Examinando por Autor "Huaraca Carhuaricra, Carlos Guzmán"
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Ítem Acceso abierto Efficacy of using multiple daily insulin injections versus continuous subcutaneous infusion of insulin for patients with type I diabetes mellitus.(Universidad Privada Norbert Wiener, 2018-07-07) Valdez Duran, James; Huaraca Carhuaricra, Carlos Guzmán; Calsin Pacompia, WilmerMaterial and Methods: Of the articles presented, 100% (10/10) are quantitative in nature; the study design is systematic review. The population consisted of 20 articles, and the sample comprised 10 scientific articles. The articles were obtained from databases such as Cochrane Library, British Medical Journal, PubMed, Lancet, and Wiley Online Library. They underwent critical reading, and the GRADE system was used to identify evidence quality and strength of recommendations. Results: According to the evidence, 100% (10/10) of the presented articles are quantitative. Of these, 20% (2) are from Italy, and 10% (1 each) correspond to Switzerland, the United States, Australia, England, China, Spain, Canada, and Brazil, respectively. In terms of study design, 60% (6/10) of the articles are systematic reviews, 20% (2/10) are randomized controlled trials, and 10% (1/10 each) are case-control and experimental studies. Additionally, 100% (10/10) of the articles showed that continuous subcutaneous insulin infusion is effective as it reduces glycated hemoglobin (-0.87 to -0.22), improves glycemic control (weighted mean difference -0.3%), reduces the hypoglycemia rate by 75%, and enhances the quality of life for 90% of patients. Conclusions: It is concluded that the 10 analyzed articles demonstrate the efficacy of continuous subcutaneous insulin infusion as it is relevant in the treatment of type 1 diabetes mellitus.
