Risk Stratification, Intention to Fast, and Outcomes of Fasting During Ramadan in People With Diabetes Presenting to a Tertiary Care Hospital

IF 3.7 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Endocrine Practice Pub Date : 2024-10-01 DOI:10.1016/j.eprac.2024.06.013

{"title":"Risk Stratification, Intention to Fast, and Outcomes of Fasting During Ramadan in People With Diabetes Presenting to a Tertiary Care Hospital","authors":"","doi":"10.1016/j.eprac.2024.06.013","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The objectives of this study were to evaluate the stratification of people with diabetes mellitus (DM) based on the International Diabetes Federation–Diabetes and Ramadan 2021 risk calculator into different risk categories and assess their intentions to fast and outcomes of fasting during the holy month of Ramadan.</div></div><div><h3>Methods</h3><div>This was a 3-month prospective study that was performed from February 9, 2023, to May 6, 2023 (6 weeks before Ramadan until 6 weeks after Ramadan), at a tertiary care hospital in Pakistan. Data regarding glycemic control<span>, characteristics and complications of diabetes, comorbidities, and the various factors that influence fasting were gathered from patients of either sex aged 18 to 80 years with any type of diabetes. The International Diabetes Federation–Diabetes and Ramadan 2021 risk calculation and recommendation were made accordingly for each patient.</span></div></div><div><h3>Results</h3><div>This study comprised of 460 participants with DM, with 174 males (37.8%) and 286 females (62.2%). The risk categorization showed that 209 (45.4%), 107 (23.3%), and 144 (31.3%) of the participants were in the low-, moderate-, and high-risk categories, respectively. Of the 144 high-risk patients who fasted, 57.9% experienced hypoglycemia (<em>P</em><span> <.0001). The recommendation of fasting showed statistically significant differences with risk categories, intention to fast, hypoglycemia, type of DM, duration of DM, level of glycemic control, and days of fasting (</span><em>P</em> <.001).</div></div><div><h3>Conclusion</h3><div>A statistically significant number of participants in the high-risk group who fasted experienced complications. This reiterates the importance of rigorous adherence to the medical recommendations.</div></div>","PeriodicalId":11682,"journal":{"name":"Endocrine Practice","volume":null,"pages":null},"PeriodicalIF":3.7000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrine Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1530891X24005949","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The objectives of this study were to evaluate the stratification of people with diabetes mellitus (DM) based on the International Diabetes Federation–Diabetes and Ramadan 2021 risk calculator into different risk categories and assess their intentions to fast and outcomes of fasting during the holy month of Ramadan.

Methods

This was a 3-month prospective study that was performed from February 9, 2023, to May 6, 2023 (6 weeks before Ramadan until 6 weeks after Ramadan), at a tertiary care hospital in Pakistan. Data regarding glycemic control, characteristics and complications of diabetes, comorbidities, and the various factors that influence fasting were gathered from patients of either sex aged 18 to 80 years with any type of diabetes. The International Diabetes Federation–Diabetes and Ramadan 2021 risk calculation and recommendation were made accordingly for each patient.

Results

This study comprised of 460 participants with DM, with 174 males (37.8%) and 286 females (62.2%). The risk categorization showed that 209 (45.4%), 107 (23.3%), and 144 (31.3%) of the participants were in the low-, moderate-, and high-risk categories, respectively. Of the 144 high-risk patients who fasted, 57.9% experienced hypoglycemia (P <.0001). The recommendation of fasting showed statistically significant differences with risk categories, intention to fast, hypoglycemia, type of DM, duration of DM, level of glycemic control, and days of fasting (P <.001).

Conclusion

A statistically significant number of participants in the high-risk group who fasted experienced complications. This reiterates the importance of rigorous adherence to the medical recommendations.

查看原文本刊更多论文

到三级医院就诊的糖尿病患者在斋月期间的风险分层、禁食意向和禁食结果。

研究目的本研究的目的是根据国际糖尿病联合会糖尿病和斋月（IDF DAR）2021年风险计算器将糖尿病（DM）患者分为不同的风险类别，并评估他们在神圣的斋月期间禁食的意愿和结果：这是一项为期 3 个月的前瞻性研究，于 2023 年 2 月 9 日至 5 月 6 日（斋月前 6 周至斋月后 6 周）在巴基斯坦一家三级医院进行。研究收集了 18 至 80 岁任何性别的糖尿病患者的血糖控制、糖尿病特征和并发症、合并症以及影响禁食的各种因素等方面的数据。并对每位患者进行了相应的 IDF DAR 2021 风险计算和建议：这项研究包括 460 名糖尿病患者，其中男性 174 人（37.8%），女性 286 人（62.2%）。风险分类显示，209 人（45.4%）、107 人（23.3%）和 144 人（31.3%）分别属于低、中和高风险类别。在禁食的 144 名高风险患者中，57.9% 的参与者出现了低血糖（p 结论：据统计，禁食的高风险组中有相当多的参与者出现了并发症。这重申了严格遵守医疗建议的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Endocrine Practice ENDOCRINOLOGY & METABOLISM-

CiteScore

7.60

自引率

2.40%

发文量

546

审稿时长

41 days

期刊介绍： Endocrine Practice (ISSN: 1530-891X), a peer-reviewed journal published twelve times a year, is the official journal of the American Association of Clinical Endocrinologists (AACE). The primary mission of Endocrine Practice is to enhance the health care of patients with endocrine diseases through continuing education of practicing endocrinologists.