Strategies to Make Ramadan Fasting Safer in Type 2 Diabetics: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials and Observational Studies.

Abstract:

:Ramadan is the holy month for Muslims whereby they fast from predawn to after sunset and is observed by all healthy Muslim adults as well as a large population of type 2 diabetic Muslims.To determine the comparative effectiveness of various strategies that have been used for type 2 diabetic Muslim who fast during Ramadan.A systematic review and network meta-analysis of randomized controlled studies (RCT) as well as observational studies for patients with type 2 diabetes who fasted during Ramadan was conducted. Eight databases were searched from January 1980 through October 2015 for relevant studies. Two reviewers independently screened and assessed study for eligibility, assessed the risk of bias, and extracted relevant data. A network meta-analysis for each outcome was fitted separately, combining direct and indirect evidence for each comparison.Twenty-nine studies, 16 RCTs and 13 observational studies each met the inclusion criteria. The most common strategy used was drug changes during the Ramadan period, which found that the use of DPP-4 (Dipeptidyl peptidase inhibitor -4) inhibitors were associated with a reduction in incidence of experiencing hypoglycemia during Ramadan in both RCTs (pooled relative risk: 0.56; 95% confidence interval: 0.44-0.72) as well as in observational studies (pooled relative risk: 0.27; 0.09-0.75). Ramadan-focused education was shown to be beneficial in reducing hypoglycemia in observational studies but not RCTs (0.25 versus 1.00). Network meta-analyses suggest that incretin mimetics can reduce the risk of hypoglycemia by nearly 1.5 times.The newer antidiabetic agents appear to lower the risk of hypoglycemia and improved glycemic control when compared with sulfonylureas. Ramadan-focused education shows to be a promising strategy but more rigorous examination from RCTs are required.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Lee SWH,Lee JY,Tan CSS,Wong CP

doi

10.1097/MD.0000000000002457

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

e2457

issue

2

eissn

0025-7974

issn

1536-5964

pii

00005792-201601120-00048

journal_volume

95

pub_type

杂志文章,meta分析,评审

相关文献

MEDICINE文献大全
  • Down syndrome with primary thyroid diffuse large B-cell lymphoma and Hashimoto thyroiditis: A CARE compliant case report.

    abstract:RATIONALE:Adult patients with Down syndrome (DS) commonly develop Hashimoto thyroiditis (HT). However, primary diffuse large B-cell lymphoma (DLBCL) of the thyroid is uncommon, and its simultaneous occurrence with HT is very rare. To our knowledge, coexisting DLBCL and HT in a patient with DS has not been reported in t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016994

    authors: Wei L,Zhao N,Li Y,Zheng X,Zhang H,Zhang Z

    更新日期:2019-08-01 00:00:00

  • Pancreatic Adenocarcinoma Treated With Irreversible Electroporation Case Report: First Experience and Outcome.

    abstract::Irreversible electroporation (IRE) is a new nonthermal tumor ablation modality that induces apoptosis in the treated tissue without affecting collagen. Its use is particularly indicated for tumors involving major structures, such as encompassed or infiltrated vessels and/or ducts, which need to be preserved and hinder...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000946

    authors: Trueba-Arguiñarena FJ,de Prado-Otero DS,Poves-Alvarez R

    更新日期:2015-07-01 00:00:00

  • Prevalence of chronic disease and its controlled status according to income level.

    abstract::The relationship between the prevalence of chronic diseases and income level has now become a main theme in poor national economic situations. We examined the prevalence of well-controlled chronic diseases according to income level. Data from the 2008 to 2014 Korea National Health and Nutrition Examination Survey, con...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005286

    authors: Kim S,Lee B,Park M,Oh S,Chin HJ,Koo H

    更新日期:2016-11-01 00:00:00

  • Nurses' objective knowledge regarding venous thromboembolism prophylaxis: A national survey study.

    abstract::Venous thromboembolism (VTE) is a common vascular disorder with high mortality and morbidity. Clinical nurses are a pivotal group that can serve as first-line health care providers. Lack of knowledge about VTE is an important barrier to effective nursing performance. This study aimed to determine nurses' knowledge of ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010338

    authors: Ma YF,Xu Y,Chen YP,Wang XJ,Deng HB,He Y,Wu XJ

    更新日期:2018-04-01 00:00:00

  • Familial Mediterranean fever: report of a large family, review of the literature, and discussion of the frequency of amyloidosis.

    abstract::Familial Mediterranean Fever is a rare disease which usually begins in childhood and occurs primarily among persons of Mediterranean ancestry. It is characterized by short, self-limited, febrile episodes that may occur alone or with inflammation of serosal surfaces. Some individuals may exhibit an erysipilas-like eryt...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Meyerhoff J

