Influence of Fasting on Emergency Visits to A Tertiary Care Hospital by Fasting Diabetic Patients in Ramadan

Mohammad Yaqoob Khan, Salman Khan, Sadaqat Ali, Sauda Usmani, N. Wazir, Muhammad Haider Ali
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Abstract

Background: Ramadan, a month of fasting for Muslims, significantly alters daily routines and dietary habits. Understanding how such changes affect diabetic patients, particularly in terms of emergency hospital visits, is crucial for effective healthcare planning and patient safety. Objective: To evaluate the impact of Ramadan fasting on the frequency of emergency room visits by diabetic patients. Methods: In this cross-sectional study, 200 diabetic patients visiting a tertiary care hospital's ER were monitored over three months: the month before Ramadan, during Ramadan, and the subsequent month. We assessed the frequency and trend of diabetic emergencies among these patients. Results: The participants had a mean age of 45.85±9.19 years, with males comprising 52.5% (105) and females 47.5% (95). Overall, diabetic emergencies accounted for 26% of visits, with 59.6% (31) occurring a month before Ramadan, 23.1% (12) during Ramadan, and 17.3% (9) post-Ramadan, showing a downward trend. Conclusion: Ramadan fasting does not adversely affect diabetic patients, showing no increase in the frequency of emergency visits due to diabetic emergencies, irrespective of diabetes type. This indicates that with proper management, fasting is safe for diabetic patients during Ramadan.
禁食对斋月期间禁食糖尿病患者到三级医院急诊就诊的影响
背景介绍斋月是穆斯林的斋戒月,大大改变了日常生活和饮食习惯。了解这种变化对糖尿病患者的影响,尤其是对急诊就医的影响,对有效的医疗计划和患者安全至关重要:评估斋月禁食对糖尿病患者急诊就诊频率的影响:在这项横断面研究中,我们对一家三级医院急诊室的 200 名糖尿病患者进行了为期三个月的监测:斋月前一个月、斋月期间和斋月后一个月。我们评估了这些患者发生糖尿病急诊的频率和趋势:参与者的平均年龄为 45.85±9.19 岁,其中男性占 52.5%(105 人),女性占 47.5%(95 人)。总体而言,糖尿病急诊占就诊人数的 26%,其中 59.6%(31 人)发生在斋月前一个月,23.1%(12 人)发生在斋月期间,17.3%(9 人)发生在斋月后,呈下降趋势:斋月禁食不会对糖尿病患者产生不利影响,无论糖尿病类型如何,因糖尿病急诊就诊的频率都没有增加。这表明,只要管理得当,糖尿病患者在斋月期间禁食是安全的。
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