was development of type 1 diabetes and. Controlled trials and observational studies that had assessed the effect of vitamin D&E supplementation on risk of developing type 1 diabetes, diet and exercise on prevention of complications were included in the analysis. Results 35 controlled trials and cohort studies and 7 systematic reviews that addressed education and prevention of type 1 diabetes and its complication. There was a suggestion that the timing of supplementations might be important for the subsequent development of type 1 diabetes. Also educational intervention for breast feeding, healthy diet and, controlled exercise can prevent type 1 diabetes and its complication. CONCLUSIONS With regard to the content above, educational intervention for diet, importance of breast feeding, obesity, exercise and role of vitamin E&D can be prevented incidence of type 1diabetes or its complications in high risk clients and patients with type1diabetes. Therefore these factors should be considered in educational plan of clients with type 1diabetes.

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