    更新日期:1980-01-01 00:00:00

  • Analysis of 2 novel mutations of PHEX gene inducing X-linked dominant hypophosphatemia rickets in 2 families: Two case reports.

    abstract:RATIONALE:X-linked dominant hypophosphatemia rickets (XLH, OMIM 307800) is the most common hereditary hypophosphatemic rickets and characterized by growth retardation, skeletal malformations, dental dysplasia, spontaneous fractures and osteomalacia. PHEX gene was identified for XLH and novel mutations were consistent w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011453

    authors: Gao Y,Wang ZM,Li XL

    更新日期:2018-08-01 00:00:00

  • A retrospective study of in-hospital mortality in patients with idiopathic pulmonary fibrosis between 2015 and 2018.

    abstract::Hospitalizations are common in patients with idiopathic pulmonary fibrosis (IPF) and are associated with high mortality. We used data from the Premier Healthcare Database to determine in-hospital mortality rates and the factors associated with in-hospital mortality in patients with IPF in the era of approved antifibro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023143

    authors: Durheim MT,Judy J,Bender S,Neely ML,Baumer D,Robinson SB,Conoscenti CS,Leonard TB,Lazarus HM,Palmer SM

    更新日期:2020-11-20 00:00:00

  • Prevalence of adjacent segment disease following cervical spine surgery: A PRISMA-compliant systematic review and meta-analysis.

    abstract:UNLABELLED:Prevalence estimates of adjacent segment degeneration (ASD) following cervical spine surgery varied greatly in current studies. We conducted a systematic review and meta-analysis to summarize the point prevalence of ASD after cervical spine surgery. METHODS:Comprehensive electronic searches of PubMed, Embas...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000004171

    authors: Kong L,Cao J,Wang L,Shen Y

    更新日期:2016-07-01 00:00:00

  • Ward nurses-focused educational intervention improves the quality of bowel preparation in inpatients undergoing colonoscopy: A CONSORT-compliant randomized controlled trial.

    abstract:BACKGROUND:Adequate bowel preparation is essential for the detection of pathological lesions during colonoscopy. However, it has been found to be inadequate in approximately 20% to 30% of colonoscopy examinations. Educational interventions focused on health staff, such as physicians and nurses, may improve the patients...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000020976

    authors: Liu A,Yan S,Wang H,Lin Y,Wu J,Fu L,Wu Q,Lu Y,Liu Y,Chen H

    更新日期:2020-09-04 00:00:00

  • Diagnostic accuracy of pediatric atypical appendicitis: Three case reports.

    abstract:RATIONALE:Acute appendicitis is one of the most common causes of acute abdomen in children, yet it is difficult to diagnose in young children because its clinical manifestations may be atypical. Here, 3 atypical clinical cases associated with appendicitis in children are reported. PATIENT CONCERN:The 1st case correspo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015006

    authors: Wang ZH,Ye J,Wang YS,Liu Y

    更新日期:2019-03-01 00:00:00

  • Chronic thromboembolic pulmonary hypertension as the first manifestation of nephrotic syndrome in a 12-year-old child.

    abstract:RATIONALE:Chronic thromboembolic pulmonary hypertension (CTEPH) is rare in children and determining the underlying etiologies is essential for treatment. Venous thromboembolism, a well-known complication in nephrotic syndrome (NS), always occurrs during the treatment in course of the disease. However, CTEPH as the firs...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012349

    authors: Ma F,Zhou K,Hua Y,Liu X,Duan H,Li Y,Wang C

    更新日期:2018-10-01 00:00:00

  • Apnea-hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis.

    abstract:BACKGROUND:Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial.The aim of this study was to identify whether isolated nasal surgery can improve apnea-hypopnea index (AHI). METHODS...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000006008

    authors: Wu J,Zhao G,Li Y,Zang H,Wang T,Wang D,Han D

    更新日期:2017-02-01 00:00:00

  • Effects of receptor activator nuclear factor κB gene polymorphisms on the susceptibility to knee osteoarthritis: A case-control study.

    abstract::The present study aimed to explore genetic association of receptor activator nuclear factor κB (RANK) polymorphisms with individual susceptibility to knee osteoarthritis (OA) in different Kellgren-Lawrence (KL) grades.This case-control study included 138 knee OA patients and 145 healthy individuals. RANK rs1805034 and...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014933

    authors: Wang C,Luo L,Tian F,An N,Zhang Y,Hao R,Li D,Zhou Z,Xiao P,Guo L

    更新日期:2019-03-01 00:00:00

  • Diagnostic value of pentraxin 3 in respiratory tract infections: A meta-analysis.

