Abstract:
AIMS:We aimed to describe the characteristics and care of participants with diabetes during Ramadan in the Middle East and North Africa (MENA). METHODS:In this prospective, observational study, we analysed the number of fasted days, number of participants fasting, glycemic control, rate of hypoglycemic events, and lifestyle patterns for participants with T2DM during Ramadan 2016. RESULTS:The population included 1749 participants with T2DM. The mean (SD) duration of fasting was 27.7 (5.0) days, and 57.3% of participants fasted for the full duration of Ramadan. Following Ramadan, a significant improvement in HbA1c, FPG, and PPG was observed (p < 0.0001). Confirmed hypoglycemia increased significantly from before to during Ramadan (incidence: 4.9% vs. 10.4%, p < 0.001; adverse events: 0.11 vs. 0.22 events/month/participant, p < 0.001) and was dependent on the treatment regimen. Severe hypoglycemia incidence was 0.2% before versus 0.9% during Ramadan (p = 0.031), whereas adverse events remained comparable (0.01 events/month/participant; p = 0.154). Most participants (97.4%) reported lifestyle changes during Ramadan. CONCLUSIONS:This prospective study is the first to describe the characteristics and care of participants with T2DM during Ramadan in MENA, and can be utilized in the development of evidence-based care to ensure the safety of participants who fast.
journal_name
Diabetes Res Clin Practjournal_title
Diabetes research and clinical practiceauthors
Hassanein M,Al Awadi FF,El Hadidy KES,Ali SS,Echtay A,Djaballah K,Dessapt-Baradez C,Khazaal FAK,Abu-Hijleh MO,Al Shaikh A,Gharbi MEH,Shehadeh N,Bennakhi A,Al Arouj Mdoi
10.1016/j.diabres.2019.02.020subject
Has Abstractpub_date
2019-05-01 00:00:00pages
275-284eissn
0168-8227issn
1872-8227pii
S0168-8227(18)31661-9journal_volume
151pub_type
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journal_title:Diabetes research and clinical practice
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