Glycemic management in patients with immune-related diabetes mellitus: A scoping review

Immune checkpoint inhibitors therapy in cancer patients may induce immune-related diabetes mellitus through islet β-cell destruction, necessitating systematic glycemic management. This scoping review aims to identify and synthesize evidence on glycemic management strategies for immune-related diabet...

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Main Authors: Yuan Jiang, Xiaoyan Wang, Lei Lei, Lihua Liu, Danfeng Wu, Siqi Zhang, Dairong Tang, Lingli Fan, Zhou Wen, Xiaojing Xue, Gang Feng
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121251358313
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author Yuan Jiang
Xiaoyan Wang
Lei Lei
Lihua Liu
Danfeng Wu
Siqi Zhang
Dairong Tang
Lingli Fan
Zhou Wen
Xiaojing Xue
Gang Feng
author_facet Yuan Jiang
Xiaoyan Wang
Lei Lei
Lihua Liu
Danfeng Wu
Siqi Zhang
Dairong Tang
Lingli Fan
Zhou Wen
Xiaojing Xue
Gang Feng
author_sort Yuan Jiang
collection DOAJ
description Immune checkpoint inhibitors therapy in cancer patients may induce immune-related diabetes mellitus through islet β-cell destruction, necessitating systematic glycemic management. This scoping review aims to identify and synthesize evidence on glycemic management strategies for immune-related diabetes mellitus. Guided by Arksey and O’Malley’s five-stage scoping review framework, we strictly adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. A systematic search was conducted across guideline repositories, academic databases, and professional oncology/endocrinology association websites. The search period spanned from database inception to June 30, 2024. Of 5085 initially identified records, 9 studies met inclusion criteria. Evidence was synthesized into five key domains: (1) risk assessment and early detection, (2) therapeutic interventions and monitoring, (3) patient education, (4) glycemic target optimization, and (5) multidisciplinary care coordination. This review consolidates evidence-based best practices for immune-related diabetes mellitus management derived from rigorous methodology. Clinicians should tailor these strategies to individual patient profiles to optimize outcomes while mitigating treatment disruptions.
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institution Kabale University
issn 2050-3121
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publishDate 2025-07-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj-art-64ac499e07124f0e9c6498ef444cf0452025-08-20T03:56:05ZengSAGE PublishingSAGE Open Medicine2050-31212025-07-011310.1177/20503121251358313Glycemic management in patients with immune-related diabetes mellitus: A scoping reviewYuan Jiang0Xiaoyan Wang1Lei Lei2Lihua Liu3Danfeng Wu4Siqi Zhang5Dairong Tang6Lingli Fan7Zhou Wen8Xiaojing Xue9Gang Feng10Department of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Yuzhong District, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaDepartment of Oncology, Mianyang Central Hospital, Sichuan Province, ChinaImmune checkpoint inhibitors therapy in cancer patients may induce immune-related diabetes mellitus through islet β-cell destruction, necessitating systematic glycemic management. This scoping review aims to identify and synthesize evidence on glycemic management strategies for immune-related diabetes mellitus. Guided by Arksey and O’Malley’s five-stage scoping review framework, we strictly adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. A systematic search was conducted across guideline repositories, academic databases, and professional oncology/endocrinology association websites. The search period spanned from database inception to June 30, 2024. Of 5085 initially identified records, 9 studies met inclusion criteria. Evidence was synthesized into five key domains: (1) risk assessment and early detection, (2) therapeutic interventions and monitoring, (3) patient education, (4) glycemic target optimization, and (5) multidisciplinary care coordination. This review consolidates evidence-based best practices for immune-related diabetes mellitus management derived from rigorous methodology. Clinicians should tailor these strategies to individual patient profiles to optimize outcomes while mitigating treatment disruptions.https://doi.org/10.1177/20503121251358313
spellingShingle Yuan Jiang
Xiaoyan Wang
Lei Lei
Lihua Liu
Danfeng Wu
Siqi Zhang
Dairong Tang
Lingli Fan
Zhou Wen
Xiaojing Xue
Gang Feng
Glycemic management in patients with immune-related diabetes mellitus: A scoping review
SAGE Open Medicine
title Glycemic management in patients with immune-related diabetes mellitus: A scoping review
title_full Glycemic management in patients with immune-related diabetes mellitus: A scoping review
title_fullStr Glycemic management in patients with immune-related diabetes mellitus: A scoping review
title_full_unstemmed Glycemic management in patients with immune-related diabetes mellitus: A scoping review
title_short Glycemic management in patients with immune-related diabetes mellitus: A scoping review
title_sort glycemic management in patients with immune related diabetes mellitus a scoping review
url https://doi.org/10.1177/20503121251358313
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