    abstract:BACKGROUND:Pentraxin 3 is an acute inflammatory protein of the long pentraxin subfamily. A meta-analysis was performed to assess diagnostic accuracy of pentraxin 3 for respiratory tract infections. METHODS:We identify studies examining diagnostic value of pentraxin 3 for respiratory tract infections by searching Pubme...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000019532

    authors: Ye W,Huang QD,Tang TY,Qin GY

    更新日期:2020-04-01 00:00:00

  • Abnormal IL-10 levels were related to alanine aminotransferase abnormalities during postpartum in HBeAg positive women with chronic hepatitis B.

    abstract::Alanine transaminase (ALT) abnormalities are common in chronic hepatitis B (CHB) carriers during postpartum period. Disturbances in cytokines are considered to be associated with hepatitis Flares. There are limited data on cytokines changes in HBeAg positive patients with ALT abnormalities.This is an observational stu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017969

    authors: Wang M,Hou Y,Meng SH,Yang B,Yang P,Zhang H,Zhu Y

    更新日期:2019-11-01 00:00:00

  • Challenges in the diagnosis of Boerhaave syndrome: A case report.

    abstract:RATIONALE:Acute chest pain remains one of the most challenging complaints of patients presenting to emergency departments (EDs). The diverse etiologies of chest pain frequently lead to diagnostic and therapeutic challenges. Esophageal perforation is a rare but potentially life-threatening disease. It results in delayed...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018765

    authors: Tzeng CH,Chen WK,Lu HC,Chen HH,Lee KI,Wu YS,Lee FY

    更新日期:2020-01-01 00:00:00

  • Clinical analysis of hyperkalemia after esophagectomy: A case report.

    abstract:RATIONALE:The occurrence of hyperkalemia after esophagectomy is clinically rare. Patients who underwent esophagectomy often have a serum potassium level due to perioperative reduced intake, fluids loss, consumption and other reasons. These patients often require the artificial administration of potassium. Rapid fluid l...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008966

    authors: Chen Q,Zhang WG,Chen SC

    更新日期:2017-12-01 00:00:00

  • Prevalence of vitamin D deficiency and insufficiency among 460,537 children in 825 hospitals from 18 provinces in mainland China.

    abstract::This study was conducted to estimate the 25-hydroxyvitamin D (25 (OH)D) levels and explore factors related to vitamin D deficiency/insufficiency. This was a multicenter, hospital-based, cross-sectional observational study. Children admitted to hospitals for health examination were included for vitamin D measurement an...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000022463

    authors: Yang C,Mao M,Ping L,Yu D

    更新日期:2020-10-30 00:00:00

  • Endoscopic third ventriculostomy and ventriculoperitoneal shunt for patients with noncommunicating hydrocephalus: A PRISMA-compliant meta-analysis.

    abstract:BACKGROUND:The surgical methods of endoscopic third ventriculostomy (ETV) and ventriculoperitoneal shunt (VS) for patients with noncommunicating hydrocephalus have rapidly increased in the past 2 decades. However, there is controversy regarding the efficacy and safety of these 2 surgical methods for noncommunicating hy...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000012139

    authors: Jiang L,Gao G,Zhou Y

    更新日期:2018-10-01 00:00:00

  • Rituximab was used to treat recurrent IgG4-related hypophysitis with ophthalmopathy as the initial presentation: A case report and literature review.

    abstract:RATIONALE:Immunoglobulin G4 (IgG4)-related hypophysitis is a type of IgG4-related disease (IgG4-RD), which is characterized by plasma cells infiltration in the pituitary causing functional changes and (or) space-occupying effect in the pituitary. IgG4-related hypophysitis is sensitive to hormone therapy in most patient...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000006934

    authors: Gu WJ,Zhang Q,Zhu J,Li J,Wei SH,Mu YM

    更新日期:2017-06-01 00:00:00

  • Prognostic impact of leukocytosis in intracerebral hemorrhage: A PRISMA-compliant systematic review and meta-analysis.

    abstract:BACKGROUND:Intracerebral hemorrhage (ICH) is correlated with high rate of death and poor outcome. Leukocytes participate in secondary brain injury in ICH. It is still not clear that whether leukocytosis can predict outcome in ICH. This study was performed to summarize that current evidences about the association betwee...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000016281

    authors: Yu Z,Zheng J,Guo R,Ma L,You C,Li H

    更新日期:2019-07-01 00:00:00

  • The long-term impact of tumor burden in pT3N0M0 esophageal squamous cell carcinoma: A propensity score-matched analysis.

    abstract::The purpose of this study was to assess the impact of tumor burden on the survival of patients with pathologic T3N0M0 (pT3N0M0) esophageal squamous cell carcinoma (ESCC).A total of 84 patients with pathologic T3N0M0 ESCC treated with radical esophagectomy and 3-field lymphadenectomy (3-FL) from January 2008 to Decembe...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017637

    authors: Li T,Fu X,Xiao L,Su L,Dai Y,Yao Q,Li J

    更新日期:2019-10-01 00:00:00

  • The changing modes of human immunodeficiency virus transmission and spatial variations among women in a minority prefecture in southwest China: An exploratory study.

    abstract::Liangshan Yi Autonomous Prefecture in Southwest China has a high human immunodeficiency virus (HIV) prevalence rate. This study examined the changing modes of HIV transmission among women with new HIV infections and explored the spatial heterogeneities in the factors associated with heterosexual transmission in this m...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018776

    authors: Xiao C,Jike C,Liu D,Jia P,Xu X,Xiao L,Yu G,Nan L,Sun X,Ge J,Wang J,Wang K,Liao Q,Wang Q,Wenwen Z,Yang S

    更新日期:2020-02-01 00:00:00

  • Familial isolated hypoparathyroidism: a molecular genetic analysis of 8 families with 23 affected persons.

    abstract::Abnormalities in the parathyroid hormone (PTH) gene as a cause of hypoparathyroidism were evaluated by linkage analysis with DNA polymorphisms adjacent to the PTH gene in 8 families in which members were affected with familial isolated hypoparathyroidism (FIH). We found that in none of the 23 affected individuals was ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:

    authors: Ahn TG,Antonarakis SE,Kronenberg HM,Igarashi T,Levine MA

    更新日期:1986-03-01 00:00:00

  • The spectrum of invasive pneumococcal disease at an adult tertiary care hospital in the early 21st century.

    abstract::Despite widespread pneumococcal vaccination of children and adults, invasive pneumococcal disease (IPD) remains prominent. Using our database of all Streptococcus pneumoniae infections at the Veterans Affairs Medical Center, Houston, Texas, since 2000, we reviewed cases of IPD, defined as the isolation of pneumococci ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0b013e3181f2b824

    authors: Rueda AM,Serpa JA,Matloobi M,Mushtaq M,Musher DM

    更新日期:2010-09-01 00:00:00

  • Effect of a serum lactate monitoring recommendation policy on patients treated with linezolid.

    abstract:ABSTRACT:Lactic acidosis is one of the most fatal adverse effects of linezolid, an antibiotic used to treat serious infections caused by antibiotic-resistant bacteria. However, the measures to prevent lactic acidosis have not been well established.We performed a retrospective study to analyze the impact of applying a s...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023790

    authors: Im JH,Lee JS,Chung MH,Kwon HY,Lee MJ,Baek JH

    更新日期:2021-01-08 00:00:00

  • Capillary hemangioma arising from the lesser omentum in an adult: A case report.

    abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018693

    authors: Nagano H,Goi T,Taguchi S,Tsubaki T,Tsuchiyama T,Uematsu H,Noriki S

    更新日期:2020-01-01 00:00:00

  • Topical steroids eye drops in conjunctival reactive lymphoid hyperplasia: Case report.

    abstract:RATIONALE:Conjunctival lymphoproliferative lesions constitute a significant diagnostic challenge and it is essential to exclude neoplastic lesions. Histopathological and immunohistochemical tests are very useful in establishing the correct diagnosis. Reactive lymphoid hyperplasia (RLH) is part of a spectrum of lymphocy...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008656

    authors: Moraes BRM,Nascimento MVDD,Neto EDDS,Santo RM

    更新日期:2017-11-01 00:00:00

  • Effectiveness and safety of electroacupuncture and its cotreatment with electronic moxibustion in the treatment of patients with moderate benign prostatic hyperplasia using alpha blocker: Study protocol for an assessor-blinded, randomized controlled clini

    abstract:BACKGROUND:Benign prostatic hyperplasia (BPH) is a medical condition that affects the quality of life by causing lower urinary tract symptoms (LUTS) in 40% to 70% of men aged ≥60 years. Medication treatment is primarily recommended for patients with BPH if their symptom score based on the International Prostate Symptom...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000019678

    authors: Kim HB,Kim YI,Jeon JH,Kim E,Kim JY,Kwon O,Choi YE,Yang C,Han CH

    更新日期:2020-04-01 00:00:00

  • Tea consumption is associated with decreased risk of oral cancer: A comprehensive and dose-response meta-analysis based on 14 case-control studies (MOOSE compliant).

    abstract::The associations of tea consumption with risk of oral cancer remain not clear. The present meta-analysis aims to clarify the real relationship between tea intake and the risk of oral cancer and quantifies the potential dose-response relationship between them.A Web search was performed within Pubmed, Embase, and Web of...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013611

    authors: Zhou H,Wu W,Wang F,Qi H,Cheng Z

    更新日期:2018-12-01 00:00:00